Revision knee replacement surgery in the NHS: A BASK surgical practice guideline
| Autor: | William Jackson, P. Hopgood, David J. Deehan, B. Mockford, Nicholas S. Kalson, A.J. Price, R. W. J. Carrington, P. Walmsley, Lee Jeys, Andrew Porteous, A. Gambhir, J.R.A. Phillips, Hugh B. Waterson, A.D. Toms, M. Sarungi, James Murray, R. Kerry, Rhidian Morgan-Jones, N. R. Howells, P.N. Baker, Benjamin V. Bloch, Abtin Alvand, J.P. Whittaker, KS Eyres, G. Pavlou, Philip James, Jonathan Miles, David Barrett, J.A. Mathews, R. Spencer-Jones |
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| Přispěvatelé: | Group, BASK Revision Knee Working |
| Rok vydání: | 2020 |
| Předmět: |
Reoperation
Delphi Technique medicine.medical_treatment Knee replacement Northern ireland Regional Medical Programs State Medicine Reimbursement Mechanisms 03 medical and health sciences 0302 clinical medicine Patient Education as Topic medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Arthroplasty Replacement Knee Referral and Consultation Service (business) Patient Care Team 030222 orthopedics Surgical team business.industry Guideline medicine.disease Service model United Kingdom Patient Outcome Assessment Registry data Medical emergency business Healthcare providers Decision Making Shared |
| Zdroj: | The Knee. 29 |
| ISSN: | 1873-5800 |
| Popis: | Background Revision knee replacement (KR) is both challenging for the surgical team and expensive for the healthcare provider. Limited high quality evidence is available to guide decision-making. Aim To provide guidelines for surgeons and units delivering revision KR services. Methods A formal consensus process was followed by BASK’s Revision Knee Working Group, which included surgeons from England, Wales, Scotland and Northern Ireland. This was supported by analysis of National Joint Registry data. Results There are a large number of surgeons operating at NHS sites who undertake a small number of revision KR procedures. To optimise patient outcomes and deliver cost-effective care high-volume revision knee surgeons working at high volume centres should undertake revision KR. This document outlines practice guidelines for units providing a revision KR service and sets out: The current landscape of revision KR in England, Wales and Northern Ireland. Service organisation within a network model. The necessary infrastructure required to provide a sustainable revision service. Outcome metrics and auditable standards. Financial mechanisms to support this service model. Conclusions Revision KR patients being treated in the NHS should be provided with the best care available. This report sets out a framework to both guide and support revision KR surgeons and centres to achieve this aim. |
| Databáze: | OpenAIRE |
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