Swedish Hip Arthroplasty Register – Annual Report 2 Report Annual – Register Arthroplasty Hip Swedish

SWEDISH HIP ARTHROPLASTY REGISTER – ANNUAL REPORT 2 Address Register Associates Swedish Hip Arthroplasty Register Professor emeritus Peter Herberts, MD, PhD Swedish Hip Arthroplasty Register Registercentrum VGR E-mail: [email protected] S-413 45 Göteborg Sweden Assistant Professor Hans Lindahl, MD, PhD Annual Report 2007 E-mail: [email protected] Telephone: at each contact below Fax: +46 31 69 17 77 Thomas Eisler, MD, PhD 007 www.jru.orthop.gu.se, www.shpr.se E-post: [email protected] Project Leaders PhD Students TOTAL ARTHROPLASTY Alingsås Kungälv SU/Östra Professor Johan Kärrholm, MD, PhD Ola Rolfson Arvika Köping Sunderby Telephone: +46 31 342 82 47 Olof Leonardsson 284 630 Bollnäs Lidköping Sundsvall E-mail: [email protected] Ferid Krupic PRIMARIES Borås Lindesberg Södersjukhuset Oskar Ström 1979-2007 Carlanderska Linköping Södertälje Total Hip Arthroplasty Danderyd Ljungby Torsby Assistant Professor Göran Garellick, MD, PhD Executive Commitee 34 192 Eksjö Lund Trelleborg Telephone: +46 31 69 39 61 Professor Johan Kärrholm, Göteborg REOPERATIONS Elisabeth- Lycksele Uddevalla E-mail: [email protected] Assistant Professor Göran Garellick, Göteborg 1979-2007 sjukhuset Malmö Umeå Professor Peter Herberts, Göteborg (closed reduction excl.) Enköping Mora Uppsala Hemi Hip Arthroplasty Assistant Professor Cecilia Rogmark, Malmö Eskilstuna Motala Varberg Assistant Professor Cecilia Rogmark, MD, PhD Professor André Stark, Stockholm Falköping Movement Visby Telefon: 040 – 33 61 23 Professor Leif Dahlberg, Malmö 27 690 Falun Nacka Närsjukhus Värnamo E-post: [email protected] Assistant Professor Uldis Kesteris, Lund REVISIONS Frölunda Specialist- Proxima Västervik Assistant Professor Krister Djerf, Motala 1979-2007 Other contact persons Hospital CEO Margaretha Rödén, Sundsvall sjukhus Norrköping Västerås Register Coordinator Kajsa Erikson Gothenburg Medical Norrtälje Växjö Telephone: +46 31 69 39 30 2 233 Center Nyköping Ystad E-mail: [email protected] ENV./TECH. PROFILES Gällivare OrthoCenter Örebro 1979-2007 Gävle Ortopediska Örnsköldsvik Register Coordinator Karin Lindborg Halmstad Huset Östersund Telephone: +46 31 69 39 90 Swedish Hip 55 799 Helsingborg Oskarshamn E-mail: [email protected] Arthroplasty Register PATIENT OUTCOME Hudiksvall Piteå 2002-2007 Hässleholm- S:t Göran Register Coordinator Karin Pettersson Kristianstad Skellefteå Telephone: +46 31 69 39 33 HEMI ARTHROPLASTY Jönköping Skene E-mail: [email protected] Kalmar Skövde Swedish 12 245 Karlshamn Sollefteå System Manager Ramin Namitabar PRIMARIES Karlskoga Sophiahemmet Telephone: +46 31 342 82 42 Orthopaedic Association 2005-2007 Karlskrona Spenshult E-mail: [email protected] Karlstad Stockholms Specialist- System Developer Roger Salomonsson 577 Katrineholm vård Telephone: +46 302 379 50 REOPERATIONS KS/Huddinge SU/Mölndal E-mail: [email protected] 2005-2007 KS/Solna SU/Sahlgrenska Department of Ortopaedics Sahlgrenska University Hospital ISBN 978-91-977112-3-4 September 2008 ISSN 1654-5982 Copyright© 2008 Swedish Hip Arthroplasty Register www.jru.orthop.gu.se Swedish Hip Arthroplasty Register Annual Report 2007 Johan Kärrholm Göran Garellick Cecilia Rogmark Peter Herberts ISBN 978-91-977112-3-4 ISSN 1654-5982 Contents Introduction ................................................................................................................................... 4 Register data .................................................................................................................................. 6 Degree of coverage ........................................................................................................................... 6 The new home page ....................................................................................................................... 10 Primary total hip replacement ........................................................................................................ 11 Resurfacing implant ...................................................................................................................... 27 Uncemented fixation...................................................................................................................... 28 Reoperation .................................................................................................................................. 32 Short-term complications – reoperation within 2 years .................................................................... 35 Readmission within 30 days .......................................................................................................... 38 Revision ........................................................................................................................................ 39 Implant survival as a quality indicator ..................................................................................... 42 Implant survival per type ......................................................................................................... 62 Implant survival per hospital .................................................................................................... 65 Follow-up model for patient-reported outcome ................................................................................. 67 Follow-up of activities after total hip replacement surgery ................................................................ 71 Value Compasses .................................................................................................................... 72 Case-mix-profiles ..................................................................................................................... 73 Cost and cost-utility effect ............................................................................................................... 77 Clinical improvement projects ........................................................................................................ 82 Environmental and technical profile ............................................................................................... 85 Follow-up of the ‘free choice of care’ scheme .................................................................................... 87 Mortality following total hip arthroplasty ....................................................................................... 89 Gender perspective ......................................................................................................................... 92 Hip fracture and prosthesis surgery, part 1 .................................................................................... 93 Hip fracture and prosthesis surgery, part 2 .................................................................................... 94 Hemi-arthroplasty ......................................................................................................................... 95 The BOA project ....................................................................................................................... 100 Regions – process and result measurements ...................................................................................102 National quality indicators ......................................................................................................... 117 Reoperation within 2 years per county .................................................................................... 118 Implant survival after 10 years by county ............................................................................... 120 Gain in EQ-5D index after 1 year per county ....................................................................... 122 Summary ..................................................................................................................................... 124 New this year ............................................................................................................................. 124 This year’s in-depth analyses ....................................................................................................... 124 Work for clinical improvement .................................................................................................... 126 Achievement of goals ................................................................................................................... 126 Problem areas ............................................................................................................................. 126 Current trends ............................................................................................................................ 127 Conclusion ...................................................................................................................................127 Current research projects ......................................................................................................... 128 Publications ............................................................................................................................... 130 4 SWEDISH HIP ARTHROPLASTY REGISTER 2007 Introduction The Swedish Hip Arthroplasty Register is in its thirtieth year of New this year operation. During its first twenty years the registry focused on re- sults – measured as revision frequency – for different prosthesis Nordic co-operation has been deepened during the year. A common types, fixation methods and surgical

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