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    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Campbell, B. and Patrick, H. 2012. International collaboration in the use of registries for new devices and procedures. British Journal of Surgery, Vol. 99, Issue. 6, p. 744.

    Krasopoulos, George and Goldstraw, Peter 2011. Minimally invasive repair of pectus excavatum deformity. European Journal of Cardio-Thoracic Surgery, Vol. 39, Issue. 2, p. 149.

    Taylor, Jayne Patrick, Hannah Lyratzopoulos, Georgios and Campbell, Bruce 2014. METHODOLOGICAL CHALLENGES IN EVALUATING THE VALUE OF REGISTERS. International Journal of Technology Assessment in Health Care, Vol. 30, Issue. 01, p. 28.

    Moreno-Sanz, Carlos Morandeira-Rivas, Antonio Morales-Conde, Salvador Targarona Soler, Eduardo M. and Salvador-Sanchís, José Luis 2012. Cirugía laparoscópica a través de incisión única. Análisis del registro nacional. Cirugía Española, Vol. 90, Issue. 5, p. 298.

    Patrick, H. Sims, A. Burn, J. Bousfield, D. Colechin, E. Reay, C. Alderson, N. Goode, S. Cunningham, D. and Campbell, B. 2013. Monitoring the use and outcomes of new devices and procedures: how does coding affect what Hospital Episode Statistics contribute? Lessons from 12 emerging procedures 2006-10. Journal of Public Health, Vol. 35, Issue. 1, p. 132.

  • International Journal of Technology Assessment in Health Care, Volume 26, Issue 1
  • January 2010, pp. 95-101

Usefulness of a short-term register for health technology assessment where the evidence base is poor

  • Hannah Patrick (a1), Sally Gallaugher (a1), Carolyn Czoski-Murray (a2), Robert Wheeler (a3), Marc Chattle (a4), Mirella Marlow (a1), Georgios Lyratzopoulos (a5) and Bruce Campbell (a6)
  • DOI:
  • Published online: 08 January 2010

Objectives: This study reviews the coverage and usefulness of a short-term register, established specifically for health technology assessment of a novel interventional procedure (minimally invasive repair of pectus excavatum, or the Nuss procedure).

Methods: Coverage of the register during 2004–07 was assessed by comparison with Hospital Episodes Statistics (HES) for England. Its usefulness was assessed by comparing safety and efficacy data with the published literature and by feedback from committee members who in 2009 were involved in reviewing NICE's original guidance from 2003.

Results: The register reported 260 cases from thirteen UK hospitals during nearly 9 years. During a coverage evaluation period of 3 years, there were 152 registered Nuss procedures. An additional 246 repairs of pectus excavatum were undertaken in twenty-six previously unidentified hospitals. Of the 246, 23 were Nuss procedures (from two hospitals), 140 were open procedures (from eleven hospitals), and 3 were coding errors. No details were available for eighty cases undertaken at ten hospitals. The quantity of published literature had increased substantially since publication of original guidance in 2003. It related mostly to technical and safety outcomes, whereas the register included patient reported outcomes. The literature and the register reported similar rates of major adverse events such as bar displacement (2–10 percent). Committee members considered that the Register made a useful contribution to guidance development.

Conclusions: This study shows that a register set up to support a health technology assessment process can produce useful data both about safety and about patient-reported outcomes. Coverage may be improved by active follow-up based on routine hospital statistics. Improvement in coding for new procedures is needed in the United Kingdom.

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1.P Aylin , T Lees , S Baker , Descriptive study comparing routine hospital administrative data with the vascular society of Great Britain and Ireland's national vascular database. Eur J Vasc Endovasc Surg. 2007;33:461465.

4.JT Davis , S Weinstein . Repair of the pectus deformity: Results of the Ravitch approach in the current era. Ann Thorac Surg. 2004;78:421426.

5.N Dreyer , S Garner . Registries for robust evidence. JAMA. 2009;302:790791.

6.J Gibbs , J Monro , D Cunningham , Survival after surgery or therapeutic catheterisation for congenital heart disease in children in the United Kingdom: Analysis of the central cardiac audit database for 2000–1. BMJ. 2004;328:611.

7.H Gips , K Zaitsev , J Hiss . Cardiac perforation by a pectus bar after surgical correction of pectus excavatum: Case report and review of the literature. Pediatr Surg Int. 2008;24:617620.

8.P Glasziou , I Chalmers , M Rawlins , P McCulloch . When are randomised trials unnecessary? Picking signal from noise. BMJ. 2007;334:349351.

9.S Hosie , T Sitkiewicz , C Petersen , Minimally invasive repair of pectus excavatum–the Nuss procedure. A European multicentre experience. Eur J Pediatr Surg. 2002;12:235238.

10.G Lyratzopoulos , H Patrick , B Campbell . Registers needed for interventional procedures. Lancet. 2008;371:17341736.

17.D Nuss . Recent experiences with minimally invasive pectus excavatum repair “Nuss Procedure”. Jpn J Thorac Cardiovasc Surg. 2005;53:338344.

18.HJ Park , SY Lee , CS Lee , The Nuss procedure for pectus excavatum: Evolution of techniques and early results on 322 patients. Ann Thorac Surg. 2004;77:289295.

19. M Potts , N Prata , J Walsh , A Grossman . Parachute approach to evidence based medicine. BMJ. 2006;333:701703.

20.J Powell , I Buchan . Electronic health records should support clinical research. J Med Internet Res. 2005;7:e4.

21.N Sibanda , L Copley , J Lewsey , Revision rates after primary hip and knee replacement in England 2003–2006. PLoS Med. 2008;5:e179.

22.HH Tilson , PA Doi , DL Covington , The antiretrovirals in pregnancy registry: A fifteenth anniversary celebration. Obstet Gynecol Surv. 2007;62:137148.

24.EB. Wilson J Am Stat Assoc. 1927;22:209212. Statistical web site. (accessed September 2009).

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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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