Skip to main content
Erschienen in: Clinical Orthopaedics and Related Research® 10/2010

01.10.2010 | Symposium: ABJS Carl T. Brighton Workshop on Health Informatics

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database

verfasst von: John F. Clough, MD, DPhil, Lewis G. Zirkle, MD, Robert J. Schmitt

Erschienen in: Clinical Orthopaedics and Related Research® | Ausgabe 10/2010

Einloggen, um Zugang zu erhalten

Abstract

Background

The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries.

Questions/purposes

We describe the information in the SIGN database then address two questions: In the context of the design and implementation of a global trauma database, what lessons does the SIGN database teach? Does the SIGN program have a role in the evolution of a wider global system?

Methods

The SIGN database is Internet based. After treating a patient with a SIGN nail surgeons enter radiographs and details of the case.

Results

Over 26000 cases are in the SIGN database. The database has been used as a source of cases for followup studies. Analysis shows the data are of sufficient quality to allow studies of fracture patterns but not for outcome studies or bone measurement.

Where do we need to go?

A global database with more comprehensive coverage of injuries, causes, treatment modalities and outcomes is needed.

How do we get there?

The SIGN database itself will not become a global trauma database (GTD) but the personnel of the SIGN program have much to offer in the design and adoption of a GTD. Studies of suitable methods of data collection and the incentive to use them are required.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Aharonson-Daniel L, Avitzour M, Giveon A, Peleg K. A decade to the Israel National Trauma Registry. Isr Med Assoc J. 2007;9:347–351.PubMed Aharonson-Daniel L, Avitzour M, Giveon A, Peleg K. A decade to the Israel National Trauma Registry. Isr Med Assoc J. 2007;9:347–351.PubMed
2.
Zurück zum Zitat Al Naami MY, Sadik AA, Adam MA. Evaluation of trauma registry data in Asir region. Saudi Med J. 2001;22:438–443.PubMed Al Naami MY, Sadik AA, Adam MA. Evaluation of trauma registry data in Asir region. Saudi Med J. 2001;22:438–443.PubMed
3.
Zurück zum Zitat Alexander I. The impact of future trends in electronic data collection on musculoskeletal research and evidence-based orthopaedic care. Arthroscopy. 2003;19:1007–1011.CrossRefPubMed Alexander I. The impact of future trends in electronic data collection on musculoskeletal research and evidence-based orthopaedic care. Arthroscopy. 2003;19:1007–1011.CrossRefPubMed
4.
Zurück zum Zitat Begg S, Tomijima N. Global Burden of Injury in the Year 2000: An Overview of Methods. Geneva, Switzerland: World Health Organization; 2006:1–22. Begg S, Tomijima N. Global Burden of Injury in the Year 2000: An Overview of Methods. Geneva, Switzerland: World Health Organization; 2006:1–22.
5.
Zurück zum Zitat Burman W. The Trauma Register Experience - A Quest for Better Quality Data through Direct Physician and Patient Structured Data (i.e. point-and-click, menu-driven) Entry. Available at: http://www.hwbf.org/oko/. Accessed May 3, 2010. Burman W. The Trauma Register Experience - A Quest for Better Quality Data through Direct Physician and Patient Structured Data (i.e. point-and-click, menu-driven) Entry. Available at: http://​www.​hwbf.​org/​oko/​. Accessed May 3, 2010.
6.
Zurück zum Zitat Davey TM, Pollard CW, Aitken LM, Fitzgerald M, Bellamy N, Cass D, Danne PD, Griggs WM, Cameron PA, Atkinson RN, Hamill J, Rao S, Richardson DB, O’Connor C. Tackling the burden of injury in Australasia: developing a binational trauma registry. Med J Aust. 2006;185:512–514.CrossRefPubMed Davey TM, Pollard CW, Aitken LM, Fitzgerald M, Bellamy N, Cass D, Danne PD, Griggs WM, Cameron PA, Atkinson RN, Hamill J, Rao S, Richardson DB, O’Connor C. Tackling the burden of injury in Australasia: developing a binational trauma registry. Med J Aust. 2006;185:512–514.CrossRefPubMed
