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Outcome-based commissioning of knee arthroplasty in the NHS: system error in a national monitoring programme and the unintended consequences on achieving the Best Practice Tariff

Abstract:

Aims

Our unit was identified as a negative outlier in the national patient-reported outcome measures (PROMs) programme, which has significant funding implications. As a centre that carries out a high volume of unicompartmental knee arthroplasty (UKA), our objectives were: 1) to determine whether the PROMs programme included primary UKA when calculating the gain in Oxford Knee Score (OKS); and 2) to determine the impact of excluding primary UKA on calculated OKS gain...

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Publication status:
Published
Peer review status:
Peer reviewed

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Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
NDORMS
Role:
Author
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
NDORMS
Role:
Author
More by this author
Institution:
University of Oxford
Division:
MSD
Department:
NDORMS
Oxford college:
Wolfson College
Role:
Author
ORCID:
0000-0001-6069-978X
More by this author
Institution:
University of Oxford
Division:
Medical Sciences Division
Department:
NDORMS
Sub department:
Botnar Research Centre
Oxford college:
Christ Church
Role:
Author
ORCID:
0000-0002-4452-6499
Publisher:
British Editorial Society of Bone and Joint Surgery Publisher's website
Journal:
Bone and Joint Journal Journal website
Volume:
100-B
Issue:
12
Pages:
1572-1578
Publication date:
2018-11-30
DOI:
EISSN:
2049-4408
ISSN:
2049-4394
Pmid:
30499320
Language:
English
Keywords:
Pubs id:
pubs:950752
UUID:
uuid:a1b8d983-e70f-4777-b8b5-615eb37cb6c5
Local pid:
pubs:950752
Source identifiers:
950752
Deposit date:
2019-02-07

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