ClinicalThere is a statistically significant, but not clinically significant increased reoperation rate at 6 months with unsupervised junior orthopaedic registrars with less than 3 years experience than with experienced surgeons with more than 3 years experience. (VERY LOW QUALITY).

There is no statistically significant difference between Swedish post registrars and registrars in dislocation rate at a median follow up of 2.3 years after hemiarthroplasty in patients with hip fracture. (VERY LOW QUALITY).

There is no statistically significant difference between Swedish post registrars and registrars in dislocation rate at a median follow up of 2.3 years after total hip replacement in patients with hip fracture. (VERY LOW QUALITY).

There was no evidence identified for mortality, mobility, length of stay or wound infection.
EconomicNo studies were identified on the cost-effectiveness of junior/less senior surgeon vs. senior surgeon. However, we conducted a cost-analysis around the personnel cost of a planned trauma list compared to the personnel cost of a general emergency theatre. We found that a planned trauma list involves an additional cost per hour of £94, See Appendix H section 20.2 for further details.

From: 9, Surgeon seniority

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

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