Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies
Purpose Our hand and forearm registries were established to evaluate safety, function, quality of life and patient satisfaction in patients undergoing thumb and finger implant arthroplasties, as well as corrective osteotomy of the forearm with individual patient solution (IPS) implants.Participants...
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BMJ Publishing Group
2025-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/3/e093425.full |
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| author | Kei Mathis Daniel B Herren Stephan Schindele Miriam Marks |
| author_facet | Kei Mathis Daniel B Herren Stephan Schindele Miriam Marks |
| author_sort | Kei Mathis |
| collection | DOAJ |
| description | Purpose Our hand and forearm registries were established to evaluate safety, function, quality of life and patient satisfaction in patients undergoing thumb and finger implant arthroplasties, as well as corrective osteotomy of the forearm with individual patient solution (IPS) implants.Participants Four registries were initiated between 2010 and 2020 and enrolled patients who underwent implant arthroplasties of the thumb carpometacarpal (CMC) joint (n = 486), proximal interphalangeal (PIP) or thumb interphalangeal (IP) joint (n = 864) and metacarpophalangeal (MCP) (n = 34) joint, as well as 27 patients who underwent corrective osteotomy of the distal radius or forearm using an IPS implant. All patients complete disease-specific questionnaires and undergo clinical assessment before surgery (baseline) and up to 10 years thereafter.Findings to date All operated patients (100%) were included in the registries with complete baseline data. One-year follow-up rates ranged from 59% to 95% and 5-year follow-up ranged from 48% to 83%. Data completeness rates (ie, the number of cases with available data divided by the expected number of cases) ranged from 66% to 96% for the 1-year follow-up and 60% to 89% for the 5-year follow-up. Patients showed significantly improved postoperative clinical and patient-reported outcomes compared with baseline. The registries serve as a basis for standardised patient monitoring, quality control and answering several clinical questions. With the help of these large databases, clinical practice can be improved for the benefit of our patients.Future plans As the first patients approach the 10-year follow-up landmark, the registry will continue to provide essential data on long-term clinical and patient-reported outcomes, as well as revision rates. In addition to research and quality control, cohort data will be used to enhance real-time clinical decision-making for patients. |
| format | Article |
| id | doaj-art-c2349647584941a2bf9683a0c4e04c90 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c2349647584941a2bf9683a0c4e04c902025-08-20T03:45:11ZengBMJ Publishing GroupBMJ Open2044-60552025-03-0115310.1136/bmjopen-2024-093425Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomiesKei Mathis0Daniel B Herren1Stephan Schindele2Miriam Marks3Teaching, Research and Development, Schulthess Klinik, Zurich, SwitzerlandHand Surgery, Schulthess Klinik, Zurich, SwitzerlandHand Surgery, Schulthess Klinik, Zurich, SwitzerlandTeaching, Research and Development, Schulthess Klinik, Zurich, SwitzerlandPurpose Our hand and forearm registries were established to evaluate safety, function, quality of life and patient satisfaction in patients undergoing thumb and finger implant arthroplasties, as well as corrective osteotomy of the forearm with individual patient solution (IPS) implants.Participants Four registries were initiated between 2010 and 2020 and enrolled patients who underwent implant arthroplasties of the thumb carpometacarpal (CMC) joint (n = 486), proximal interphalangeal (PIP) or thumb interphalangeal (IP) joint (n = 864) and metacarpophalangeal (MCP) (n = 34) joint, as well as 27 patients who underwent corrective osteotomy of the distal radius or forearm using an IPS implant. All patients complete disease-specific questionnaires and undergo clinical assessment before surgery (baseline) and up to 10 years thereafter.Findings to date All operated patients (100%) were included in the registries with complete baseline data. One-year follow-up rates ranged from 59% to 95% and 5-year follow-up ranged from 48% to 83%. Data completeness rates (ie, the number of cases with available data divided by the expected number of cases) ranged from 66% to 96% for the 1-year follow-up and 60% to 89% for the 5-year follow-up. Patients showed significantly improved postoperative clinical and patient-reported outcomes compared with baseline. The registries serve as a basis for standardised patient monitoring, quality control and answering several clinical questions. With the help of these large databases, clinical practice can be improved for the benefit of our patients.Future plans As the first patients approach the 10-year follow-up landmark, the registry will continue to provide essential data on long-term clinical and patient-reported outcomes, as well as revision rates. In addition to research and quality control, cohort data will be used to enhance real-time clinical decision-making for patients.https://bmjopen.bmj.com/content/15/3/e093425.full |
| spellingShingle | Kei Mathis Daniel B Herren Stephan Schindele Miriam Marks Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies BMJ Open |
| title | Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies |
| title_full | Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies |
| title_fullStr | Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies |
| title_full_unstemmed | Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies |
| title_short | Cohort profile: the Schulthess registries in Zurich for hand implants and forearm corrective osteotomies |
| title_sort | cohort profile the schulthess registries in zurich for hand implants and forearm corrective osteotomies |
| url | https://bmjopen.bmj.com/content/15/3/e093425.full |
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