Morris, RW and Fitzpatrick, R and Hajat, S and Reeves, BC and Murray, DW and Hannen, D and Rigge, M and Williams, O and Gregg, PJ and Natl Total Hip Replacement Outcom, (2001) Primary total hip replacement: variations in patient management in Oxford & Anglia, Trent, Yorkshire & Northern 'regions'. ANN ROY COLL SURG , 83 (3) 190 - 196.
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Objectives: To examine national practice, and variations in practice, concerning total hip replacement; in particular the choice of prosthesis and the involvement of consultants in NHS operations.Deign: Pre-operative survey of patients undergoing total hip replacement.Setting: Five English regions serving combined population of 16.8 million people.Subjects: 13,343 total hip replacement operations in one year commencing September 1996, either in NHS or private sector.Main outcome measures: Prosthesis used for surgery, status of surgeons involved in operation, use of laminar flow operating theatre.Results: Prostheses without well documented 5-year survival were used in 5504 (58%) of 9417 operations for which information was available. The consultant was the operator in 4810 (64%) of 7499 NHS operations. In 1352 trainee-led operations, the consultant was present for only 637 (47%); this figure was 54% for trainees in years 1-4 of their training. Substantial variation between NHS consultant firms occurred both for use of prostheses with well documented survival data, and supervision of trainees by the consultant.
|Title:||Primary total hip replacement: variations in patient management in Oxford & Anglia, Trent, Yorkshire & Northern 'regions'|
|Keywords:||arthroplasty, hip replacement, hip prosthesis, professional practice, consultants, in-service training, FATAL PULMONARY-EMBOLISM, ARTHROPLASTY, REGISTER, SURGERY, JOINT|
|UCL classification:||UCL > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health Care > Primary Care and Population Health|
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