Shortcomings of the National Joint Registry: a survey of consultants' views.

Abstract:

INTRODUCTION:The National Joint Registry (NJR) for England and Wales was launched in April 2003. The UK Department of Health (DoH) awarded the contract to run the NJR to Atomic Energy Authority (AEA) Technology in September 2002. The aim was to etablish the views of a large group of orthopaedic consultants on the new NJR. METHODS:A questionnaire was sent by post to 405 orthopaedic consultants in the Midlands and South West. RESULTS:Overwhelming support was found for the idea of a national joint replacement register that is used for peer-run audit. However, there was wide-spread concern about the lack of orthopaedic representation on the steering committee. The majority of surgeons have concerns about the possible use of NJR data for the production of league tables.

journal_name

Ann R Coll Surg Engl

authors

Philipson MR,Westwood MJ,Geoghegan JM,Henry AP,Jefferiss CD

doi

10.1308/1478708051603

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

109-12; discussion 112

issue

2

eissn

0035-8843

issn

1478-7083

journal_volume

87

pub_type

杂志文章
  • Small bowel obstruction via herniation through an iatrogenic defect of the falciform ligament following laparoscopic cholecystectomy.

    abstract::Internal herniation of the small bowel through a defect in the falciform ligament and subsequent small bowel obstruction is exceedingly rare with the majority of previous cases being attributed to congenital abnormalities. As laparoscopic techniques approach the forefront of modern surgery, an iatrogenic source for a ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2015.0022

    authors: Dusu K,Dindyal S,Gadhvi V

    更新日期:2015-09-01 00:00:00

  • Adherence to recommendations designed to decrease intra-operative wound contamination.

    abstract:INTRODUCTION:The incidence of wound infection following total hip and knee arthroplasty has fallen with the introduction of laminar vertical laminar airflow, occlusive clothing and prophylactic antibiotics. However, infection still occurs after prosthetic joint replacement and can have devastating consequences. Intra-o...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X301028

    authors: Mackain-Bremner AA,Owens K,Wylde V,Bannister GC,Blom AW

    更新日期:2008-07-01 00:00:00

  • Blood transfusion does not have an adverse effect on survival after operation for colorectal cancer.

    abstract::The effect of perioperative blood transfusion on cancer progression remains controversial because retrospective clinical studies have produced conflicting results. We have collected data prospectively on 379 patients undergoing curative surgery for colorectal adenocarcinoma and assessed the effect of variables, includ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Sene A,Jeacock J,Robinson C,Walsh S,Kingston RD

    更新日期:1993-07-01 00:00:00

  • Doppler waveform analysis in the management of lower limb arterial disease.

    abstract::Arterial disease changes the shape of Doppler ultrasound waveforms recorded noninvasively from arteries in the lower limbs. These changes can be described numerically by computer analysis of waveforms, and techniques currently in use are pulsatility index, Laplace transform and principal component analysis. These wave...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Campbell WB

    更新日期:1986-03-01 00:00:00

  • Management of inferior vena caval injury in liver trauma.

    abstract::The management of patients with severe hepatic trauma and damage to the inferior vena cava presents many difficulties. Our experience suggests that vena caval injury is more common than has previously been reported. In spite of the severity of the injuries a period for resuscitation is usually available and operation ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: McMaster P,Tolley M

    更新日期:1977-11-01 00:00:00

  • Early return to work following highly selective vagotomy.

    abstract::In the Royal Navy, after surgery, the time that servicemen spend away from work and the level of duty to which they return are decisions made by the surgeon, not the general practitioner. In a prospective study, we have thus been able to assess the acceptability of return to full duty at decreasing intervals after hig...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Tulloch DN,Dewar EP

    更新日期:1989-11-01 00:00:00

  • A prospective study of the case-notes of MRSA-positive patients: a vehicle of MRSA spread.

    abstract:INTRODUCTION:Methicillin-resistant Staphylococcus aureus (MRSA) has received much publicity and remains a major problem for the health service. The aim of this study was to determine whether case-notes of MRSA-positive patients can act as a vehicle for MRSA transmission. PATIENTS AND METHODS:A prospective study was pe...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X205341

    authors: Hamza N,Bazoua G,Al-Shajerie Y,Kubiak E,James P,Wong C

    更新日期:2007-10-01 00:00:00

  • Intravenous fluid and electrolyte administration in elective gastrointestinal surgery: mechanisms of excessive therapy.

    abstract::INTRODUCTION While clinical guidelines stress the importance of the judicious perioperative intravenous fluid administration, data show that adherence to these protocols is poor. The reasons have not been identified. We therefore audited the magnitude and indications of fluid and electrolyte administration in a teachi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2017.0077

    authors: Simpson RG,Quayle J,Stylianides N,Carlson G,Soop M

    更新日期:2017-07-01 00:00:00

  • Clostridium difficile: how much do hospital staff know about it?

    abstract:INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X432310

    authors: Aroori S,Blencowe N,Pye G,West R

    更新日期:2009-09-01 00:00:00

  • The non-ischaemic blue finger.

    abstract::Finger discoloration may result from recognized conditions affecting upper limb vasculature. We describe 11 patients who presented with acute pain, swelling and blue/purple discoloration in a finger. This benign condition mimicked digital ischaemia. There were 9 women and 2 men. The episode usually started with an ach...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Khaira HS,Rittoo D,Vohra RK,Smith SR

    更新日期:2001-05-01 00:00:00

  • McKeown oesophagectomy and pulmonary wedge resection with a prone thoracoscopic and laparoscopic approach: a video report.

    abstract::In the past few years, minimally invasive oesophagectomy has become an increasingly popular approach for oesophagectomy showing advantages in terms of fewer postoperative complications, shorter hospital stay and faster recovery. We present the case of a 60-year-old man with a lesion of the distal third of the oesophag...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0182

    authors: Annicchiarico A,Dalmonte G,Morini A,Marchesi F

    更新日期:2021-01-01 00:00:00

  • Minimal surgery for chronic obstruction in patients with extensive or universal Crohn's disease.

    abstract::Patients with extensive chronic Crohn's disease of the small bowel, who may have had repeated excisional surgery, sometimes develop intestinal obstruction due to the development of a stricture. Surgery is usually thought to be contraindicated since further resections would leave the patient with insufficient small int...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Lee EC,Papaioannou N

    更新日期:1982-07-01 00:00:00

  • The hazards of rehabilitation.

    abstract::Falls are the most common accident occurring to patients in hospital, especially those undergoing rehabilitation. The types, causes, and consequences of such falls are discussed in relation to the patients' age and underlying condition with reference to 386 accidents occurring over a 5-month period in a hospital with ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Watkins JS,Robson P

    更新日期:1981-11-01 00:00:00

  • Acute right iliofemoral deep vein thrombosis mimicking acute appendicitis in the postpartum period: a case report.

    abstract::The risk of venous thromboembolism increases during pregnancy and postpartum. The incidence in the first six weeks following delivery is approximately 0.15%. Deep vein thrombosis may present with acute appendicitis-like symptoms such as right iliac fossa pain, nausea and vomiting. A 22-year-old woman was admitted with...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2020.0148

    authors: Karaisli S,Selcuk E

    更新日期:2020-11-01 00:00:00

  • Cystic nephroma: an emerging entity.

    abstract::Cystic nephroma is a rare lesion, but there has been an increased number of cases reported in the recent literature. Most cases have been discovered incidentally either on routine examination or during radiological investigations. There are two peaks of incidence, one in childhood and one in middle age and the conditi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Upadhyay AK,Neely JA

    更新日期:1989-11-01 00:00:00

  • Femoral herniae in children.

    abstract::A series of 12 femoral herniae in children is presented. Nine were misdiagnosed, eight as inguinal hernia. Nine were reducible. The sex incidence, M:F was 7:5 and nine presented between the ages of 8 and 10 years. One presented as intestinal obstruction due to a Richter's hernia and two had had a previous ipsilateral ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Zaman K,Taylor JD,Fossard DP

    更新日期:1985-07-01 00:00:00

  • Influence of injection site for low-dose heparin on wound complication rates after inguinal hernia repair.

    abstract::A high incidence of complications related to bleeding was observed after open prosthetic inguinal hernia repair. The site of injection of low-dose heparin into the abdominal wall was thought to be a possible causal factor for these complications. The wound complication rate after repair of primary unilateral inguinal ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Wright DM,O'Dwyer PJ,Paterson CR

    更新日期:1998-01-01 00:00:00

  • Surgical approach to insulinomas: are pre-operative localisation tests necessary?

    abstract:INTRODUCTION:Insulinoma is a rare, but curable, endocrine tumour. The ability to localise the tumour accurately before or during surgery is an important factor in the management of these elusive lesions, which has been extensively debated. We have reviewed our experience of these lesions to establish the role of locali...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588407X179008

    authors: Ravi K,Britton BJ

    更新日期:2007-04-01 00:00:00

  • Iodine therapy for thyroidectomy patients exhibiting high thyroid-stimulating hormone values: a randomised study.

    abstract::After thyroidectomy there is an appreciable incidence of hypothyroidism as judged by FT4I estimates. Pharmacological doses of iodine (10-300 mg/day) usually suppress, whereas physiological doses of iodine (< 5 mg/day) have been reported to both decrease and increase thyroid function. The value of iodine supplementatio...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Taylor JD,Radcliffe SN,Basu PK,Atkins P

    更新日期:1993-05-01 00:00:00

  • Diagnosis of skin lesions by trainee surgeons: experience improves accuracy.

    abstract:INTRODUCTION:Accurate clinical diagnosis depends on the reliable recognition of signs and symptoms. This expertise comes from experience in seeing patients which has been traditionally gained over a long training period. Shortened specialist training (Modernising Medical Careers) has led to a greater reliance on struct...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588409X432112

    authors: Pearl RA,Townley W,Stott D,Grobbelaar AO

    更新日期:2009-09-01 00:00:00

  • Confidence and conflicts of duty in surgery.

