Cite this article:
Cite this article:
The Bone &
Joint Journal provides
the latest evidence to guide the clinical practice of orthopaedic
surgeons. The benefits of one intervention compared with another
are presented using outcome measures; some may be specific to a
limb or joint and some are more general health-related quality of
life measures. Readers will be familiar with many of these outcome
measures and will be able to judge the relative benefits of different interventions
when measured using the same
The effective capture of outcome measures in
the healthcare setting can be traced back to Florence Nightingale’s
investigation of the in-patient mortality of soldiers wounded in
the Crimean war in the 1850s. Only relatively recently has the formalised collection of outcomes
data into Registries been recognised as valuable in itself. With the advent of surgeon league tables and a move towards value
based health care, individuals are being driven to collect, store
and interpret data. Following the success of the National Joint Registry, the British
Association of Spine Surgeons instituted the British Spine Registry.
Since its launch in 2012, over 650 users representing the whole
surgical team have registered and during this time, more than 27 000
patients have been entered onto the database. There has been significant publicity regarding the collection
of outcome measures after surgery, including patient-reported scores.
Over 12 000 forms have been directly entered by patients themselves,
with many more entered by the surgical teams. Questions abound: who should have access to the data produced
by the Registry and how should they use it? How should the results
be reported and in what forum? Cite this article:
