DOS Kongressen 2014 ·
135
One-year follow-up in the Danish Knee-ligament
Reconstruction Register (DKRR) can be increased to
90 %
Jonathan Bjerre, Peder Klement, Bo Sparsø, Michael Krogsgaard
Department of sports traumatology, Bispebjerg; Department of orthopedic
surgery, Bispebjerg; Center of health, Region Hovedstaden
Background:
: The 1-year follow-up examination after ACL-reconstruction is
a key quality parameter in DKKR. However, in the year report 2013 follow-up
was reported for only 49,2 % (for Region Hovedstaden (RH) 45,6 %), which is
a serious problem for the validity of the register. It has not been investigated
why the reported follow-up is so low. The standard of >60% is based on the as-
sumption that these patients are mobile and less motivated for follow-up.
Purpose / Aim of Study:
To evaluate: completeness of 1-year follow-up after
ACL-reconstruction in 2012 in RH, reasons why it is incomplete, ways to in-
crease completeness and whether the official standard of > 60 % is realistic.
Materials and Methods:
Patients who were registered with an intervention
classified as KNGE45 or KNGE46 in 2012 the databases of 8 public and private
hospitals in RH were identified, and their hospital files were studied. For patients
who had no one-year follow-up it was checked if they had been invited. Data
were compared with extracts from the DKRR.
Findings / Results:
Of 931 operated patients, 814 were registered in DKKR
(87,4 %). The follow-up rate reported to DKRR was 34,9 % (range 0-68 %).
The actual follow-up rate was 64 % (range 30 – 91 %). There were marked dif-
ferences in the way follow-up was planned. Most important reasons for lacking
follow-up were failure to report to DKRR, no standard strategy for follow-up,
technical problems with DKRR and unclear courses due to other operations. Less
than 10 % of patients refused to show up.
Conclusions:
A reported follow-up rate >90% is realistic if patents are invited
at a reasonable time before follow-up, if they are re-invited once in case they
don’t show up and if hospitals report actual follow-ups. Technically, reporting
should be easier and robust to IT evolution.
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