The Annual Report 2017 Summary of the 2nd THKJR Data Analysis Meeting Contents Contents ............................................................................................................................................... 1 Preface .................................................................................................................................................. 9 Background of THKJR ........................................................................................................... 10 Role of Steering Committees in THKJR ................................................................. 13 THKJR Regional Coordinators 2016 – 2018 ....................................................... 14 Data Structure and Data Security .............................................................................. 15 Annual Report 2017 ................................................................................................................. 16 THKJR’s Next Step ................................................................................................................... 42 APPENDICES ................................................................................................................................... 43 THKJR Advisory Board ........................................................................................................ 44 Annual Activity Report 2017 – 2018 ....................................................................... 45 THKJR Steering Committees ........................................................................................... 49 Appreciation “Efficiency and precision in surgery are essential factors when considering the effectiveness of a surgery. This program has both.” The knee and Hip replacement project is a huge success, and it cannot be done without Dr. Viroj Larbpaiboonpong and his colleague’s unparalleled minds and endeavor. It is delightful to see this project forming, as it relates well to the present situation, where collecting data on surgeries is one of our primary concerns. It is clear since the beginning that this will be a groundbreaking discovery into Total joint replacement. Whether it is about the brand of the prosthesis, the result of the surgery or the evaluation, this program will help surgeons across Thailand to have a clear understanding of surgery as well as increasing its efficiency. I truly believe that every surgeon will collaborate and support this project by collecting data; a reliable evaluation of our methods of surgery can be achieved. In addition, this project can also be referred to when doing an academic program, as well as informing future surgeons across Thailand about prosthesis. It is my pleasure to see this project from the beginning to the end, and I am sure that this will be a significant step towards better surgeries in our country soon. Prof. Thanainit Chotanaphuti, MD Viec President of RCOST President of Thai Hip & Knee Foundation (THKF). Professor Department of Orthopedics, Phramongkutklao College of Medicine, Bangkok, Thailand. 2 | THKJR The Annual Report 2017 (The 2nd THKJR Data Analysis) Appreciation “I can say that this is our first stable step towards the so called - Thai National Joint Registry” We foresee that Joint Registry can be used in many aspects, like to benchmark the surgeon who do joint replacement. Benchmark can be compared in many levels, surgeon to surgeons, hospital to regional hospital, hospital to national level, national to international level. Joint Registry can be used to evaluate effectiveness and complications of certain surgical procedure or a specific prosthesis. Besides we can forecast a survival and complications of each prosthesis or procedure using Joint Registry. This give tremendous value for us to plan our direction of joint surgery in the future. When this project is completed, National Health Security Office can utilize our data for a proper budget and plan for Thai people health. If we talk about history of Joint Registry in Thailand, it is worth to note that initial joint registry was attempted at Lerdsin Hospital by me and Dr. Chavanont Sumanasethakul, using a Delphi database and C+ language program. Years after that the Thai Hip and Knee Society foreseen the advantage of a National Joint Registry and use the web-based program as a media to collect raw data. This project had many obstacles and progressed too slow, until Dr. Viroj Larbpaiboonpong and his colleges take responsibility on the project, make a rapid progress on the project. A new software company, E. S. M. Solution Co. ,Ltd. , writes this Thai Joint Registry software, which can be run on any computer or mobile phone ( Android and iOS) . Our subcommittees for Joint Registry have many meetings to brainstorm an idea how this program shall work, then we get this working software to put in our data. I can say that this is our first stable step towards the so called “ Thai National Joint Registry” , we cannot call it a National Joint Registry unless all of us show our unity by participation to the National Registry Project. In my mind, this is the second hardest thing to achieve, we know that every surgeon has a lot of work to do every day but our dream will never be success without your cooperation. Let us make it success. Wallob Samranvedhya, MD Head of Hip and Knee Center, Bangkok Hospital, Bangkok, Thailand ➢ THKJR The Annual Report 2017 (The 2nd THKJR Data Analysis) | 3 Appreciation “I would like to emphasize that this report will wind up the next movements of the national joint registry regarding our national joint surgical data” First of all, I would like to express my sincere appreciation, as well as congratulations on the success of Police Colonel Viroj Larbpaiboonpong, MD, and his THKJR team for having done a great and successful taskforce on the Thai national joint registry project, which I would define that this taskforce is probably the most difficult strategic project among 5 THKS Key Strategic Plans. Looking backward to the past 10 years, several of THKS key members, who were interested in national joint registry issue, have tried and worked very hard to establish this project, including running several collaborative contacts with government sectors and private sectors, arranging some useful and informative meetings for a better understanding and cordial agreement in this project. However, a lot of obstacles occurred and several difficult confounding factors could not be fixed. Therefore, the mission “Thai national joint registry” has been still on the road. At the present time, the working group of Dr. Viroj’s, who have been working very hard and very systematic without tired for several months, have ended up with a successful taskforce of the first mile stone of this project. In fact, it becomes the first Annual Report of the Thai National Joint Registry. Although it may be defined as a preliminary national joint report which has been well prepared to be presented in the annual meeting of the THKS in year 2 0 1 8, this report demonstrates that the determination of this working group has already defeated all the difficult parts of this taskforce. I would like to emphasize that this first report will wind up the next movements of the national joint registry regarding our national joint surgical data. Then, the solid progress of this THKS strategic plan will be continued. Again, I believe that the successful taskforce of this working group has levelled up to higherr standard for social responsibility of the THKS and the Thai Orthopedic Society. Prof. Aree Tanavalee, MD Past President, The Thai Hip & Knee Society (2012-2014). President Elect, The Royal College of Orthopedic Surgeons of Thailand (2016-2018). 4 | THKJR The Annual Report 2017 (The 2nd THKJR Data Analysis) Appreciation “ espite many obstacles, the steering D team of THKJR had shown their determination to develop THKJR system” First,I would like to congratulate the THKJR working team, which lead by Dr. Viroj Larbpaiboonpong for developing Thai Joint Registry system. Thai Hip and Knee Society wants this system to be successful. The Joint Registry system has many benefits that will help improve hip and knee replacement patient. The system will help surgeon with decision making of the implants, since the system will provide information about quality of joint prosthesis. It will also indicate a trend for most effective treatment. Cooperation of all Joint surgeons and data input are the most important factors for developing Thai Hip and Knee Joint Registry. For the corporation to happened, it is necessary for all joint surgeons to see the important of this system. Despite many obstacles, the steering team of THKJR had shown their determination to develop THKJR system. Thus, there is a constant increase of hospitals and surgeons enrolling to the system. Lastly, I would like to encourage THKJR team and Dr. Viroj Larbpaiboonpong to constantly improve and make the system sustainable for long time. Pol. Maj. Gen. Thana Turajane, MD (Hons.) Vice President of RCOST. President of the Thai Hip & Knee Association (THKA). Past President of the Thai Hip & Knee Society (THKS). Deputy Surgeon General, Police General Hospital Bangkok, Thailand. ➢ THKJR The Annual Report 2017 (The 2nd THKJR Data Analysis) | 5 Appreciation “ opefully, data from this program will H help us to improve quality of teaching surgeons, quality of patient management” Total joint replacement is an operative procedure which used to treat patient suffered from severe osteoarthritis or