National disease registries for advancing health care

摘要

In Health Affairs on Dec 7, Stefan Larsson and colleagues report the results of a study of registries for diseases and procedures (cataract, heart disease, hip and joint replacement, cancer, and cystic fibrosis). They analysed 13 registries in Australia, Denmark, Sweden, the UK, and the USA. Sweden seems to have been quick to adopt disease registries and has almost 90 that are government supported. The national cataract registry has information on 95-6% of all cataract removals that were undertaken in Sweden since 1992 when the registry was established. Incidence of postoperative endophthalmitis, which is rare, fell from 0-11% in 1998 to 0-02% of all cataract surgery cases in 2009-the lowest reported national average-through the identification of associated risk factors.