Arthritis and Joint Replacement Research
The Arthroplasty group at UCSF performs both basic science research as well as clinical outcomes and cost effective analysis of total hip and total knee replacement. The group is investigating the outcomes of cartilage resurfacing techniques to determine which patients will most benefit from novel cartilage replacement strategies.
They are evaluating the clinical outcomes of hip and knee arthroplasty, with long term follow up of patients 10 to 15 years following their initial procedure. The group is also collaborating with the UCSF Musculoskeletal imaging group to evaluate novel imaging techniques to evaluate hip and knee arthritis.
Clinical Outcomes in Arthroplasty
An Arthroplasty outcomes database was established at UCSF in 1997 to evaluate the quality and results of total joint arthroplasty. Drs. Vail, Bozic, and Hansen contribute clinical outcome data to the database. Information from the database has been used as a source of information for over 60 peer reviewed journal publications on a wide range of clinically relevant topics in primary and revision total hip and knee arthroplasty. Patient-reported outcomes are also used as part of the clinical evaluation of patients’ progress.Scores and graphs from the questionnaires are reviewed by the surgeon during a patient’s clinic visit.
Participation in Statewide and National Joint Replacement Registries
UCSF regularly submits data to the California Joint Replacement Registry (CJRR) and the American Joint Replacement Registry (AJRR). Data elements include demographics, surgical data, readmissions, comorbidities, complications, and patient reported outcomes. The purpose of the registries is to collect and report scientifically valid data to improve quality and safety of joint replacement surgeries as well as help future patients decide where to have their surgery performed. Arthroplasty patients are presented the opportunity to voluntarily participate in the CJRR, which includes patient reported outcomes data.