National Quality Registry for Hand Surgery (HAKIR)

Registry Manager: Stockholm County Council
Registry Centre - affiliation: Registry Centre South
Start year: 2010
Classifications used: KVÅ, ICD10
This registry contains data on: Diagnoses, Interventions, Specialised Outpatient Care, PROM or other patient-reported health effects, Follow-up Data 3-5 months after the case is registered in the registry, Follow-up Data 12 months or later after the case is registered in the registry

Description of registry

HAKIR is a national quality registry started on 1 February 2010 on the initiative of the Swedish Society for Surgery of the Hand. The objective of HAKIR is to facilitate the continuous and standardised monitoring of hand surgery care quality, with both patient-reported and objective data, in order to progressively streamline and improve care and increase patient safety and comfort.

The registry is based on the registration of data on four separate occasions – before, during, 3 months post-op and 12 months post-op – in an initial registration database.

The initial registration database comprises all patients who undergo surgery at a participating clinic and includes information on diagnosis, surgical method, antibiotic prophylaxis, any complications, and symptoms before and after the surgery. The patient’s opinions on how they were treated and on the outcome of the surgery are also registered.

More extensive follow-ups can also be registered on ten different types of surgeries: Surgeries for Dupuytren's contracture, flexor tenorrhaphy, extensor tenorrhaphy, nerve structure, thumb-base arthritis surgery, prosthetic surgery, scaphoid surgery, intercarpal arthrodesis, radius fracture surgery, and TFCC surgery.

Population

All persons who undergo hand surgery are registered, with the exception of those who do not have a Swedish personal identity number, have a protected identity or decline to participate.