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
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author Bismil, QMK
Bismil, MSK
Bismil, Annamma
Neathey, Julia
Gadd, Judith
Roberts, Sue
Brewster, Jennifer
author_facet Bismil, QMK
Bismil, MSK
Bismil, Annamma
Neathey, Julia
Gadd, Judith
Roberts, Sue
Brewster, Jennifer
author_sort Bismil, QMK
collection PubMed
description 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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spelling pubmed-34228542012-08-20 The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review Bismil, QMK Bismil, MSK Bismil, Annamma Neathey, Julia Gadd, Judith Roberts, Sue Brewster, Jennifer JRSM Short Rep Research 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. Royal Society of Medicine Press 2012-07-23 /pmc/articles/PMC3422854/ /pubmed/22908029 http://dx.doi.org/10.1258/shorts.2012.012050 Text en © 2012 Royal Society of Medicine Press http://creativecommons.org/licenses/by-nc/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/2.0/), which permits non-commercial use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Bismil, QMK
Bismil, MSK
Bismil, Annamma
Neathey, Julia
Gadd, Judith
Roberts, Sue
Brewster, Jennifer
The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title_full The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title_fullStr The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title_full_unstemmed The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title_short The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
title_sort development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review
topic Research
url 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
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