{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T18:31:03Z","timestamp":1732041063160},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2023,6]]},"abstract":"Zusammenfassung<\/jats:title>\n Einleitung Nach dem schwedischen Vorbild gewinnen\n Endoprothesenregister weltweit zunehmend an Bedeutung. Aufgrund der\n steigenden Zahlen endoprothetischer Eingriffe am Schultergelenk werden diese\n neben der H\u00fcft- und Kniegelenksendoprothetik vermehrt in die\n Registerdatenbanken aufgenommen. In dieser Arbeit soll die Wertigkeit von\n Endoprothesenregistern am Beispiel der Schulterendoprothetik dargestellt und\n mit klinischen Studien verglichen werden.<\/jats:p>\n Material und Methodik Die Jahresberichte von 32 verschiedenen\n Endoprothesenregistern zwischen 2013 und 2019 mit Daten zur H\u00fcft-, Knie-\n und\/oder Schultergelenksendoprothetik wurden analysiert. Es wurden die\n Operationszahlen und demografischen Patientendaten f\u00fcr alle Bereiche der\n Endoprothetik untersucht. Zudem wurde eine weiterf\u00fchrende Betrachtung von\n Variablen wie der Prim\u00e4rdiagnose, der Revisionsursache, der Revisionsrate in\n Abh\u00e4ngigkeit von Risikofaktoren und Patient-reported Outcome Measures\n (PROM-Scores) ausschlie\u00dflich f\u00fcr die Schultergelenksendoprothesen\n durchgef\u00fchrt. Am Beispiel der inversen Schulterprothese wurden klinische\n Studien mit Registerdaten hinsichtlich der Revisionsrate verglichen.<\/jats:p>\n Ergebnisse 20 Endoprothesenregister konnten insgesamt eingeschlossen\n werden, 9 von diesen erfassten Daten zur Schulterendoprothetik. Die\n wesentlichen Prim\u00e4rdiagnosen stellten Osteoarthrose (40,6%),\n Rotatorenmanschetten-Defektarthropathie (30,2%) und Frakturen (17,6%) dar.\n Die am meisten verwendete Schultergelenksendoprothese war die inverse\n Prothese (47,3%). Der Anteil der Revisionen an den Gesamtoperationen in der\n Schulterendoprothetik lag in allen Registern unter 10%. Neben der\n Revisionsrate wurden in den Registern teilweise PROM-Scores zur Evaluation\n des Prothesenerfolges eingesetzt. Im Vergleich zu Registerdaten zeigten\n klinische Studien heterogenere Daten mit einer deutlich h\u00f6heren\n Revisionsrate von \u00fcber 10% im Langzeit-Follow-up am Beispiel der inversen\n Schulterprothese.<\/jats:p>\n Schlussfolgerung Registerdaten stellen eine wertvolle\n Informationsquelle in der Schulterendoprothetik dar und k\u00f6nnen einen\n erheblichen Beitrag zur Qualit\u00e4tssicherung endoprothetischer Behandlungen\n leisten. Im Vergleich zu klinischen Studien liefern sie vordringlich Daten\n zu Standzeiten und stellen geringere Revisionsraten dar. Klinische Studien\n richten ihren Fokus mittels PROM-Scores und klinischen sowie radiologischen\n Untersuchungen einerseits nur auf einzelne Implantate und operative Zentren\n und andererseits weitaus st\u00e4rker auf das funktionelle Ergebnis aus.<\/jats:p>","DOI":"10.1055\/a-1644-2032","type":"journal-article","created":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:01:22Z","timestamp":1640217682000},"page":"280-289","source":"Crossref","is-referenced-by-count":4,"title":["Die Wertigkeit von Endoprothesenregistern in der\n Schulterendoprothetik am Beispiel der inversen Endoprothese"],"prefix":"10.1055","volume":"161","author":[{"given":"Fabian","family":"Blanke","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik,\n Universit\u00e4tsklinikum Rostock, Rostock, Deutschland"},{"name":"Orthop\u00e4dische Klinik, Sch\u00f6n Klinik M\u00fcnchen Harlaching,\n M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charlotte","family":"Enghusen","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik,\n Universit\u00e4tsklinikum Rostock, Rostock, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Enz","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik,\n Universit\u00e4tsklinikum Rostock, Rostock, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian","family":"Haasters","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik, Sch\u00f6n Klinik M\u00fcnchen Harlaching,\n M\u00fcnchen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Lutter","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik,\n Universit\u00e4tsklinikum Rostock, Rostock, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolfram","family":"Mittelmeier","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsklinikum Rostock,\n Rostock, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Tischer","sequence":"additional","affiliation":[{"name":"Orthop\u00e4dische Klinik und Poliklinik,\n Universit\u00e4tsklinikum Rostock, Rostock, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"409","DOI":"10.1302\/2058-5241.4.180071","article-title":"Orthopaedic registries: the Australian experience","volume":"4","author":"RN de Steiger","year":"2019","journal-title":"EFORT Open Rev"},{"key":"ref2","first-page":"160","article-title":"A clinical method of functional assessment of the shoulder","volume":"3","author":"C Constant","year":"1987","journal-title":"Clin Orthop"},{"volume-title":"Gelenkendoprothesenregister f\u00fcr Deutschland","year":"2009","author":"V Gorenoi","key":"ref3"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1007\/s00132-017-3485-4","article-title":"Ergebnisse des deutschen Schulter- und Ellenbogenprothesenregisters (SEPR)","volume":"46","author":"P Magosch","year":"2017","journal-title":"Orthop\u00e4de"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2319","DOI":"10.1002\/jor.24014","article-title":"Arthroplasty implant registries over the past five decades: Development,\n current, and future impact","volume":"36","author":"H Malchau","year":"2018","journal-title":"J Orthop Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1302\/0301-620X.89B1.18327","article-title":"Knee arthroplasty registers","volume":"89","author":"O Robertsson","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1567","DOI":"10.1302\/0301-620X.89B12.19409","article-title":"Key factors for a successful National Arthroplasty Register","volume":"89","author":"C Kolling","year":"2007","journal-title":"J Bone Joint Surg Br"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"346","DOI":"10.3109\/17453674.2016.1171639","article-title":"New Zealand Joint Registry data underestimates the rate of prosthetic joint\n infection","volume":"87","author":"M Zhu","year":"2016","journal-title":"Acta Orthop"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1080\/17453670610045696","article-title":"Registration completeness in the Norwegian Arthroplasty Register","volume":"77","author":"B Espehaug","year":"2006","journal-title":"Acta Orthop"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1016\/j.jse.2015.05.035","article-title":"Early revision within 1 year after shoulder arthroplasty: patient factors and\n etiology. 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