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Linkage Between Databases in Joint Arthroplasty and Orthopaedics: The Way Forward?
Nathanael D Heckmann1, Nathan T Glusenkamp2
1Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.
The Journal of Bone and Joint Surgery. American Volume
|October 19, 2022
Summary
Linking large observational databases, like the American Joint Replacement Registry (AJRR), can overcome data gaps for complex research. However, practical, legal, and financial challenges must be addressed for successful data integration.
Area of Science:
- Orthopaedic research
- Health informatics
- Data science
Background:
- Large observational databases contain specific data elements crucial for research.
- Gaps in essential data elements within a single database can hinder answering important study questions.
- Cross-disciplinary studies, need for granular data, or evolving research questions contribute to data deficiencies.
Purpose of the Study:
- To discuss the challenges and potential of linking large orthopaedic databases.
- To explore strategies for overcoming data limitations by integrating disparate data sources.
- To highlight the importance of data linkage for advancing research in joint replacement.
Main Methods:
- Review of challenges in linking large observational databases.
- Discussion of practical, legal, and financial barriers to data integration.
- Case study on linking the American Joint Replacement Registry (AJRR) with other data sources.
Main Results:
- Linking databases is a promising approach to address missing essential data elements.
- Significant practical (IT), legal, and financial challenges impede database linkage.
- Efforts are underway to link the AJRR with other data sources, with future success anticipated.
Conclusions:
- Database linkage is essential for comprehensive orthopaedic research, despite existing hurdles.
- Addressing technical, legal, and financial obstacles is critical for successful data integration.
- The linkage of the AJRR with other registries will enhance the depth and breadth of joint replacement research.
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