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JRSM Short Rep. 2012 Jul;3(7):48. doi: 10.1258/shorts.2012.012050. Epub 2012 Jul 23.

The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review.

Author information

  • 1Consultant Orthopaedic Surgeon, The Wellington Hospital , London NW8 9LE , UK.

Abstract

OBJECTIVES:

To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service.

DESIGN:

Retrospective review of Dupuytren's component of last 1000 OSWA cases.

SETTING:

The UK's first totally one-stop wide-awake orthopaedic service.

PARTICIPANTS:

270 patients with Dupuytren's contracture out of the last 1000 OSWA cases.

MAIN OUTCOME MEASURES:

Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.

RESULTS:

The OSWA Dupuytren's model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the nhs of £2500 per case treated. The service saved the NHS approximately £675,000 for the 270 cases presented.

CONCLUSIONS:

A totally one-stop wide-awake Dupuytren's Contracture service is practicable and feasible alternative to the conventional treatment pathway, with benefits in terms of efficiency and cost-effectiveness.

PMID:
22908029
[PubMed]
PMCID:
PMC3422854
Free PMC Article
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