The Danish Fracture Database
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- Rudolph Bond
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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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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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