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The Swedish fracture register: 103,000 fractures registered
#MMPMID26546157
Wennergren D
; Ekholm C
; Sandelin A
; Möller M
BMC Musculoskelet Disord
2015[Nov]; 16
(?): 338
PMID26546157
show ga
BACKGROUND: Although fractures consume large social and financial resources,
little is known about their actual numbers, treatment methods or outcomes. The
scarcity of data calls for a high-quality, population-based register. No previous
registers have prospectively collected data and patient-reported outcome measures
(PROMs) on fractures of all types. The Swedish Fracture Register was recently
created to fill this gap in knowledge. Its purpose is to provide information on
fractures of all types, whether treated by surgery or otherwise. The aim of this
article is to describe how the register was developed and its current use.
DESCRIPTION: The Swedish Fracture Register was developed during a 4-year period,
2007-2010. Data collection started in 2011. The register currently collects data
on all extremity, pelvic and spine fractures in adults who have been diagnosed or
treated at the affiliated departments. Data entry is fully web based, including
date, cause of injury, classification and treatment. It is performed by the
attending physician. Patients fill out PROMs - EQ-5D-3L and the Short
Musculoskeletal Function Assessment (SMFA) - relating to health status and level
of functioning before the fracture and one year later. Surgeon-reported outcome
measures are registered as reoperation rates. The Swedish Fracture Register is
now functioning effectively and is used in clinical routine. From January 2011 to
September 2015, more than 103,000 fractures have been entered at 26 Swedish
orthopedic departments. CONCLUSIONS: The Swedish Fracture Register is already a
well-functioning, population-based fracture register that covers fractures of all
types, regardless of treatment, and collects both surgeon- and patient-reported
outcome measures. In the future the Swedish Fracture Register will be able to
present both results of fracture treatment and valuable epidemiological data.
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