Volume-outcome relationships for primary total elbow arthroplasty surgery in England: Analysis of the hospital episode statistics dataset.

ABSTRACT:

Background

Total elbow arthroplasty (TEA) is a low-volume, high-complexity procedure and clinical guidelines recommend moving to a centralised network model. The aim of the study was to assess the effect of surgeon and unit volume on patient and service level clinical outcomes.

Methods

Analysis the Hospital Episodes Statistics database (HES) for elective and emergency primary TEA surgery between January 2014 and December 2023 was performed. The exposures of interest were surgeon and trust volume in the 12 months preceding index surgery. The primary outcome was revision surgery within 12 months of index procedure. Secondary outcomes were 30-day emergency readmission and length of stay (LOS) greater than the median.

Results

In total, 4101 primary TEA cases performed in

SUBMITTER: Stringfellow TD 

PROVIDER: S-EPMC12401953 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature