Implementation of and findings from a regional shoulder replacement registry

BACKGROUND: There is currently no national total shoulder arthroplasty (TSA) database in Canada. As a first step toward a national registry, a regional shoulder database was initiated in 2017. In this study, we describe the implementation of and initial findings from the shoulder database and patient-reported outcomes program. METHODS: The registry is intended to capture all shoulder arthroplasty procedures in the province of Manitoba and includes surgeon-reported operative details and data on patient-reported outcome measures (PROMs). Every surgeon submits data. We included primary and revision procedures performed since 2017 in the retrospective case series study. We assessed registry coverage by the rate of return of surgeon-completed operative forms and patient-reported outcomes questionnaires, respectively. We determined the incidence of revision by the number of primary procedures linked to a revision within 1 year of surgery. RESULTS: = 569/636) and improved joint-specific and general quality-of-life PROMs were reported at 1 year. CONCLUSION: The provincial shoulder database demonstrates the early stages of a registry, which contains useful, granular data and is an opportunity to fill an important gap in Canadian arthroplasty data.