The registry system

Dr. Samih Tarabichi Joint Replacement Center – Registry System

Dr. Samih Tarabichi is by far the best orthopedic surgeon in UAE specialized in Asian knee arthroplasty. Dr. Samih Tarabichi Joint Replacement Center is specialized in knee pain treatment, stiff knee treatment, knee osteoarthritis treatment, knee replacement surgery, revision knee surgery, full flexion knee joint, knee joint fracture treatment, hip pain treatment, stiff hip treatment, hip osteoarthritis treatment, hip replacement surgery, revision hip surgery, hip joint fracture treatment, joint osteoarthritis, ACL surgery, Ligamys, Dynamic spacer for total knee arthroplasty and Physiological total knee implant.

Joint replacement registries are quite common in the United States and Europe. Today’s total joint replacement registries are broadening their focus to include perioperative complications and patient-reported outcomes following surgery. Our health-care system is transforming from a volume-based system to a value-based system. Measurement of patient outcomes after total joint replacement is increasingly emphasized. To measure and monitor the outcomes of total joint replacement, joint registries are emerging that incorporate lessons acquired from long-standing international implant registries as well as integrate new methods to quantify perioperative quality and patient-reported outcomes.

The registry is simply a documentation of surgeries that centers in US and Europe maintain and it is a way to monitor the outcome and improve the outcome of surgeries. In some countries in the Europe, it is required that every joint replacement surgery is registered through a registry system. The idea is to keep a track of all the joint replacement surgeries and to monitor the outcome and improve it. Furthermore, this registry is used to sometimes exclude some hospitals and institutions if the performance proved to be sub optimal. The registry collects standardized total joint preoperative, operative, and postoperative data. The registry database includes information on patient demographics, implant characteristics, surgical techniques, and outcomes. As a result, the registry provides opportunities for total joint replacement surveillance and monitoring.

Dr. Samih Tarabichi Joint Replacement Center – Registry System established the first registry in the Middle East in 1999. Initially, we linked it to the University of Dundee and now we are linking it to private institution in Europe. Through this institution and online, we register all the joint replacement cases and we are required to submit the details about the patient. However, the identity of the patient is kept confidential and we normally give each patient a number, and the data about this patient and the surgery and what has been done will be then submitted online to the data system. We have been collecting data since the year 1999 and we have over 9000 total joint cases listed on this registry. We normally receive reports about our outcome and fortunately, our results have been much better than the European benchmark. Meaning that, the complication rates are less and the outcome is better than the benchmark. Furthermore, by accumulating such data we were able to publish over 10 articles in well-recognized international scientific magazines about joint replacements in the Middle East. These articles can be accessed through the Research Gate site along with few Chapters that were written in major orthopedic text books.

Developing the registry is time consuming and costly. However we volunteered in doing the registry in order to improve the outcome of the joint replacement surgery and in order to also be able to write some solid scientific data about our work in the Middle East. As mentioned earlier, it is mandatory that every case be registered and in some countries this registry is used to filter out substandard centers in the region or to filter out centers that do not perform well. We intend to continue to build our data base and the value from this database actually increase with time due to the fact that we will have a long follow up on our patient and the data that we obtained from this registry is quite valuable for us internally even at our institution to decreases the infection rate and to improve our quality.