Geographical Variation in Outcomes of Primary Hip and Knee Replacement

Geographical Variation in Outcomes of Primary Hip and Knee Replacement
JAMA Netw Open. 2019;2(10):e1914325. doi:10.1001/jamanetworkopen.2019.14325

• This cohort study of more than 383 000 patients in 207 health areas in England identified significant health area–level variation in patient outcomes for total hip and knee replacement surgery. Geographical variation was associated with better outcomes for surgical procedures in private and high-volume hospitals as well as for operations performed by more experienced surgeons with a higher volume of operations per year.

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates: hospital statistics from 1997 to 2017

Anterior cruciate ligament (ACL) reconstruction and meniscal repair rates have both increased in the past 20 years in England: hospital statistics from 1997 to 2017
Br J Sports Med 19 January 2019. doi: 10.1136/bjsports-2018-100195

• The rate of ACL reconstruction (12-fold) and MR (2.4-fold) has increased in England over the last two decades. There is variation in these rates across geographical regions and further work is required to deliver standardised treatment guidance for appropriate use.
• [Full text available through NHS OpenAthens ID]

Abstract