Analysis of Influencing Factors and Construction of Prediction Models of Artificial Joint Replacement in China

NCT05170321 | Unknown

• 1 other identifier: 2017121016
• Study Type: observational
• Target: 600,000
• Locations: 1 country
• Sites: 1

Brief Summary

The project intends to analyze the epidemiological characteristics, risk factors, complications and resource utilization of artificial joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The HQMS database is a mandatory electronic inpatient database system developed by the National Health Commission of the People's Republic of China. Since 2013, tertiary hospitals have been required to upload their inpatient discharge records. By 2019, the HQMS database has included more than 230 million standardized inpatient discharge records of over 1000 hospitals across all 31 provincial-level administrative regions in mainland China. Patient demographics, clinical diagnosis, procedures and operations, drug use, costs and complications were all recorded in the HQMS database. The investigators planned to include five types of arthroplasty, including knee arthroplasty, hip arthroplasty, shoulder arthroplasty, ankle arthroplasty and elbow arthroplasty. The data analysis will be conformed to the principle of confidentiality and will not reveal the privacy of those patients. The data will be only used for this research project and there is no conflict of interest. It is in line with the principles of ethics, harmlessness and fairness. This study was authorized by the HQMS Committee Board and approved by the institutional review board, with waiver of informed consent.

Conditions

Knee Arthropathy; Hip Arthropathy; Shoulder Arthropathy; Ankle Arthropathy; Elbow Arthropathy

Outcome Measures

Primary Outcomes (5)

• Epidemiological characteristics, complications, risk factors and resource utilization of knee arthroplasty in China

  The project intends to analyze the epidemiological characteristics, complications, risk factors and resource utilization of artificial knee joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The information collected by HQMS includes demographics characteristics, hospitalization information, medical care cost, complications, et al.

  10 years (2013-2022)

• Epidemiological characteristics, complications, risk factors and resource utilization of hip arthroplasty in China

  The project intends to analyze the epidemiological characteristics, complications, risk factors and resource utilization of artificial hip joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The information collected by HQMS includes demographics characteristics, hospitalization information, medical care cost, complications, et al.

  10 years (2013-2022)

• Epidemiological characteristics, complications, risk factors and resource utilization of shoulder arthroplasty in China

  The project intends to analyze the epidemiological characteristics, complications, risk factors and resource utilization of artificial shoulder joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The information collected by HQMS includes demographics characteristics, hospitalization information, medical care cost, complications, et al.

  10 years (2013-2022)

• Epidemiological characteristics, complications, risk factors and resource utilization of ankle arthroplasty in China

  The project intends to analyze the epidemiological characteristics, complications, risk factors and resource utilization of artificial ankle joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The information collected by HQMS includes demographics characteristics, hospitalization information, medical care cost, complications, et al.

  10 years (2013-2022)

• Epidemiological characteristics, complications, risk factors and resource utilization of elbow arthroplasty in China

  The project intends to analyze the epidemiological characteristics, complications, risk factors and resource utilization of artificial elbow joint replacement in China through the inpatient data collected by the Hospital Quality Monitoring System (HQMS). The information collected by HQMS includes demographics characteristics, hospitalization information, medical care cost, complications, et al.

  10 years (2013-2022)

Study Arms (5)

patients undergoing knee arthroplasty in Hospital Quality Monitoring System in China

Patients who underwent knee arthroplasty and was recorded in HQMS were included in this group

patients undergoing hip arthroplasty in Hospital Quality Monitoring System in China

Patients who underwent hip arthroplasty and was recorded in HQMS were included in this group

patients undergoing shoulder arthroplasty in Hospital Quality Monitoring System in China

Patients who underwent shoulder arthroplasty and was recorded in HQMS were included in this group

patients undergoing ankle arthroplasty in Hospital Quality Monitoring System in China

Patients who underwent ankle arthroplasty and was recorded in HQMS were included in this group

patients undergoing elbow arthroplasty in Hospital Quality Monitoring System in China

Patients who underwent elbow arthroplasty and was recorded in HQMS were included in this group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who underwent knee, hip, shoulder, ankle and elbow arthroplasty were included.

You may qualify if:

• Patients who underwent knee, hip, shoulder, ankle and elbow arthroplasty in HQMS

You may not qualify if:

• Patients who didn't undergo knee, hip, shoulder, ankle and elbow arthroplasty
• Patients with missing demographics or medical data

Sponsors & Collaborators

• Xiangya Hospital of Central South University: lead

Study Sites (1)

Xiangya Hospital of Central South University

Changsha, Hunan, 410008, China

Location

Related Publications (3)

• Zeng C, Lane NE, Englund M, Xie D, Chen H, Zhang Y, Wang H, Lei G. In-hospital mortality after hip arthroplasty in China: analysis of a large national database. Bone Joint J. 2019 Oct;101-B(10):1209-1217. doi: 10.1302/0301-620X.101B10.BJJ-2018-1608.R1.

  PMID: 31564156 BACKGROUND

• Wang Y, Jiang Q, Long H, Chen H, Wei J, Li X, Wang H, Xie D, Zeng C, Lei G. Trends and benefits of early hip arthroplasty for femoral neck fracture in China: a national cohort study. Int J Surg. 2024 Mar 1;110(3):1347-1355. doi: 10.1097/JS9.0000000000000794.

  PMID: 38320106 DERIVED

• Long H, Xie D, Chen H, Wei J, Li X, Wang H, Zeng C, Lei G. Rural-urban differences in characteristics, postoperative outcomes, and costs for patients undergoing knee arthroplasty: a national retrospective propensity score matched cohort study. Int J Surg. 2023 Sep 1;109(9):2696-2703. doi: 10.1097/JS9.0000000000000494.

  PMID: 37247007 DERIVED

Study Officials

• Guanghua Lei, PhD; MD

  Xiangya Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2021
• First Posted: December 27, 2021
• Study Start: January 1, 2018
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: January 14, 2022

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)