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Choosing the best shoulder replacement

New analyses fill an important evidence gap while we wait for trials In 2020, the National Institute for Health and Care Research commissioned the randomised RAPSODI trial, aiming to find the best type of joint replacement for the treatment of painful osteoarthritis of the shoulder. This trial commenced in 2022, but will not report its results until the spring of 2027 at the eaanatorliest.1 In a linked paper in The BMJ (doi:10.1136/bmj-2023-077939), Valsamis and colleagues leveraged routinely collected data from public and private hospitals in England, using modern epidemiological methods to provide faster high quality evidence to answer this important question.2 By combining data from the National Joint Registry and NHS Hospital Episode Statistics datasets, they harnessed one of the world’s largest and most comprehensive repositories of shoulder replacement information. Joint replacement is an effective treatment for pain and reduced function caused by osteoarthritis of the should

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Christopherd-smith
Jonathanp-evans
National-institute-for-health
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Episode-statistics

Reverse total shoulder replacement versus anatomical total shoulder replacement for osteoarthritis: population based cohort study using data from the National Joint Registry and Hospital Episode Statistics for England

Objectives To answer a national research priority by comparing the risk-benefit and costs associated with reverse total shoulder replacement (RTSR) and anatomical total shoulder replacement (TSR) in patients having elective primary shoulder replacement for osteoarthritis. Design Population based cohort study using data from the National Joint Registry and Hospital Episode Statistics for England. Setting Public hospitals and publicly funded procedures at private hospitals in England, 2012-20. Participants Adults aged 60 years or older who underwent RTSR or TSR for osteoarthritis with intact rotator cuff tendons. Patients were identified from the National Joint Registry and linked to NHS Hospital Episode Statistics and civil registration mortality data. Propensity score matching and inverse probability of treatment weighting were used to balance the study groups. Main outcome measures The main outcome measure was revision surgery. Secondary outcome measures included serious adverse e

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Research Clarifies Debate on Osteoarthritis Shoulder Surgery Types

Research Clarifies Debate on Osteoarthritis Shoulder Surgery Types
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Bristol
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Adrian-sayers
Oxford-biomedical-research-centre
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National-joint-registry
University-of-oxford
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Study sheds light on the debate around two types of shoulder replacement surgery for osteoarthritis

Study sheds light on the debate around two types of shoulder replacement surgery for osteoarthritis
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United-kingdom
British
Adrian-sayers
Epaminondas-markos-valsamis
University-of-bristol
National-joint-registry
Doctoral-research
Senior-research
Translational-health-sciences
National-institute-for-health

Health outcomes after myocardial infarction: A population study of 56 million people in England

Using hospital records of 34 million adults admitted to hospitals in England, Marlous Hall and team examine the long-term risk of major health outcomes following myocardial infarction.

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