The AAOS, in collaboration with the Musculoskeletal Tumor Society (MSTS), announced the launch of a Musculoskeletal Tumor Registry (MsTR) feasibility pilot in December 2018. The goal of the pilot was to begin capturing data on orthopaedic oncology bone tumor procedures in a structured and scalable way. The decision was made to broaden the MsTR program from a pilot to a full registry at the end of 2019. The MsTR is the third subspecialty registry to be incorporated into the AAOS family of registries.
The collaboration involved six pilot sites from major U.S. academic centers. The MsTR pilot sites were large, academic referral centers serving a regional population of sarcoma patients. Each site was charged with using individual institutional resources and workflows to determine the most efficient, simplest, and most accurate methods to capture and submit data. Learnings from the MsTR pilot translated into templates and lessons that will inform future work on the Registry.
MsTR Annual Report Preview
MsTR Data Elements Collected
MsTR data elements include but are not limited to patient demographics, patient baseline and examination, tumor baseline, treatment and post-treatment, and surgery detail along with post-operative data (oncologic failure, surgery complication, vital status) and patient-reported outcomes as conveyed in applicable instruments.
- Name (Last, First)
- Date of Birth
- Social Security Number
- Diagnosis (ICD-10, CPT)
- Height + Weight/Body Mass Index
- Payer Status
Site of Service
- Name and Address (TIN, NPI)
- Name (NPI)
- Procedure Type (ICD-10, CPT)
- Date of Surgery
- Details Surrounding Surgery Type
- Comorbidities (ICD-10, CPT)
- Clinical Trial
- Metastasis at Diagnosis
- Tissue Type
- Biopsy Type
Encounters and Patient-reported Outcomes
- Hospital Admission
- Procedure (ICD-10, CPT)
- Diagnosis (ICD-10, CPT)
- PROMIS-10 Global or VR-12
Interested in viewing the Data Specifications or Data Dictionary for MsTR? These documents are proprietary and can be accessed in the Tools & Resources tab on AAOS RegistryInsights®. For more information, please contact AAOS Registry Program staff at RegistryInfo@aaos.org.
Streamlined Data Entry
To properly capture the crucial details related to musculoskeletal tumors, we have created a conditional branching logic format to better facilitate ease of data entry while minimizing clinician burden. This branching logic, combined with the traditional electronic health record (EHR) data extraction, will provide a high level of comprehensive data for the sites to review within RegistryInsights®. While MsTR is EHR agnostic, we have pre-built the conditional forms through Epic via their SmartForms tool that will allow instant implementation within user environments. Below is an example walk through of the SmartForms in action:
MsTR Data Submission
After MsTR participating sites collect the necessary data elements, they submit their data through the AAOS RegistryInsights® data upload process via a secure file transfer protocol (SFTP) or hypertext transfer protocol secure (HTTPS).
A few data submission best practices include:
- Submitting data monthly
- Consulting with your site’s IT team to set up automated reports
- Monitoring data submission uploads and addressing errors
For more information about MsTR data submission, click here.
MsTR Participation Benefits
Participating in MsTR provides access to sitewide, systemwide, and nationwide data. Reuse of Registry data has value to certifying bodies, quality reporting, reimbursement, and quality measurement efforts.
A few top benefits of MsTR participation include:
- Understanding your site’s performance to help reduce complication rates with post-operative data
- Surgeon Dashboards that can help attain up to 10 Self-Assessment Exam credits for the American Board of Orthopaedic Surgeons Maintenance of Certification program
- Qualified Clinical Data Registry status that can help physicians qualify for the Centers for Medicare & Medicaid Services Merit-based Incentive Payment System Promoting Interoperability category (previously known as Meaningful Use) and the Quality Payment Program
Learn more about MsTR participation benefits here.
Learn more about the quality initiatives that MsTR can help meet here.
The MsTR Steering Committee is comprised of surgeons that are vested in improving orthopaedic care. The MsTR Steering Committee members include:
- Benjamin J. Miller, MD, MS, FAAOS, Chair
University of Iowa
- Megan E. Anderson, MD, FAAOS
Beth Israel Deaconess Medical Center
Boston Children's Hospital
- Meredith Bartelstein, MD, FAAOS
Memorial Sloan Kettering Cancer Center
- George T. Calvert, MD, FAAOS
- Eric R. Henderson, MD, FAAOS
Dartmouth-Hitchcock Medical Center
- Adam S. Levin, MD, FAAOS
Johns Hopkins University
- Nathan W. Mesko, MD, FAAOS
- Shalin Patel, MD, FAAOS
- Joseph Schwab, MD, MS, FAAOS
Massachusetts General Hospital
- Kristy L. Weber, MD, FAAOS
University of Pennsylvania
MsTR Pilot Sites and Key Surgeons
- Cleveland Clinic Foundation
Nathan W. Mesko, MD, FAAOS; Luke M. Nystrom, MD, FAAOS
- Dartmouth-Hitchcock Medical Center
Eric R. Henderson, MD, FAAOS
- Johns Hopkins Medicine
Adam S. Levin, MD, FAAOS
- Ohio State University-The James Cancer Hospital
Joel L. Mayerson, MD, FAAOS
- Stanford Health Care-Stanford Hospital
Robert J. Steffner, MD, FAAOS
- University of Iowa Hospital and Clinics
Benjamin J. Miller, MD, MS, FAAOS
Enrolling in the MsTR is Easy
Your site can join the MsTR in 5 simple steps. Learn about the enrollment process here. Visit the AAOS Registry Program FAQs page for more details about Registry Program participation. If you have additional questions about joining the MsTR, please email RegistryEngagement@aaos.org or call (847) 292-0530.
Sarcoma Patient Stories
The AAOS and the MSTS have joined forces to bring you some uplifting patient/surgeon stories. Together, we are working towards analyzing data to aid in finding a cure for sarcoma. View the patient stories here.
Support the MsTR through Donations
The MsTR is committed to improving patient care through the collection, analysis, and reporting of actionable data. Your support can help in our mission. To donate to the MsTR, email MsTR Program Manager Atusa Moreno at email@example.com.