7.
Zurück zum Zitat Demyttenaere SV, Nansamba C, Nganwa A, Mutto M, Lett R, Razek T. Injury in Kampala, Uganda: 6 years later. Can J Surg. 2009;52:E146–E150.PubMedPubMedCentral Demyttenaere SV, Nansamba C, Nganwa A, Mutto M, Lett R, Razek T. Injury in Kampala, Uganda: 6 years later. Can J Surg. 2009;52:E146–E150.PubMedPubMedCentral
8.
Zurück zum Zitat Fantus RJ, Fildes J. NTDB data points: NTDB breaks the 1 million record mark. Bull Am Coll Surg. 2005;90:39.PubMed Fantus RJ, Fildes J. NTDB data points: NTDB breaks the 1 million record mark. Bull Am Coll Surg. 2005;90:39.PubMed
9.
Zurück zum Zitat Feibel R, Zirkle LG Jr. Use of interlocking intramedullary tibial nails in developing countries. Tech Orthop. 2009;24:233–246.CrossRef Feibel R, Zirkle LG Jr. Use of interlocking intramedullary tibial nails in developing countries. Tech Orthop. 2009;24:233–246.CrossRef
10.
Zurück zum Zitat Gosselin RA. The increasing burden of injuries in developing countries; direct and indirect consequences. Tech Orthop. 2009;24:230–232.CrossRef Gosselin RA. The increasing burden of injuries in developing countries; direct and indirect consequences. Tech Orthop. 2009;24:230–232.CrossRef
11.
Zurück zum Zitat Gosselin RA, Heitto M, Zirkle LG Jr. Cost-effectiveness of replacing skeletal traction by interlocked intramedullary nailing for femoral shaft fractures in a provincial trauma hospital in Cambodia. Int Orthop. 2009;33:1445–1448.CrossRefPubMedPubMedCentral Gosselin RA, Heitto M, Zirkle LG Jr. Cost-effectiveness of replacing skeletal traction by interlocked intramedullary nailing for femoral shaft fractures in a provincial trauma hospital in Cambodia. Int Orthop. 2009;33:1445–1448.CrossRefPubMedPubMedCentral
13.
Zurück zum Zitat Harrast JJ, Poss R. The value and promise of patient databases in orthopaedic surgery. J Bone Joint Surg Am. 2000;82:1506–1509.CrossRefPubMed Harrast JJ, Poss R. The value and promise of patient databases in orthopaedic surgery. J Bone Joint Surg Am. 2000;82:1506–1509.CrossRefPubMed
15.
Zurück zum Zitat Ikem IC, Ogunlusi JD, Ine HR. Achieving interlocking nails without using an image intensifier. Int Orthop. 2007;31:487–490.CrossRefPubMed Ikem IC, Ogunlusi JD, Ine HR. Achieving interlocking nails without using an image intensifier. Int Orthop. 2007;31:487–490.CrossRefPubMed
16.
Zurück zum Zitat Karbakhsh M, Zandi NS, Rouzrokh M, Zarei MR. Injury epidemiology in Kermanshah: the National Trauma Project in Islamic Republic of Iran. East Mediterr Health J. 2009;15:57–64.CrossRefPubMed Karbakhsh M, Zandi NS, Rouzrokh M, Zarei MR. Injury epidemiology in Kermanshah: the National Trauma Project in Islamic Republic of Iran. East Mediterr Health J. 2009;15:57–64.CrossRefPubMed
17.
Zurück zum Zitat Kobusingye OC, Lett RR. Hospital-based trauma registries in Uganda. J Trauma. 2000;48:498–502.CrossRefPubMed Kobusingye OC, Lett RR. Hospital-based trauma registries in Uganda. J Trauma. 2000;48:498–502.CrossRefPubMed
18.
Zurück zum Zitat Lefaivre KA, Guy P, Chan H, Blachut PA. Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. J Orthop Trauma. 2008;22:525–529.CrossRefPubMed Lefaivre KA, Guy P, Chan H, Blachut PA. Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. J Orthop Trauma. 2008;22:525–529.CrossRefPubMed
19.
Zurück zum Zitat Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audigé L. Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma. 2007;21(Suppl):S1–S133.CrossRefPubMed Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audigé L. Fracture and dislocation classification compendium—2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma. 2007;21(Suppl):S1–S133.CrossRefPubMed
20.