    abstract::This paper offers an exploration of the right to confidentiality, considering the moral importance of private information. It is shown that the legitimate value that individuals derive from confidentiality stems from the public interest. It is re-assuring, therefore, that public interest arguments must be made to just...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588410X12628812458932

    authors: Coggon J,Wheeler R

    更新日期:2010-03-01 00:00:00

  • The computerised surgical logbook: why bother?

    abstract::Many people find computers intimidating. Even those happy to use a word processor will often steer clear of database programs since they are often regarded as only useful to people who have special expertise with computers. In fact, this is no more true for databases than it is for word processors. Anyone who can hand...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Halliwell PJ

    更新日期:1996-03-01 00:00:00

  • The effects and effectiveness of electromotive drug administration and chemohyperthermia for treating non-muscle invasive bladder cancer.

    abstract:INTRODUCTION:Preliminary studies show that device assisted intravesical therapies appear more effective than passive diffusion intravesical therapy for the treatment of non-muscle invasive bladder cancer (NMIBC) in specific settings, and phase III studies are now being conducted. Consequently, we have undertaken a non-...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章,评审

    doi:10.1308/003588414X13946184901001

    authors: Slater SE,Patel P,Viney R,Foster M,Porfiri E,James ND,Montgomery B,Bryan RT

    更新日期:2014-09-01 00:00:00

  • Retroperitoneal paraganglioma: a chameleon masquerading as an adrenal pheochromocytoma.

    abstract::Retroperitoneal paragangliomas are rare tumours arising from neural crest cells located near or in the autonomic nervous system; right from the skull bass to the pelvic floor. Often called the great masqueraders, their diagnosis and treatment is often difficult and fraught with danger, considering the close proximity ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/rcsann.2018.0193

    authors: Parmar K,Chandna A,Kumar S

    更新日期:2019-02-01 00:00:00

  • Prophylaxis of venous thromboembolism in general surgery: guidelines differ and we still need local policies.

    abstract:INTRODUCTION:Venous thromboembolism (VTE) prophylaxis has become a major issue for surgeons both in the UK and worldwide. Several different sources of guidance on VTE prophylaxis are available but these differ in design and detail. METHODS:Two similar audits were performed, one year apart, on the VTE prophylaxis presc...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588411X580926

    authors: Veeramootoo D,Harrower L,Saunders R,Robinson D,Campbell WB

    更新日期:2011-07-01 00:00:00

  • Ureteric stent card register - a 5-year retrospective analysis.

    abstract:INTRODUCTION:Ureteric stenting is a common urological procedure. Forgotten stents have a well-documented morbidity and mortality. Therefore, we asked the question, is a stent register an important factor in reducing the number of lost or overdue stents? PATIENTS AND METHODS:We conducted a retrospective review of 203 p...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:10.1308/003588408X242123

    authors: Tang VC,Gillooly J,Lee EW,Charig CR

    更新日期:2008-03-01 00:00:00

  • Continuous intravenous morphine for pain relief after abdominal surgery.

    abstract::We studied prospectively 247 consecutive patients given morphine by continuous intravenous infusion for 24 h to provide pain relief following elective abdominal surgery. Using a dose of 1 mg/kg supplemented by additional intramuscular morphine 5 mg as necessary, only 26% required more than two additional intramuscular...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Ray DC,Drummond GB

    更新日期:1988-09-01 00:00:00

  • Aneurysm jig for anastomosis technique.

    abstract::A new jig is described which enables the technique for abdominal aortic aneurysm to be taught and practiced as it is performed by arterial surgeons at the present time. The aneurysm jig enables a plastic simulated aortic aneurysm to be opened as at operation to allow the inlaying of a Dacron tube sutured into place wi...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Greenhalgh RM,Eastcott HH,Mansfield AO,Taylor DE

    更新日期:1987-09-01 00:00:00

  • Simulated laparoscopic cholecystectomy.

    abstract::A new simulator specifically designed for practising techniques in laparoscopic cholecystectomy is described. The simulator is inexpensive and utilises pig gallbladders. It allows a surgeon to practice without the need for assistance. ...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Majeed AW,Reed MW,Johnson AG

    更新日期:1992-01-01 00:00:00

  • Joseph Toynbee Memorial Lecture, 1976. Tympanoplasty--four heterodox techniques.

    abstract::Polarization between proponents of intact canal wall tympanoplasty and radical (modified) mastoidectomy in the treatment of cholesteatoma and other irreversible temporal bone lesions can be avoided in many cases by the use of one or more special techniques. These include (a) Gelfilm (no-graft) induction of tympanic me...

    journal_title:Annals of the Royal College of Surgeons of England

    pub_type: 杂志文章

    doi:

    authors: Goodhill V

    更新日期:1977-01-01 00:00:00