The Danish Shoulder Arthroplasty Registry (DSR) was established in 2004. The purpose of the registry is to monitor and improve the outcome of shoulder arthroplasty surgery in Denmark.
The objective of this study was to describe the organization of the DSR and review published DSR papers with a special focus on patients with osteoarthritis.
All Danish public and private hospitals report to the DSR. Since 2006, when reporting became mandatory, the completeness of reporting has been over 90% each year. Surgeons report patient and operative data electronically at the time of the operation. The Western Ontario Osteoarthritis of the Shoulder (WOOS) index at 1 year is used as patient-reported outcome. A revision is defined as removal or exchange of any component or the addition of a glenoid component. The revision is linked to the primary procedure with use of a unique civil registration number, which is given to all Danish citizens at birth.
The registry has published five papers focusing on patients with osteoarthritis. The WOOS score was significantly higher after anatomical total shoulder arthroplasty compared with hemiarthroplasty. The WOOS score after resurfacing hemiarthroplasty varied and was often disappointing especially in young patients. The WOOS score after revision arthroplasty for failed resurfacing hemiarthroplasty was low and disappointing. The short- and mid-term survival rates of anatomical total shoulder arthroplasty were high for both the stemmed and the stemless humeral components.
The DSR has recorded significant changes in Danish surgeons’ approach to patients with osteoarthritis. Today, anatomical total shoulder arthroplasty with either a stemmed or a stemless humeral component is preferred in most cases.
Berth A, Pap G (2013) Stemless shoulder prosthesis versus conventional anatomic shoulder prosthesis in patients with osteoarthritis: a comparison of the functional outcome after a minimum of two years follow-up. J Orthop Traumatol 14(1):31–37 CrossRef
Burgess DL, McGrath MS, Bonutti PM, Marker DR, Delanois RE, Mont MA (2009) Shoulder resurfacing. J Bone Joint Surg Am 91(5):1228–1238 CrossRef
Clitherow HD, Frampton CM, Astley TM (2014) Effect of glenoid cementation on total shoulder arthroplasty for degenerative arthritis of the shoulder: a review of the New Zealand National Joint Registry. J Shoulder Elbow Surg 23(6):775–781 CrossRef
Izquierdo R, Voloshin I, Edwards S, Freehill MQ, Stanwood W, Wiater JM, Watters WC III, Goldberg MJ, Keith M, Turkelson CM, Wies JL, Anderson S, Boyer K, Raymond L, Sluka P (2010) Treatment of glenohumeral osteoarthritis. J Am Acad Orthop Surg 18(6):375–382 CrossRef
Levy O, Copeland SA (2004) Cementless surface replacement arthroplasty (Copeland CSRA) for osteoarthritis of the shoulder. J Shoulder Elbow Surg 13(3):266–271 CrossRef
Lo IK, Griffin S, Kirkley A (2001) The development of a disease-specific quality of life measurement tool for osteoarthritis of the shoulder: The Western Ontario Osteoarthritis of the Shoulder (WOOS) index. Osteoarthritis Cartilage 9(8):771–778 CrossRef
Page RS, Pai V, Eng K, Bain G, Graves S, Lorimer M (2018) Cementless versus cemented glenoid components in conventional total shoulder joint arthroplasty: analysis from the Australian Orthopaedic Association National Joint Replacement Registry. J Shoulder Elbow Surg 27(10):1859–1865 CrossRef
Raiss P, Weiter M, Sowa B, Zeifang F, Loew M (2015) Results of cementless humeral head resurfacing with cemented glenoid components. Int Orthop 39(2):277–284 CrossRef
Rasmussen JV, Brorson S, Hallan G, Dale H, Aarimaa V, Mokka J, Jensen SL, Fenstad AM, Salomonsson B (2016a) Is it feasible to merge data from national shoulder registries? A new collaboration within the Nordic Arthroplasty Register Association. J Shoulder Elbow Surg 25(12):e369–e377 CrossRef
Rasmussen JV, Hole R, Metlie T, Brorson S, Aarimaa V, Demir Y, Salomonsson B, Jensen SL (2018) Anatomical total shoulder arthroplasty used for glenohumeral osteoarthritis has higher survival rates than hemiarthroplasty: a Nordic registry-based study. Osteoarthritis Cartilage 26(5):659–665 CrossRef
Rasmussen JV, Jakobsen J, Brorson S, Olsen BS (2012) The Danish Shoulder Arthroplasty Registry: clinical outcome and short-term survival of 2,137 primary shoulder replacements. Acta Orthop 83(2):171–173 CrossRef
Rasmussen JV, Jakobsen J, Olsen BS, Brorson S (2013) Translation and validation of the Western Ontario Osteoarthritis of the Shoulder (WOOS) index—the Danish version. Patient Relat Outcome Meas 4:49–54 CrossRef
Rasmussen JV, Harjula J, Arverud E, Hole R, Jensen SL, Brorson S et al (2019) The short-term survival of total stemless shoulder arthroplasty for osteoarthritis is comparable to that of total stemmed shoulder arthroplasty: a Nordic Arthroplasty Register Association study. J Shoulder Elbow Surg. https://doi.org/10.1016/j.jse.2019.01.010 CrossRefPubMed
Rasmussen JV, Olsen BS, Al-Hamdani A, Brorson S (2016b) Outcome of revision shoulder Arthroplasty after resurfacing Hemiarthroplasty in patients with Glenohumeral osteoarthritis. J Bone Joint Surg Am 98(19):1631–1637 CrossRef
Rasmussen JV, Polk A, Brorson S, Sorensen AK, Olsen BS (2014a) Patient-reported outcome and risk of revision after shoulder replacement for osteoarthritis. 1,209 cases from the Danish Shoulder Arthroplasty Registry, 2006–2010. Acta Orthop 85(2):117–122 CrossRef
Rasmussen JV, Polk A, Sorensen AK, Olsen BS, Brorson S (2014b) Outcome, revision rate and indication for revision following resurfacing hemiarthroplasty for osteoarthritis of the shoulder: 837 operations reported to the Danish Shoulder Arthroplasty Registry. Bone Joint J 96-B(4):519–525 CrossRef
Razmjou H, Holtby R, Christakis M, Axelrod T, Richards R (2013) Impact of prosthetic design on clinical and radiologic outcomes of total shoulder arthroplasty: a prospective study. J Shoulder Elbow Surg 22(2):206–214 CrossRef
Singh JA, Sperling J, Buchbinder R, McMaken K (2011) Surgery for shoulder osteoarthritis: a Cochrane systematic review. J Rheumatol 38(4):598–605 CrossRef
Uschok S, Magosch P, Moe M, Lichtenberg S, Habermeyer P (2017) Is the stemless humeral head replacement clinically and radiographically a secure equivalent to standard stem humeral head replacement in the long-term follow-up? A prospective randomized trial. J Shoulder Elb Surg 26(2):225–232 CrossRef
The Danish Shoulder Arthroplasty Registry
Special focus on patients with glenohumeral osteoarthritis
MD, PhD Jeppe V. Rasmussen
MD, PhD Bo S. Olsen
- Springer Medizin
Schulter · Ellenbogen
Print ISSN: 1862-6599
Elektronische ISSN: 1862-6602
Neu im Fachgebiet Orthopädie und Unfallchirurgie
Mail Icon II