The Danish Fracture Database

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1 The Danish Fracture Database The initial patient experience Anders Troelsen A-kursus, Traumatologi, Odense, September 2013

2 Purpose of DFDB: Web-based prospective quality monitoring of fracture related surgery: Evaluating: Re-operation rates Operative parameters Health Related Quality of Life (future)

3 Why is assessment of quality relevant: Life-time prevalence of fractures is 38.2 %. An estimated app fracture related surgeries are performed annually in DK Previously, no systematic assessment of quality of fracture surgery in general

4 History of DFDB: 6 years ago: Paper-and-pencil based database tested at Aabenraa Hospital 2 years ago: Web-based database started at dept. s in Hvidovre and Odense Present: Total 10 dept. s more coming» Administration» Board with annual meeting Kirill Gromov Michael Brix

5 Video example of data entry

6 Participating Departments: Hvidovre Odense Rigshospitalet Slagelse Køge Kolding Aabenraa Herlev Bispebjerg Esbjerg n operationer

7 Early data completeness and validity COMPLETENESS Hvidovre Odense Both Departments Primary surgeries 90% (145/161) 86%(102/118) 88% (247/279) Reoperations 84% (27/32) 71% (22/31) 77% (49/63) DATA VALIDITY App % Gromov et al., accepted DMJ, 2013

8 History of data entries > 6000 entries / 6 months

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10 Revision burden: app. 10 %

11 Hip: ~ 33 % Dist. radius: ~ 15 % Ankle: ~ 12 %

12 Hip: ~ 30 % Ankle: ~ 18 %

13 Pain/discomfort: ~ 33 % Suboptimal surgery: ~ 9 %

14 Gustillo types 3A-C %

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17 Consultants Training

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28 hot stuff: Implant scanning/tracing

29 DFDB Visions: National / Nordic / and beyond. database Implementation of HRQoL in outcome assessment Implementation of implant tracking

30 DFDB 2013: Annual Report presented at DOS/DOT annual meeting, Oct. 23, 2013

Note: This App is under development and available for testing on request. Note: This App is under development and available for testing on request. Note: This App is under development and available for

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