• Injury · Apr 2021

    Multicenter Study

    The National Hip Fracture Database is only as good as the data we feed it - significant inaccuracy demonstrated and how to improve it.

    • Lucy C Maling, Christian Eb Gray-Stephens, Khalid Malik-Tabassum, Oliver Jf Weiner, Matthew R Marples, Giles P Faria, and Rory G Middleton.
    • Specialty Registrar, Trauma & Orthopaedics. Queen Elizabeth the Queen Mother Hospital, East Kent Hospital University NHS Foundation Trust, Margate, Kent, CT9 4AN, United Kingdom. Electronic address: lucy.maling@nhs.net.
    • Injury. 2021 Apr 1; 52 (4): 894-897.

    IntroductionThe National Hip Fracture Database of England, Wales and Northern Ireland (NHFD) is the largest such database in the world. Data errors in within the NHFD lead to spurious evidence which ultimately informs Orthopaedic, Anaesthetic and Orthogeriatric clinical practice.Materials And MethodsThis multi-centre quality improvement study investigated, and sought to improve data inaccuracy within the NHFD. Hip arthroplasty episodes recorded between 2011-2020 were analysed for errors in operation, implant polarity and cementation.ResultsInaccuracies were observed in 20.5% of 3972 data entries. Following the introduction of a hip fracture clinical data administrator in each centre, inaccuracies reduced four-fold (5.2% of 559 data entries).ConclusionWe advise caution when utilising NHFD data for research and audit purposes. In order to build a robust, accurate database for future research, we recommend the incorporation of specialist data administrators into the hip fracture multidisciplinary team.Crown Copyright © 2020. Published by Elsevier Ltd. All rights reserved.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…