Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Oct;10(2 Suppl):S5-S12.
doi: 10.1177/1758573218789849. Epub 2018 Aug 15.

The Provision of Primary and Revision Elbow Replacement Surgery in the NHS

The Provision of Primary and Revision Elbow Replacement Surgery in the NHS

Stuart Hay et al. Shoulder Elbow. 2018 Oct.

Abstract

BESS Surgical Procedure Guidelines (SPGs). Optimising Surgical Outcomes for Shoulder and Elbow patients. The British Elbow and Shoulder Society (BESS) SPGs are a series of evidence and consensus Best Practice Recommendations developed by BESS surgeons and physiotherapists to help drive quality improvement and achieve the best possible surgical outcomes for UK patients. This SPG on primary and revision elbow replacement surgery is supported and endorsed by both the British Orthopaedic Association (BOA) and the Getting It Right First Time (GIRFT) Programme.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Green map (a) highlights regions by old strategic health authority. Red map (b) highlights the percentage of all elbow replacement procedures within region compared to the annual national number in 2016/17.
Figure 2.
Figure 2.
Example of both a single and double regional hub and spoke model.
None

References

    1. Briggs T. Getting it right first time (GIRFT) – Improving the Quality of Orthopaedic Care within the National Health Service in England. http://timbriggs-gettingitrightfirsttime.com/downloads/BriggsReportA4_FI....
    1. Good Medical Practice: http://www.gmc-uk.org/guidance/good_medical_practice.asp.
    1. National Joint Registry. Details for primary elbow procedures. http://www.njrreports.org.uk/elbows-primary-procedures-activity (accessed 24 January 2018).
    1. BJ Katz, JN Mahomed, Baron JA, Wright RJ, Losina E. Association between hospital and surgeon volume and outcomes of total knee replacement. J Bone Joint Surg Am, Vol 86 no. pp 1909 – 16, 2004. - PubMed
    1. RG and NNM Rick L Lau AVP. The role of surgeon volume on patient outcome in total knee arthroplasty: a systematic review of the literature. BMC Musculoskeletal Disorders no. 13 p250, 2012. - PMC - PubMed

LinkOut - more resources