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- Talk
- 21/09/2022
- UK
Using the NJR Data Set For Analysis and Research - Launch of the NJR Annual Report 2022: Demonstrating The Importance and Value of Registry Data for Research and Analysis
Description
The annual report presentation begins with Mike Reed addressing the audience, stating the challenges of covering each subspecialty due to time constraints. Emphasizing the significance of an online report for ecological reasons, he notes a disappointing harvest for the National Joint Registry (NJR) linked to COVID-19. He highlights activity levels in joint replacements, specifically noting that hip surgeons have fared better than others, achieving around 85% of normal activity. Reed emphasizes the popularity of hybrid hips and the rise of ceramic-on-poly hip bearings, revealing data that suggests these options are superior for younger patients. Key recommendations based on patient age for hip replacements are outlined: over 75s receive cemented metal-on-poly hips, while younger patients are advised to use hybrid ceramic-on-poly.
Transitioning to knee replacements, he shares that, despite increases in unicompartmental knee replacement (UKR) numbers, a small percentage of surgeons meet the recommended volume. The revision rates for knee replacements are explored, highlighting that once a knee is revised, there is a significantly higher risk of re-revision. As for ankle replacements, Reed notes a growing dataset but still low surgical volume. He reviews the performance of new implants, indicating that the majority being used are yielding positive results.
The presentation concludes with mentions of progress in elbow and shoulder replacement techniques, new classification systems, and the importance of patient-reported outcome measures (PROMs) collection. Reed expresses optimism about aligning surgical practices with data and the contributions of the NJR research team. The session wraps up with an introduction to Professor Wilkinson, who is set to talk about PROMs.