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Primary total hip replacement: variations in patient management in Oxford & Anglia, Trent, Yorkshire & Northern 'regions'

Lookup NU author(s): Professor Paul Gregg


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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.

Publication metadata

Author(s): Morris RW, Fitzpatrick R, Hajat S, Reeves BC, Murray DW, Hannen D, Rigge M, Williams O, Gregg PJ, Natl Total Hip Replacement Outcom

Publication type: Article

Publication status: Published

Journal: Annals of the Royal College of Surgeons of England

Year: 2001

Volume: 83

Issue: 3

Pages: 190-196

ISSN (print): 0035-8843

ISSN (electronic): 1478-7083

Publisher: The Royal College of Surgeons of England