23.
Completeness and validity of data in “Dansk Frakturdatabase”: A
novel registry for quality assessment of fracture related surgery.
Kirill Gromov, Michael Brix, Anders Troelsen
Orthopedic Hvidovre Hospital; Orthopedic, Odense University Hospital;
Orthopedic, Hvidovre Hospital
Background:
Fracture-related surgeries are some of the most common
orthopaedic procedures performed. Whereas register-based quality assessment
is known from other orthopaedic specialties it has not previously been
conducted for fracture-related surgeries. “Dansk Frakturdatabase – DFDB” has
been developed for the purpose of web based quality assessment, but its
properties as a valid data source remains to be explored.
Purpose / Aim of Study:
To investigate: 1) the completeness of data in
DFDB, and 2) if entered data are valid data sources for future quality
assessment.
Materials and Methods:
We have developed an internet-based fracture
surgery database (DFDB), with data being entered by the surgeon. The data
collection includes primary fracture surgeries, secondary surgeries and
reoperations. Recorded parameters include patient, trauma and surgery-related
data. One month after full implementation of the database we assessed the
completeness of data and the validity of the entered parameters for 200
patients operated during a 1 month period.
Findings / Results:
We have achieved a completeness of 85% for all types of
data entries, with 87% and 83% completeness for primary fracture surgery and
reoperations, respectively. Patient-related data was valid in 82-100%. Trauma-
related data, such as neurovascular status and Gustillo classification, was
100%
valid. Surgery- related data included method of osteosynthesis as well as
reduction and surgical technique and was valid in 89-99%.
Conclusions:
“
Dansk Frakturdatabase - DFDB” is an easy to use web based
database for registration of fracture-related surgery. Shortly after
implementation at our institution, it achieved acceptable completeness and we
found entered data to be valid for all registered parameters, thus making it a
valuable tool, with potential for nationwide quality assessment of fracture
related surgery.
