Greek Fragility Hip Fracture Registry

A pilot registry has been established in Greece from September 2022. The project is led by the registry focus group of the Fragility Fracture Network Greece. Seven different Orthopaedic Departments from six different hospitals (six academic and one state department) nationwide participate in the registry. In each department a local team has been formed for the implementation of the registry locally (data collection, troubleshooting etc). The leads of the local groups are as follows:

  1. Efthymios Iliopoulos, Assistant Professor of Orthopaedics, Academic Orthopaedic Department of General University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece (iliopoulose@gmail.com)
  2. Theodoros Tosounidis, Associate Professor of Orthopaedics, Academic Orthopaedic Department of University Hospital of Heraklion, University of Crete, Heraklion, Greece (ttosounidis@yahoo.com)
  3. Olga Savvidou, Professor of Orthopaedics, 1st Academic Orthopaedic Department, ‘Attikon’ General University Hospital, National and Kapodistrian University of Athens, Athens, Greece (olgasavvidou@gmail.com)
  4. Michael Potoupnis, Professor of Orthopaedics, 3rd Academic Orthopaedic Department, ‘Papageorgiou’ General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece (mikepot@auth.gr)
  5. Ioannis Gkiatas, Assistant Professor of Orthopaedics, Academic Orthopaedic Department of General University Hospital of Ioannina, University of Ioannina, Ioannina, Greece (john.gkiatas@gmail.com)
  6. Irini Tatani, Assistant Professor of Orthopaedics, Academic Orthopaedic Department, Patras General University Hospital, University of Patras, Patras, Greece (irinitatani@gmail.com)
  7. Christianna Zidrou, Consultant of Trauma & Orthopaedics, 2nd Orthopaedic Department, ‘Papageorgiou’ General Hospital of Thessaloniki, Thessaloniki, Greece (czidrou@gmail.com)

All teams after obtaining ethical approval from the local ethics committees, collect anonymised data about all fragility hip fractures, who have been admitted in their departments prospectively. For this purpose the 22 points of Minimum Common Data Set, proposed by the Global Fragility Fracture Network, with the addition of the 30 day mortality, is used.

The Greek Fragility Hip Fracture Registry is now functional for 15 months. The data of the first one year of the registry (01-09-22 to 31-08-23) have been analysed. A total of 822 patients with a fragility hip fracture admitted in the involved orthopaedic departments have been included so far. The majority of the patients were female (70,9%) at a mean age of 81.24 ±10.5 years.

The use of a national hip fracture registry has been proven a valuable tool in the evaluation and improvement of national health care services across the globe. So far the present pilot registry proves that the establishment of a national fragility hip fracture registry in Greece is feasible and demonstrates that the minimum common data set can be used as the base of any new registry.

Professor Antony Johansen (advisor until the launch of the project) has kindly accepted our invitation to externally evaluate the 18th month report in February 2024, when more than 1200 participants will have registered. Based on this initiative, a fracture liaison service (FLS) has now been launched in Greece, using the data collected from the registry.

Contact Persons

Efthymios Iliopoulos (iliopoulose@gmail.com)

George Drosos (gdrosos61@gmail.com)