Increased Utilization of American Administrative Databases and Large-scale Clinical Registries in Orthopaedic Research, 1996 to 2016 - PubMed (original) (raw)

Increased Utilization of American Administrative Databases and Large-scale Clinical Registries in Orthopaedic Research, 1996 to 2016

Nicholas W Karlson et al. J Am Acad Orthop Surg Glob Res Rev. 2018.

Abstract

Introduction: Administrative databases and clinical registries provide large sample sizes that characterize specific outcomes and trends over time in orthopaedic surgery.

Methods: A literature review of all English-language orthopaedic surgery journals was conducted. All publications from 1996 to 2016 were reviewed for the utilization of an administrative database or clinical registry. We performed a linear regression with logarithmic transformation to identify trends in database utilization.

Results: Eight hundred forty-nine publications used a database from 1996 to 2016. Each year, 35.3% more database publications are reported than the previous year (95% confidence interval, 30.0 to 40.7), from zero articles in 1996 to 286 in 2016. The ratio of database research publications to overall orthopaedic publications increased from zero in 1996 to 2% in 2016. The most commonly used databases included the National Inpatient Sample and the National Surgical Quality Improvement Program.

Conclusion: Database research in orthopaedics has grown at a faster rate than orthopaedic literature as a whole.

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Figures

Figure 1

Figure 1

Line graph demonstrating the number of publications per year citing the usage of a database from 1996 to 2016. The graph demonstrates the overall increase in database research publications published in all English-language orthopaedic surgery journals, from zero database research publications in 1996 to 286 in 2016.

Figure 2

Figure 2

Line graph demonstrating the percentage of orthopaedic literature that used a database per year from 1996 to 2016. This proportion was defined as the ratio of publications that cited utilization of a database to the total number of publications in all English-language orthopaedic surgery journals over the same period. This graph demonstrates growth of database research publications from zero of 5,189 (0%) in 1996 to 286 of 13,813 (2%) in 2016.

Figure 3

Figure 3

Graph demonstrating the total number of times each database was used in a publication in an English-language orthopaedic surgery journal by database name from 1996 to 2016. ABOS = American Board of Orthopaedic Surgery, AJRR = American Joint Replacement Registry, BCBS = Blue Cross Blue Shield, CHARS = Comprehensive Hospital Abstract Reporting System, CJRR = California Joint Replacement Registry, CMS = Centers for Medicare and Medicaid Services, FORCE-TJR = Function and Outcomes Research for Comparative Effectiveness in Total Joint Replacement, KID = Kids' Inpatient Database, MARCQI = Michigan Arthroplasty Registry Collaborative Quality Initiative, MSKCC = Memorial Sloan Kettering Cancer Center orthopaedic registries, NHDS = National Hospital Discharge Survey, NIS = National (Nationwide) Inpatient Sample, NSAS = National Survey of Ambulatory Surgery, ACS-NSQIP = American College of Surgeons National Surgical Quality Improvement Program, NTDB = National Trauma Data Bank, SEER = Surveillance Epidemiology and End Results Program, SID = State Inpatient Database, VASQIP = Veterans Affairs Surgical Quality Improvement Program

Figure 4

Figure 4

Graph demonstrating the total number of publications that cited database utilization in each English-language orthopaedic surgery journal by journal name from 1996 to 2016.

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