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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 ,

Predicting major complications in patients undergoing laparoscopic and open hysterectomy for benign indications

Background: Hysterectomy, the most common gynecological operation, requires surgeons to counsel women about their operative risks. We aimed to develop and validate multivariable logistic regression models to predict major complications of laparoscopic or abdominal hysterectomy for benign conditions.

Methods: We obtained routinely collected health administrative data from the English National Health Service (NHS) from 2011 to 2018. We defined major complications based on core outcomes for postoperative complications including ureteric, gastrointestinal and vascular injury, and wound complications. We specified 11 predictors a priori. We used internal–external cross-validation to evaluate discrimination and calibration across 7 NHS regions in the development cohort. We validated the final models using data from an additional NHS region.

Results: We found that major complications occurred in 4.4% (3037/68 599) of laparoscopic and 4.9% (6201/125 971) of abdominal hysterecto ....

United Kingdom , United States , West Midlands , United Kingdom General , City Of , Khalid Khan , Silvia Fernandez Garcia , Borja Fernandez Felix , Krupa Madhvani , Beatriz Galindo , Javier Zamora , English National Health Service , Data Access Request Service , Classification Of Surgical Operations , Drug Administration , University Of Granada , National Institute For Health , Office Of Population Censuses , English National Health System , British Society For Gynaecological Endoscopy , Health Problems , National Health Service Digital , International Statistical Classification Of Diseases , Ministry Of Science , Episode Statistics , International Statistical Classification ,

The story of a kitchen knife and razor sharp memories - Euan McColm

The snow lay thick across Glasgow in January 1979. A heavy sparkling blanket concealed the filth of the city and made the world look magical, like Narnia in the book I was reading. ....

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