Zurück zum Zitat McLellan BA. A Canadian National Trauma Registry: the time is now. J Trauma. 1997;42:763–768.CrossRefPubMed McLellan BA. A Canadian National Trauma Registry: the time is now. J Trauma. 1997;42:763–768.CrossRefPubMed
21.
Zurück zum Zitat Mehmood A, Razzak JA. Trauma registry–needs and challenges in developing countries. J Pak Med Assoc. 2009;59:807–808.PubMed Mehmood A, Razzak JA. Trauma registry–needs and challenges in developing countries. J Pak Med Assoc. 2009;59:807–808.PubMed
24.
Zurück zum Zitat Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA. World History and development of trauma registry: lessons from developed to developing countries. J Emerg Surg. 2006;1:32.CrossRef Nwomeh BC, Lowell W, Kable R, Haley K, Ameh EA. World History and development of trauma registry: lessons from developed to developing countries. J Emerg Surg. 2006;1:32.CrossRef
26.
Zurück zum Zitat Probst C, Richter M, Haasper C, Lefering R, Otte D, Oestern HJ, Krettek C, Hüfner T; Traumaregister der Deutschen Gesellschaft für Unfallchirurgie. Trauma and accident documentation in Germany compared with elsewhere in Europe. Chirurg. 2008;79:650–656.CrossRefPubMed Probst C, Richter M, Haasper C, Lefering R, Otte D, Oestern HJ, Krettek C, Hüfner T; Traumaregister der Deutschen Gesellschaft für Unfallchirurgie. Trauma and accident documentation in Germany compared with elsewhere in Europe. Chirurg. 2008;79:650–656.CrossRefPubMed
27.
Zurück zum Zitat Sabariah FJ, Ramesh N, Mahathar AW. National Trauma Database (NTrD)–improving trauma care: first year report. Med J Malaysia. 2008;63 Suppl C:45–49.PubMed Sabariah FJ, Ramesh N, Mahathar AW. National Trauma Database (NTrD)–improving trauma care: first year report. Med J Malaysia. 2008;63 Suppl C:45–49.PubMed
28.
Zurück zum Zitat Saleh KJ, Bershadsky B, Cheng E, Kane R. Lessons learned from the hip and knee musculoskeletal outcomes data evaluation and management system. Clin Orthop Relat Res. 2004;429:272–278.CrossRef Saleh KJ, Bershadsky B, Cheng E, Kane R. Lessons learned from the hip and knee musculoskeletal outcomes data evaluation and management system. Clin Orthop Relat Res. 2004;429:272–278.CrossRef
29.
Zurück zum Zitat Samuel JC, Akinkuotu A, Baloyi P, Villaveces A, Charles A, Lee CN, Miller W, Hoffman IF, Muyco AP. Hospital-based injury data in Malawi: strategies for data collection and feasibility of trauma scoring tools. Trop Doct. 2010;40:98–99.CrossRefPubMedPubMedCentral Samuel JC, Akinkuotu A, Baloyi P, Villaveces A, Charles A, Lee CN, Miller W, Hoffman IF, Muyco AP. Hospital-based injury data in Malawi: strategies for data collection and feasibility of trauma scoring tools. Trop Doct. 2010;40:98–99.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Schultz CR, Ford HR, Cassidy LD, Shultz BL, Blanc C, King-Schultz LW, Perry HB. Development of a hospital-based trauma registry in Haiti: an approach for improving injury surveillance in developing and resource-poor settings. J Trauma. 2007;63:1143–1154.PubMed Schultz CR, Ford HR, Cassidy LD, Shultz BL, Blanc C, King-Schultz LW, Perry HB. Development of a hospital-based trauma registry in Haiti: an approach for improving injury surveillance in developing and resource-poor settings. J Trauma. 2007;63:1143–1154.PubMed
31.
Zurück zum Zitat Shaban S, Ashour M, Bashir M, El-Ashaal Y, Branicki F, Abu-Zidan FM. The long term effects of early analysis of a trauma registry. World J Emerg Surg. 2009;4:42.CrossRefPubMedPubMedCentral Shaban S, Ashour M, Bashir M, El-Ashaal Y, Branicki F, Abu-Zidan FM. The long term effects of early analysis of a trauma registry. World J Emerg Surg. 2009;4:42.CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Shah RK, Moehring HD, Singh RP, Dhakal A. Surgical Implant Generation Network (SIGN) intramedullary nailing of open fractures of the tibia. Int Orthop. 2004;28:163–166.CrossRefPubMedPubMedCentral Shah RK, Moehring HD, Singh RP, Dhakal A. Surgical Implant Generation Network (SIGN) intramedullary nailing of open fractures of the tibia. Int Orthop. 2004;28:163–166.CrossRefPubMedPubMedCentral
