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The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS: A contemporary analysis of data from the English NHS
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| Zeitschriftentitel: | The Journal of Bone and Joint Surgery. British volume |
|---|---|
| Personen und Körperschaften: | , , , , , |
| In: | The Journal of Bone and Joint Surgery. British volume, 93-B, 2011, 10, S. 1327-1333 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
British Editorial Society of Bone & Joint Surgery
|
| Schlagwörter: |
| author_facet |
Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. |
|---|---|
| author |
Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. |
| spellingShingle |
Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. The Journal of Bone and Joint Surgery. British volume The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS Orthopedics and Sports Medicine Surgery |
| author_sort |
jameson, s. s. |
| spelling |
Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. 0301-620X 2044-5377 British Editorial Society of Bone & Joint Surgery Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1302/0301-620x.93b10.27078 <jats:p> Arthroscopy of the knee is one of the most commonly performed orthopaedic procedures worldwide. Large-volume outcome data have not previously been available for English NHS patients. Prospectively collected admissions data, routinely collected on every English NHS patient, were analysed to determine the rates of complications within 30 days (including re-operation and re-admission), 90-day symptomatic venous thromboembolism and all-cause mortality. There were 301 701 operations performed between 2005 and 2010 – an annual incidence of 9.9 per 10 000 English population. Of these, 16 552 (6%) underwent ligament reconstruction and 106 793 (35%) underwent meniscal surgery. The 30-day re-admission rate was 0.64% (1662) and 30-day wound complication rate was 0.26% (677). The overall 30-day re-operation rate was 0.40% (1033) and the 90-day pulmonary embolism rate was 0.08% (230), of which six patients died. 90-day mortality was 0.02% (47). Age < 40 years, male gender and ligament reconstruction were significantly associated with an increased rate of 30-day re-admission and unplanned re-operation. In addition, a significant increase in 30-day admission rates were seen with Charlson comorbidity scores of 1 (p = 0.037) and ≥ 2 (p < 0.001) compared with scores of 0, and medium volume units compared with high volume units (p < 0.001). </jats:p><jats:p> Complications following arthroscopy of the knee are rare. It is a safe procedure, which in the majority of cases is performed as day case surgery. These data can be used for quality benchmarking, in terms of consent, consultant re-validation and individual unit performance. </jats:p> A contemporary analysis of data from the English NHS The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS The Journal of Bone and Joint Surgery. British volume |
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A contemporary analysis of data from the English NHS |
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The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_unstemmed |
The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_full |
The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_fullStr |
The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_full_unstemmed |
The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_short |
The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_sort |
the burden of arthroscopy of the knee : a contemporary analysis of data from the english nhs |
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Orthopedics and Sports Medicine Surgery |
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http://dx.doi.org/10.1302/0301-620x.93b10.27078 |
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2011 |
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1327-1333 |
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<jats:p> Arthroscopy of the knee is one of the most commonly performed orthopaedic procedures worldwide. Large-volume outcome data have not previously been available for English NHS patients. Prospectively collected admissions data, routinely collected on every English NHS patient, were analysed to determine the rates of complications within 30 days (including re-operation and re-admission), 90-day symptomatic venous thromboembolism and all-cause mortality. There were 301 701 operations performed between 2005 and 2010 – an annual incidence of 9.9 per 10 000 English population. Of these, 16 552 (6%) underwent ligament reconstruction and 106 793 (35%) underwent meniscal surgery. The 30-day re-admission rate was 0.64% (1662) and 30-day wound complication rate was 0.26% (677). The overall 30-day re-operation rate was 0.40% (1033) and the 90-day pulmonary embolism rate was 0.08% (230), of which six patients died. 90-day mortality was 0.02% (47). Age < 40 years, male gender and ligament reconstruction were significantly associated with an increased rate of 30-day re-admission and unplanned re-operation. In addition, a significant increase in 30-day admission rates were seen with Charlson comorbidity scores of 1 (p = 0.037) and ≥ 2 (p < 0.001) compared with scores of 0, and medium volume units compared with high volume units (p < 0.001). </jats:p><jats:p> Complications following arthroscopy of the knee are rare. It is a safe procedure, which in the majority of cases is performed as day case surgery. These data can be used for quality benchmarking, in terms of consent, consultant re-validation and individual unit performance. </jats:p> |
