There is a growing demand for patient matched healthcare. This has been effectively implemented in cancer treatments and there is strong interest for such an approach from within the Orthopaedic community as we strive to improve patient outcomes. It is of course necessary to support this demand with robust clinical data, the National Joint Registry (NJR) data for Symbios branded Custom hips does just that.
From the NJR, Symbios has extracted the ‘top 5 cementless brands’ on the registry as ‘the comparator’ and compared the results to the Symbios bespoke (custom) brand. The indications, demographics and outcomes are reported. The ‘Custom’ patient cohort is 4-5 times less likely (using the comparative revision index of 0.28: 1.0) to require a costly revision procedure than the comparator. Furthermore, 54.4% of patients receiving Symbios custom stems were < 50 years (vs just 7.3% in the comparator group) representing a disproportionately high percentage of young high demand patients.
- The NJR was established in 2002 by the Department of Health.
- The National Joint Registry (NJR) collects high quality and relevant data about joint replacement surgery & acts to inform patients, clinicians, providers and commissioners of healthcare, regulators and implant suppliers of the outcomes achieved in joint replacement surgery. The NJR supports evidence-based purchasing of joint replacement implants for healthcare providers to support quality and cost effectiveness.
- In 2008 (1 April), the management of the NJR was transferred from the Department of Health to the Healthcare Quality Improvement Partnership (HQIP), a consortium comprising the Academy of Medical Royal Colleges, the Royal College of Nursing and National Voices.
- The Orthopaedic Data Evaluation Panel (ODEP) was set up in 2002 to implement NICE guidance on primary hip implants & benchmark the list of implants.
ODEP benchmark Hip, Knee and now Shoulder prostheses, against agreed standards and at regular time points. It is a rolling process and manufacturers will submit their date data from the pre-entry level (before the first official benchmark) through 3, 5, 7, and 10 years. These time points will be extended as data from registries and other sources becomes available. Submissions are accepted bi-annually for each joint. Hips and shoulders are benchmarked in the spring and autumn with knees in the summer and winter.
The ODEP rating is now a commonly used benchmark used not only in the UK but globally.
The full report can be accessed through the link below: