Equity of access to NHS-funded hip replacements in England and Wales: Trends from 2006 to 2016.

ABSTRACT:

Background

Elective hip replacement is a cost-effective means of improving hip function. Previous research has suggested that the supply of hip replacements in the NHS is governed by the inverse care law. We examine whether inequities in supply improved in England and Wales between 2006 and 2016.

Methods

We compare levels of need and supply of NHS funded hip replacements to adults aged 50+ years, across quintiles of deprivation in England and Wales between 2006 and 2016. We use data from routine health records and a large longitudinal study and adjust for age and sex using general additive negative-binomial regression.

Findings

The number of NHS-funded hip replacements per 100,000 population rose substantially from 272.6 and 266.7 in 2002, to 539.7 and 466.3 in 2018 i

SUBMITTER: Wyatt S 

PROVIDER: S-EPMC9340533 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature