机构和医院 (II-IV级) 关节整形注册表的全球映射:范围审查
Aikaterini Zgouridou1,2, Eustathios Kenanidis3,4, Michael Potoupnis1,2
1Academic Orthopaedic Department, Aristotle University Medical School, General Hospital Papageorgiou, Ring Road Efkarpia, 56403, Thessaloniki, Greece.
概括
这项研究绘制了全球105个关节关节整形注册表 (JAR),显示大多数在欧洲和美国. 这些注册表主要报告了回顾性队列研究,很少有人系统地分析数据.
科学领域:
- 整形外科手术 整形外科手术
- 医疗信息学 医疗信息学
- 医学研究方法论医学研究方法论.
背景情况:
- 关节关节整形注册表 (JARs) 根据记录的数据被分为四个级别.
- 一级JAR是收集初级数据的国家注册表.
- 级别II-IV JAR是医院或机构的注册表,记录患者报告的结果,人口统计和放射数据.
研究的目的:
- 创建全球II-IV级JAR列表,以评估和分类他们的数据.
- 在全球范围内绘制现有II-IV级JAR的地图.
- 记录它们的运营时间,出版成果,并与国家JAR进行比较.
主要方法:
- 一个系统的范围审查,遵守PRISMA指南.
- 包括648项研究,以识别和绘制全球II-IV级JAR.
- 出版频率,研究类型和结果措施的二次分析.
主要成果:
- 确定了105个II-IV级的JAR:48个是医院的,45个是机构的,12个是区域的.
- 地理分布:美洲50个,欧洲39个,亚洲9个,大洋洲6个,非洲1个.
- 出版类型:485个队列 (主要是回顾性),91个案例系列,49个案例控制等. 研究的主要结果:患者报告的结果 (23%),手术并发症 (21.45%),术后临床结果 (13.73%),以及生存分析 (11.88%).
结论:
- 这是全球第II-IV级 JARs的首个全面地图.
- 大多数JAR集中在欧洲和美国.
- 大多数JAR专注于回顾性队列研究,有限的系统报告或分析.
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