Access to hip and knee arthroplasty in England: commissioners' policies for body mass index and smoking status and implications for integrated care systems.

ABSTRACT:

Background

Commissioning policies are in place in England that alter access to hip and knee arthroplasty based on patients' body mass index and smoking status. Our objectives were to ascertain the prevalence, trend and nature of these policies, and consider the implications for new integrated care systems (ICSs).

Methods

Policy data were obtained from an internet search for all current and historic clinical commissioning group (CCG) hip and knee arthroplasty policies and use of Freedom of Information (FOI) requests to each CCG. Descriptive analyses of policy type, explicit threshold criteria and geography are reported. Estimates were made of the uptake of policies by ICSs based on the modal policy type of their constituent CCGs.

Results

There were 106 current and 143

SUBMITTER: McLaughlin J 

PROVIDER: S-EPMC9875525 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature