Author/Editor		Mavčič, Blaž; Antolič, Vane; Pavlovčič, Vinko
Title		Praktični vidiki registra totalne endoprotetike v Sloveniji
Translated title		Practical issues of the national arthroplasty registry in Slovenia
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 75, št. 1
Publication year		2006
Volume		str. 23-7
Language		slo
Abstract		Medical institutions that perform total hip arthroplasties have reached a preliminary agreement to implement the National Arthroplasty registry in Slovenia (RETEPS) and representatives of different hospitals have founded a project group to facilitate the implementation. Currently there are four hospitals in Slovenia where a standardized questionnaire is used to record to record the data on total hip arthroplasties but the analysis of the collected data has not yet been performed on the national level. The problem of unifying the collected data, the logistical problems of data analysis, reliable identification of patients in the registry, financial aspects and monitoring of surgeons compliance will have to be solved before the registry starts functioning on the national level. Survival analysis in total hip arthroplasty is only possible if every registry subject is assigned a unique identification code number that subsequently enables regular updates of data on the deceased subjects from the Central Population Registry. In Slovenia the uniform citizen registry code (EMŠO) or the healthcare insurance number could be used for this purpose if patients gave their informed consent for entry of the data in the registry. Optimal organization of the data analysis would consist of gathering the data in different hospitals in the paper form and sending them to the central institution electronically. The data can then be analyzed by a research group consisting of different hospital representatives whereby each hospital preserves the right to access its own data.
Summary		Izhodišča. Zdravstvene ustanove, ki vgrajujejo totalne endoproteze sklepov, so dosegle načelen dogovor o vzpostavitvi Registra totalne endoprotetike v Sloveniji (RETEPS) in ustanovile medbolnišnično projektno skupino. Trenutno v štirih slovenskih zdravstvenih ustanovah poteka zbiranje podatkov o sklepnih endoprotezah na podlagi standardiziranega vprašalnika, vendar doslej še ni prišlo do obdelave podatkov na državni ravni. Izkazalo se je, da bo pred praktično vzpostavitvijo registra potrebno rešiti vprašanje poenotenja podatkov za beleženje v registru, organizacijski vidik zbiranja in obdelave podatkov, problem identifikacije bolnikov v registru, zagotoviti financiranje registra in redno spremljanje kompliance operaterjev sklepnih endoprotez. Zaključki. Analiza preživetja totalnih endoprotez nujno vključuje vsakoletno preverjanje podatkov o umrlih osebah v Centralnem registru prebivalstva ter nedvoumno oznako posameznika v registru zaradi zagotavljanja sledljivosti. S pisno privolitvijo bolnikov v okviru obstoječih predoperativnih obrazcev bi lahko za oznako bolnika v registru uporabili EMŠO po zgledu skandinavskih registrov ali številko kartice zdravstvenega zavarovanja. Obdelovanje podatkov bi bilo v Sloveniji najlažje organizirati tako, da bi bolnišnice zbirale podatke v obliki papirnatih enostranskih obrazcev in jih nato v elektronski obliki pošiljale v centralno ustanovo, pri tem pa bi vsaka bolnišnica ohranila trajno pravico do vpogleda v podatke svojih bolnikov.
Descriptors		JOINT PROSTHESIS REGISTRIES SURVIVAL ANALYSIS SLOVENIA