ArticleBMC musculoskeletal disorders2022
The Swedish Fracture Register - ten years of experience and 600,000 fractures collected in a National Quality Register.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Weighing the impact of evidence in orthopaedic trauma registries: a systematic review of national and international registry data.BMJ open · 2025Pooled it
- Dual mobility versus standard cups in total hip replacement for displaced femoral neck fractures (Duality): an international, multicentre, randomised, controlled, superiority trial.Lancet (London, England) · 2026Trial
- Pathological fracture as initial manifestation of malignancy and survival based on diagnoses: a register-based cohort study from the Swedish Fracture Register and the Swedish Cancer Register.Acta orthopaedica · 2026Article
- Nordic hip fracture registries: comparisons toward a minimal common and standardized Nordic Hip Fracture Dataset (Nordic-HFD).Acta orthopaedica · 2026Article
- Article
- Review
- Surgical versus non-surgical treatment of intra-articular comminuted distal radius fractures (AO 23-C2/C3) is associated with better patient-reported outcomes: an instrumental variable analysis using a national Swedish cohort.BMC musculoskeletal disorders · 2026Observational
- Inferior patient-reported outcomes after total knee arthroplasty for post-traumatic versus primary osteoarthritis: a registry study.BMC musculoskeletal disorders · 2026Observational
- Fracture distribution in cross-country skiing accidents: an observational study from the Swedish Fracture Register.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Observational
- Horseback riding injuries in Sweden: a nationwide register-based study of fracture incidence.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Observational
- Spinal ankylosis and sex-specific predisposing factors in type II odontoid fractures: a comparison with sub-axial fractures.Asian spine journal · 2025Article
- Epidemiology and treatment of forearm fractures in Swedish children and adolescents.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Patient-reported outcomes following patella fractures : a nationwide observational study of 8,726 patients from the Swedish Fracture Register.Bone & joint open · 2025Article
- Orthopaedic registry history and future in South Africa.OTA international : the open access journal of orthopaedic trauma · 2025Review
- Fractures with complex fracture patterns are associated with increased rate of subsequent conversion to total knee arthroplasty after a tibial plateau fracture: an observational cohort study of 12,012 patients from the Swedish Fracture Register.Knee surgery & related research · 2025Article
- Secondary surgery and mortality following primary treatment for acetabular fractures - an observational study from Swedish national quality registers.Journal of orthopaedic surgery and research · 2025Observational
- Fractures sustained by slipping on ice or snow: an epidemiological study of 50,500 fractures from the Swedish Fracture Register.Acta orthopaedica · 2025Article
- The Impact of National Orthopaedic Fracture Registries: A Systematic Review.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Surgical vs. non-surgical management of cervical spine fractures associated with ankylosing spinal disorders: a matched retrospective comparison assessing mortality.BMC musculoskeletal disorders · 2025Article
- An algorithm for identifying causes of reoperations after orthopedic fracture surgery in health administrative data: a diagnostic accuracy study using the Danish National Patient Register.Acta orthopaedica · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBefore the creation of the Swedish Fracture Register (SFR), there was no national quality register that prospectively collects data regarding all types of fractures regardless of treatment in an emergency setting. Observational data on fractures registered in a sustainable way may provide invaluable tools for quality improvements in health care and research. DESCRIPTION: Ten years after its implementation, the Swedish Fracture Register has 100% coverage among orthopaedic and trauma departments in Sweden. The completeness of registrations reached in 2020 69-96% for hip fractures at the different departments, with the majority reporting a completeness above 85%. The Swedish Fracture Register is a fully web-based national quality register created and run by orthopaedic professionals, with financial support from public healthcare providers and the government. All users have full access to both the registration platform and all aggregated statistics in real time. The web-based platform was created for use in health quality registers and it has easily gained acceptance among users. The register has gradually developed by the addition of more fracture types and skeletal parts. Research activity is high and 31 scientific publications have been published since 2016. The strategy from the start was to publish validation data and basic epidemiological data. However, over the past few years, publications on outcomes, such as re-operations and mortality, have been published and four register-based, randomised, controlled trials are ongoing.
conclusionIt is possible to create a fracture register, to gain professional acceptance and to collect fracture data in a sustainable way on a national level if the platform is easy to use. Such a platform can also be used as a randomisation platform for prospective studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.