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Establishing and Maintaining Congenital Upper Limb Difference Registries: Insights From Global Experiences
Adam Mosa1, Sarah Romans1, Charles A Goldfarb1
1Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, MO.
Establishing international congenital hand registries offers valuable data for research but faces logistical and ethical challenges. Collaboration is key for optimizing existing and future congenital upper limb difference registries.
Area of Science:
- Orthopedics and Hand Surgery
- Pediatric Health
- Clinical Data Management
Background:
- Global development of prospective clinical registries for congenital upper limb differences (CULD) aims to improve understanding.
- Surgeons involved in CULD registries in the US, Northern Europe, Australia, and UK share experiences.
Purpose of the Study:
- Explore surgeons' early experiences with CULD registries.
- Identify logistical challenges in registry maintenance.
- Assess research output and feasibility of an international CULD registry.
Main Methods:
- Semistructured qualitative interviews with 8 hand surgeons (2 per registry).
- Inductive thematic analysis of transcribed interviews.
- Focus on leadership roles in registry establishment and sustainability.
Main Results:
- Registries provide valuable longitudinal data for clinical insights and research.
- Success factors include clear vision, defined purpose, and robust infrastructure.
- Challenges exist in pediatric outcomes measurement and data updates; variability in research ease.
Conclusions:
- International CULD registry experiences vary in execution, logistics, and research output.
- Registries share commonalities in outcome measures and diagnostic criteria.
- Insights can optimize current registries and guide future international collaborative efforts.
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