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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 o ....

Jonathant Evans , Christopherd Smith , Jonathanp Evans , National Institute For Health , Care Research , National Joint Registry , National Institute , 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 in ....

United Kingdom , United States , City Of , Rafael Pinedo Villanueva , Epaminondas Markos Valsamis , Ian Koblbauer , Albert Prats Uribe , Garys Collins , Daniel Prieto Alhambra , Adrian Sayers , Jonathanl Rees , Sophie Cole , Monte Carlo , Michaelr Whitehouse , Healthcare Quality Improvement Partnership , Innovative Medicines Initiative , Oxford National Institute For Health , Oxford Biomedical Research Centre , Care Research , Australian Orthopaedic Association National Joint Replacement Registry , American Society Of Anaesthesiologists , United Kingdom Department Of Health , Biomedical Research Centre , National Institute For Health , Shoulder Society , Office Of Population Censuses ,

Research Clarifies Debate on Osteoarthritis Shoulder Surgery Types

Research Clarifies Debate on Osteoarthritis Shoulder Surgery Types
miragenews.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from miragenews.com Daily Mail and Mail on Sunday newspapers.

United Kingdom , City Of , Epaminondas Markos Valsamis , Adrian Sayers , Oxford Biomedical Research Centre , Translational Health Sciences , Doctoral Research , National Joint Registry , University Of Oxford , Senior Research , Care Research , University Of Bristol , Bristol Medical School , National Institute For Health , Bristol Biomedical Research Centre , National Institute , Care Excellence , Markos Valsamis , Research Fellow , Senior Research Fellow , Episode Statistics , Biomedical Research Centre , National Joint , Hospital Episode Statistics ,

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
medicalxpress.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medicalxpress.com Daily Mail and Mail on Sunday newspapers.

City Of , United Kingdom , Adrian Sayers , Epaminondas Markos Valsamis , University Of Bristol , National Joint Registry , Doctoral Research , Senior Research , Translational Health Sciences , National Institute For Health , Bristol Medical School , University Of Oxford , National Institute , Care Excellence , Markos Valsamis , Research Fellow , Senior Research Fellow , Episode Statistics , Hospital Episode Statistics , British Medical Journal ,

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. ....

United Kingdom , United States , South Africa , Northern Ireland , Andrep Kengne , Charlotte Sturley , Daiichi Sankyo , Quality Indicator Committee , United Kingdom Phenotype Library , University Of Leeds , National Health Service , International Classification Of Disease , Leeds Analytic Secure Environment For Research , Clinical Research Training Fellowship , Raisio Group , Health Data Research United Kingdom , Alan Turing Institute , Boston Scientific , United Kingdom Myocardial Ischaemia National Audit Project , Indicator Advisory Committee , England Data Access Request Service , Office Of Population Censuses , British Heart Foundation , Wellcome Trust Sir Henry Postdoctoral Fellowship , Office For National Statistics , African Medical Research Council ,