Total Elbow Replacement in England: Analysis of National Joint Registry and Hospital Episode Statistics Data

University of Manchester3,891 enrolled

Overview

The goal of this observational registry study is to provide detailed descriptions of the patients who are receiving primary total elbow replacement surgery in England. The main questions it aims to answer are: * Who are receiving primary total elbow replacement surgery? * Where and by whom is the total elbow replacement surgery is being performed? * What the current surgical practices for total elbow replacement? Pseudonymous data from the National Joint Registry NJR of all patients with total elbow replacement will be used.

Study Type

OBSERVATIONAL

Enrollment

3,891

Conditions

Total Elbow Replacement

Interventions

Total Elbow ReplacementDEVICE

Total elbow replacement is a procedure that involves replacing the elbow joint with an implanted device to alleviate pain and improve function.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * All patients aged 18 to 100 years old with a primary TER on the National Joint Registry (NJR) elbow dataset from the start of data collection on the 1st of April 2012 to the 31st of December 2022 will be included. Exclusion Criteria: * Patients are excluded if they did not consent for their data to be used for research purposes, if it is impossible to trace them after surgery, if their ID numbers are invalid, or if the surgery was not performed in England. * Unconfirmed procedures and procedures with inconsistent operative patterns (i.e. a sequence of operations where the primary operation is not the first operation in the sequence or where there are multiple primary operations recorded for the same joint) will be excluded from the analyses.

Locations (1)

Centre for Epidemiology Versus Arthritis, Centre for Musculoskeletal Research, University of Manchester, Manchester Academic Health Science Centre

Manchester, United Kingdom

Outcomes

Primary Outcomes

The incidence of total elbow replacement (TER) in England

The number and age-sex standardised rate of TER for different sexes, ethnicities, and socioeconomic backgrounds.

Time frame: Yearly (1 year) incidence for a 10 year period

Secondary Outcomes

Serious adverse events or re-admissions

Serious adverse events will be defined as any severe medical complications leading to hospital admission, including pulmonary embolism, myocardial infarction, lower respiratory tract infection, acute kidney injury, urinary tract infection, cerebrovascular events, and all-cause death.

Time frame: 30 and 90 days after the index TER

Duration of elective wait

The number of days between the decision for total elbow replacement and the actual day of surgery

Time frame: Up to 10 years period

Post-operative duration of stay

The number of days from the time of surgery until discharge from the hospital

Time frame: Up to 10 years period

Surgeon volume

Number of TERs performed by a surgeon per year by surgeons in England

Time frame: 10 year (2012 to 2022)

Hospital volume

Number of TERs performed by a hospital per year by surgeons in England

Time frame: 10 year (2012 to 2022)

Data from ClinicalTrials.gov

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