33.
Zurück zum Zitat Shah RK, Singh RP, Quasem MF, Faraquee SR, Harrison J. SIGN interlocking nail for the treatment of infected nonunion Tech Orthop. 2009;24:289–296.CrossRef Shah RK, Singh RP, Quasem MF, Faraquee SR, Harrison J. SIGN interlocking nail for the treatment of infected nonunion Tech Orthop. 2009;24:289–296.CrossRef
34.
Zurück zum Zitat Shearer D, Cunningham B, Zirkle LG Jr. Population characteristics and clinical outcomes from the SIGN online surgical database. Tech Orthop. 2009;24:273–276.CrossRef Shearer D, Cunningham B, Zirkle LG Jr. Population characteristics and clinical outcomes from the SIGN online surgical database. Tech Orthop. 2009;24:273–276.CrossRef
35.
Zurück zum Zitat Shearer D, Zirkle LG Jr. Future directions for assisting orthopaedic surgery in the developing world. Tech Orthop. 2009;24:312–315.CrossRef Shearer D, Zirkle LG Jr. Future directions for assisting orthopaedic surgery in the developing world. Tech Orthop. 2009;24:312–315.CrossRef
37.
Zurück zum Zitat Spiegel DA, Gosselin RA, Coughlin RR, Joshipura M, Browner BD, Dormans JP. The burden of musculoskeletal injury in low and middle-income countries: challenges and opportunities. J Bone Joint Surg Am. 2008;90:915–923.CrossRefPubMed Spiegel DA, Gosselin RA, Coughlin RR, Joshipura M, Browner BD, Dormans JP. The burden of musculoskeletal injury in low and middle-income countries: challenges and opportunities. J Bone Joint Surg Am. 2008;90:915–923.CrossRefPubMed
38.
Zurück zum Zitat Taye M, Munie T. Trauma registry in Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Ethiop Med J. 2003;41:221–226.PubMed Taye M, Munie T. Trauma registry in Tikur Anbessa Hospital, Addis Ababa, Ethiopia. Ethiop Med J. 2003;41:221–226.PubMed
39.
Zurück zum Zitat Ward E, Arscott-Mills S, Gordon G, Ashley D, McCartney T; Jamaican Injury Surveillance System. The establishment of a Jamaican all-injury surveillance system. Inj Control Saf Promot. 2002;9:219–225.CrossRefPubMed Ward E, Arscott-Mills S, Gordon G, Ashley D, McCartney T; Jamaican Injury Surveillance System. The establishment of a Jamaican all-injury surveillance system. Inj Control Saf Promot. 2002;9:219–225.CrossRefPubMed
40.
Zurück zum Zitat Wild M, Candrian A, Wenda K. Possibilities and limits of Internet-based registers. Inform Health Soc Care. 2009;34:81–90.CrossRefPubMed Wild M, Candrian A, Wenda K. Possibilities and limits of Internet-based registers. Inform Health Soc Care. 2009;34:81–90.CrossRefPubMed
41.
Zurück zum Zitat Wolfe BA, Mamlin BW, Biondich PG, Fraser HS, Jazayeri D, Allen C, Miranda J, Tierney WM. The OpenMRS system: collaborating toward an open source EMR for developing countries. AMIA Annu Symp Proc. 2006:1146. Wolfe BA, Mamlin BW, Biondich PG, Fraser HS, Jazayeri D, Allen C, Miranda J, Tierney WM. The OpenMRS system: collaborating toward an open source EMR for developing countries. AMIA Annu Symp Proc. 2006:1146.
42.
43.
Metadaten
Titel
The Role of SIGN in the Development of a Global Orthopaedic Trauma Database
verfasst von
John F. Clough, MD, DPhil
Lewis G. Zirkle, MD
Robert J. Schmitt
Publikationsdatum
01.10.2010
Verlag
Springer New York
Erschienen in
Clinical Orthopaedics and Related Research® / Ausgabe 10/2010
Print ISSN: 0009-921X
Elektronische ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-010-1442-1

Weitere Artikel der Ausgabe 10/2010

Clinical Orthopaedics and Related Research® 10/2010 Zur Ausgabe

Symposium: ABJS Carl T. Brighton Workshop on Health Informatics

Computational Ontologies in Orthopaedic Surgery

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.