Background: Robust (inter-)national breast implant registries are important. For some, registries are an administrative burden, for others they represent a solution for the discussions involving breast implants. The DBIR is one of the first national, opt-out, clinical registries of breast implants, providing information for clinical auditing and product recall. Four years after its introduction, it is time to address users’ comments in order to keep improving quality of registration, and patient safety. This study assesses users’ feedback focusing on importance of registration, logistics and user experience, and areas of improvement. Methods: In May 2018, a standardized online study–specific questionnaire was sent out to all members of the Netherlands Society of Plastic Surgery. Descriptive statistics were reported in absolute frequencies and/or percentages. Results: A total of 102 members responded to the questionnaire (response rate, 24.2%). Of all respondents, 97.1% were actively registering in DBIR. Respondents rated the importance of registration in DBIR as 8.1 out of 10 points. Ninety-one respondents suggested improvements for the DBIR. All comments were related to registration convenience and provision of automatically generated data. Conclusions: Respondents believe that registration is highly important and worth the administrative burden. However, we should collectively keep improving accuracy, usability and sustainability of breast implant registries. The primary focus should be on the user interface; on user friendliness, automation, and data reusability. These users’ responses function as a new incentive and provide learning points that are easy to extrapolate to others who want to set up or improve breast implant registries. Level of evidence: Not ratable.

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Keywords Breast implants, Clinical auditing, Implant registry, Quality of care
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Journal European Journal of Plastic Surgery
Bargon, C.A. (Claudia Antoinette), Becherer, B.E. (Babette E.), Young-Afat, D. (Danny), van Bommel, A.C.M. (Annelotte C. M.), Hommes, J. (Juliette), Hoornweg, M.J. (Marije J.), … Rakhorst, H.A. (2020). The National Dutch Breast Implant Registry: user-reported experiences and importance. European Journal of Plastic Surgery. doi:10.1007/s00238-020-01689-x