The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review

OBJECTIVES: To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service. DESIGN: Retrospective review of Dupuytren's component of last 1000 OSWA cases. SETTING: The UK's first totally one-stop wide-awake orthopaedic service. PARTICIPANTS:...

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Detalles Bibliográficos
Autores principales: Bismil, QMK, Bismil, MSK, Bismil, Annamma, Neathey, Julia, Gadd, Judith, Roberts, Sue, Brewster, Jennifer
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Royal Society of Medicine Press 2012
Materias:
Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3422854/
https://www.ncbi.nlm.nih.gov/pubmed/22908029
http://dx.doi.org/10.1258/shorts.2012.012050
Descripción
Sumario:OBJECTIVES: To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service. DESIGN: Retrospective review of Dupuytren's component of last 1000 OSWA cases. SETTING: The UK's first totally one-stop wide-awake orthopaedic service. PARTICIPANTS: 270 patients with Dupuytren's contracture out of the last 1000 OSWA cases. MAIN OUTCOME MEASURES: Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency. RESULTS: The OSWA Dupuytren's model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the nhs of £2500 per case treated. The service saved the NHS approximately £675,000 for the 270 cases presented. CONCLUSIONS: A totally one-stop wide-awake Dupuytren's Contracture service is practicable and feasible alternative to the conventional treatment pathway, with benefits in terms of efficiency and cost-effectiveness.

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