Alliance for the development of the Argentinian Hip Fracture Registry

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Alliance for the development of the Argentinian Hip Fracture Registry


JournalArchives of Osteoporosis
Article typeJournal research article – Clinical research
Publication date – Sep – 2022
Authors – Ezequiel Monteverde, María Diehl, Magdalena Saieg, María Beauchamp, Jorge Luis Alberto Castellini, Jorge Alberto Neira, Roberto Félix Klappenbach, Paula Rey, Matías Mirofsky, Rosana Quintana, Bruno Rafael Boietti, María Belén Zanchetta, Evangelina Giacoia, Betina Lartigue, Ana Silvina Abbate, Arnaldo Medina, Verónica Silvina Matassa, Roberto Olivetto, Romina Dodero, Ignacio Maglio, Mercedes Bordes, Julio Nemerovsky, Laura Bosque
KeywordsAged, Frailty · Osteoporosis, Hip fractures, quality improvement, Registry
Open access – Yes
SpecialityTrauma and orthopaedic surgery, Trauma surgery
World region South America
Country: Argentina
Language – English
Submitted to the One Surgery Index on September 25, 2022 at 12:05 am
Abstract:

Summary
Age expectancy has significantly increased over the last 50 years, as well as some age-related health conditions such as hip fractures. The development of hip fracture registries has shown enhanced patient outcomes through quality improvement strategies. The development of the Argentinian Hip Fracture Registry is going in the same direction.

Introduction
Age expectancy has increased worldwide in the last 50 years, with the population over 64 growing from 4.9 to 9.1%. As fractures are an important problem in this age group, specific approaches such as hip fracture registries (HFR) are needed. Our aim is to communicate the Argentinian HFR (AHFR) development resulting from an alliance between Fundación Trauma, Fundación Navarro Viola, and the Argentinian Network of Hip Fracture in the elderly.

Methods
Between October 2020 and May 2021, an iterative consensus process involving 5 specialty-focused meetings and 8 general meetings with more than 20 specialists was conducted. This process comprised inclusion criteria definitions, dataset proposals, website deployment with data protection and user validation, the definition of hospital-adjusted registry levels, implementation planning, and sustainability strategies.

Results
By June 2021, we were able to (1) outline data fields, including epidemiological, clinical, and functional dimensions for the pre-admission, hospitalization, discharge, and follow-up stages; (2) define three levels: basic (53 fields), intermediate (85), and advanced (99); (3) identify 21 benchmarking indicators; and (4) make a correlation scheme among fracture classifications. Simultaneously, we launched a fundraising campaign to implement the AHFR in 30 centers, having completed 18.

Conclusion
AHFR development was based on four pillars: (1) representativeness and support, (2) solid definitions from onset, (3) committed teams, and (4) stable funding. This tool may contribute to the design of evidence-based health policies to improve patient outcomes, and we hope this experience will help other LMICs to develop their own tailored-to-their-needs registries.

OSI Number – 21767

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