Implementation of the Swedish Fracture Register

David Wennergren, Michael Möller, David Wennergren, Michael Möller

Abstract

Large financial resources are needed to treat fractures. Surprisingly little is, however, known about actual numbers, treatment methods or outcomes. A large population-based observational study can add valuable knowledge, especially if patient-reported results are included. There is no previous national fracture register with prospectively collected data on fractures of all types, treated surgically as well as non-surgically. With the implementation of the Swedish Fracture Register (SFR), we have shown that this is possible. More than 285,000 fractures have been registered. The database is increasing at a rate of 70,000 fractures a year, i. e. one fracture every 7 min. The aim of this article is to describe the first seven years in the history of the SFR, with opportunities for the future as well as limitations.

Keywords: Epidemiology; Fractures, bone; Health care evaluation mechanisms; Patient-reported outcome measures; Register.

Conflict of interest statement

D. Wennergren and M. Möller declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Classification of a fracture starts with choosing the appropriate segment of the injured bone [12]
Fig. 2
Fig. 2
After selection of side and location the classification window appears and the appropriate fracture type is chosen [12]
Fig. 3
Fig. 3
The cumulative frequency of fracture registrations in Swedish Fracture Register (SFR) since the start

References

    1. Bergdahl C, Ekholm C, Wennergren D, et al. Epidemiology and patho-anatomical pattern of 2,011 humeral fractures: data from the Swedish Fracture Register. BMC Musculoskelet Disord. 2016;17:159. doi: 10.1186/s12891-016-1009-8.
    1. Duncan CP, Haddad FS. The Unified Classification System (UCS): improving our understanding of periprosthetic fractures. Bone Joint J. 2014;96-B:716–713.
    1. Emilsson L, Lindahl B, Koster M, et al. Review of 103 Swedish Healthcare Quality Registries. J Intern Med. 2015;277:94–136. doi: 10.1111/joim.12303.
    1. Handoll H, Brealey S, Rangan A, et al. The ProFHER (PROximal Fracture of the Humerus. Health Technol Assess. 2015;19(24):1–280. doi: 10.3310/hta19240.
    1. Juto H, Gartner Nilsson M, Moller M, et al. Evaluating non-responders of a survey in the Swedish fracture register: no indication of different functional result. BMC Musculoskelet Disord. 2017;18:278. doi: 10.1186/s12891-017-1634-x.
    1. Juto H, Moller M, Wennergren D, et al. Substantial accuracy of fracture classification in the Swedish Fracture Register: Evaluation of AO/OTA-classification in 152 ankle fractures. Injury. 2016;47:2579–2583. doi: 10.1016/j.injury.2016.05.028.
    1. Kellam JF, Meinberg EG, Agel J, et al. Introduction: fracture and dislocation classification compendium-2018: international comprehensive classification of fractures and dislocations committee. J Orthop Trauma. 2018;32(Suppl 1):1–10. doi: 10.1097/BOT.0000000000001063.
    1. Kihlstrom C, Moller M, Lonn K, et al. Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study. BMC Musculoskelet Disord. 2017;18(1):82. doi: 10.1186/s12891-017-1444-1.
    1. Knutson K, Robertsson O. The Swedish Knee Arthroplasty Register. Acta Orthop. 2010;81:5–7. doi: 10.3109/17453671003667267.
    1. Kärrholm J. The Swedish Hip Arthroplasty Register. Acta Orthop. 2010;81:3–4. doi: 10.3109/17453671003635918.
    1. Rangan A, Handoll H, Brealey S, et al. Surgical vs nonsurgical treatment of adults with displaced fractures of the proximal humerus: the PROFHER randomized clinical trial. JAMA. 2015;313:1037–1047. doi: 10.1001/jama.2015.1629.
    1. Wennergren D, Ekholm C, Sandelin A, et al. The Swedish fracture register: 103,000 fractures registered. BMC Musculoskelet Disord. 2015 doi: 10.1186/s12891-015-0795-8.
    1. Wennergren D, Ekholm C, Sundfeldt M, et al. High reliability in classification of tibia fractures in the Swedish Fracture Register. Injury. 2016;47:478–482. doi: 10.1016/j.injury.2015.11.002.
    1. Wennergren D, Stjernstrom S, Moller M, et al. Validity of humerus fracture classification in the Swedish fracture register. BMC Musculoskelet Disord. 2017;18:251. doi: 10.1186/s12891-017-1612-3.

Source: PubMed

스폰서 및 공동 작업자

건강 상태

약물 개입

3
구독하다