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| description | <jats:p> Arthroscopy of the knee is one of the most commonly performed orthopaedic procedures worldwide. Large-volume outcome data have not previously been available for English NHS patients. Prospectively collected admissions data, routinely collected on every English NHS patient, were analysed to determine the rates of complications within 30 days (including re-operation and re-admission), 90-day symptomatic venous thromboembolism and all-cause mortality. There were 301 701 operations performed between 2005 and 2010 – an annual incidence of 9.9 per 10 000 English population. Of these, 16 552 (6%) underwent ligament reconstruction and 106 793 (35%) underwent meniscal surgery. The 30-day re-admission rate was 0.64% (1662) and 30-day wound complication rate was 0.26% (677). The overall 30-day re-operation rate was 0.40% (1033) and the 90-day pulmonary embolism rate was 0.08% (230), of which six patients died. 90-day mortality was 0.02% (47). Age < 40 years, male gender and ligament reconstruction were significantly associated with an increased rate of 30-day re-admission and unplanned re-operation. In addition, a significant increase in 30-day admission rates were seen with Charlson comorbidity scores of 1 (p = 0.037) and ≥ 2 (p < 0.001) compared with scores of 0, and medium volume units compared with high volume units (p < 0.001). </jats:p><jats:p> Complications following arthroscopy of the knee are rare. It is a safe procedure, which in the majority of cases is performed as day case surgery. These data can be used for quality benchmarking, in terms of consent, consultant re-validation and individual unit performance. </jats:p> |
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| spelling | Jameson, S. S. Dowen, D. James, P. Serrano-Pedraza, I. Reed, M. R. Deehan, D. J. 0301-620X 2044-5377 British Editorial Society of Bone & Joint Surgery Orthopedics and Sports Medicine Surgery http://dx.doi.org/10.1302/0301-620x.93b10.27078 <jats:p> Arthroscopy of the knee is one of the most commonly performed orthopaedic procedures worldwide. Large-volume outcome data have not previously been available for English NHS patients. Prospectively collected admissions data, routinely collected on every English NHS patient, were analysed to determine the rates of complications within 30 days (including re-operation and re-admission), 90-day symptomatic venous thromboembolism and all-cause mortality. There were 301 701 operations performed between 2005 and 2010 – an annual incidence of 9.9 per 10 000 English population. Of these, 16 552 (6%) underwent ligament reconstruction and 106 793 (35%) underwent meniscal surgery. The 30-day re-admission rate was 0.64% (1662) and 30-day wound complication rate was 0.26% (677). The overall 30-day re-operation rate was 0.40% (1033) and the 90-day pulmonary embolism rate was 0.08% (230), of which six patients died. 90-day mortality was 0.02% (47). Age < 40 years, male gender and ligament reconstruction were significantly associated with an increased rate of 30-day re-admission and unplanned re-operation. In addition, a significant increase in 30-day admission rates were seen with Charlson comorbidity scores of 1 (p = 0.037) and ≥ 2 (p < 0.001) compared with scores of 0, and medium volume units compared with high volume units (p < 0.001). </jats:p><jats:p> Complications following arthroscopy of the knee are rare. It is a safe procedure, which in the majority of cases is performed as day case surgery. These data can be used for quality benchmarking, in terms of consent, consultant re-validation and individual unit performance. </jats:p> A contemporary analysis of data from the English NHS The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS The Journal of Bone and Joint Surgery. British volume |
| spellingShingle | Jameson, S. S., Dowen, D., James, P., Serrano-Pedraza, I., Reed, M. R., Deehan, D. J., The Journal of Bone and Joint Surgery. British volume, The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS, Orthopedics and Sports Medicine, Surgery |
| title | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_full | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_fullStr | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_full_unstemmed | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_short | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| title_sort | the burden of arthroscopy of the knee : a contemporary analysis of data from the english nhs |
| title_sub | A contemporary analysis of data from the English NHS |
| title_unstemmed | The burden of arthroscopy of the knee : A contemporary analysis of data from the English NHS |
| topic | Orthopedics and Sports Medicine, Surgery |
| url | http://dx.doi.org/10.1302/0301-620x.93b10.27078 |