The Dutch Breast Implant Registry (DBIR) is an initiative of the Dutch Society for Plastic Surgery (NVPC). The registry has three main goals:

• Monitoring the quality of care (by registration, research, and evaluation using national quality indicators and benchmarking); 
• Monitoring the quality of implants (by registration, research, and evaluation of side effects of different types of implants);
• Traceability and recall (tracing implants and patients when problems with an implant emerge). 

History
The DBIR started as a project in June 2014. A pilot study was conducted between September 2014 and October 2014 in a limited number of clinics and hospitals. In April 2015 the DBIR registry went ‘live’. Since then thousands of patients, surgeries and implants have been registered. The first three years primarily consisted of improvement and validation of the registry. In 2017, the first quality indicator (“Participation in the DBIR”) was built and became nationally transparent in order to facilitate the first quality assessments of the registry. In collaboration with the NVPC, the Dutch Health Inspectorate, and other important stakeholders, we have been working on creating relevant and significant quality indicators since. 

Funding
The initial funding for DBIR was achieved by a grant of 130.000 euros from the foundation “Stichting Kwaliteitsgelden Medisch Specialisten”, a non-governmental organization. Maintenance of the registry is funded by a 25 euros fee per implant that is inserted.

Dataset
A unique strength of the DBIR is its opt-out structure. This implies that all patients are registered unless patients explicitly wish to be excluded. Over 95% of all breast implants and tissue expanders are implanted by plastic surgeons who participate in the registration. This means that we are able construct a complete and national database that will help us to conduct reliable research about the quality of care and quality of breast implants. Moreover, our dataset is based on the core dataset constructed by the International Collaboration of Breast Registry Activities (ICOBRA), in order to use standardized and epidemiologically sound data that reflects global best practice.

The Dutch Breast Implants Registry (DBIR) is an initiative of the Dutch Society for Plastic Surgery (NVPC) to start auditing of breast implant quality and complications, to enable benchmarking between hospitals/surgeons and to develop a track-and-trace system with the implants and patients. A unique strength of this registry is its opt-out set-up. This implies that all patients are registered unless patients explicitly state the wish to be excluded. Since 2016 registry of all sorts of implants has been made compulsory by the Dutch Health Inspectorate. Over 95% of all implants are implanted by registered Plastic Surgeons and finally, the funding was achieved by the grant of 130.000 euros from the foundation “Stichting Kwaliteitsgelden Medisch Specialisten” a non-governmental organisation. Maintenance of the registry comes from 25 euros fee per implant placed.

Case Report Forms (CRF) are available: implantation only; explantation only; replacement. The datadictionaries can be downloaded. In case of any questions, please click here for contact details.