Knee replacements decreased after the introduction of the NHS policy on patient weight

According to a new study, the weight / body mass index (BMI) policy introduced by the NHS Commissioning Group in the United Kingdom is associated with reduced knee arthroplasty and may contribute to health inequality. One in ten people is likely to require knee replacement, and thousands of patients are directly affected by these policies.

Led by the University of Bristol PLOS ONE Propose the area introduced today policy Access changes Knee replacement There was a decrease in surgery based on the patient’s weight / BMI.

Over the last decade, rules have been adopted by the NHS Clinical Commissioning Group (CCG) across the UK to change access to hip and knee replacements for overweight or obese patients. However, there are many regional differences, and some regions do not have such a policy, and in the strictest example, patients will have selective hip or knee replacement until BMI falls below a certain threshold. Access to the technique is denied.

The research team found the percentage of knee replacements in 481,555 patients from January 2009 to December 2019. Nationwide joint registration We compared areas with and without BMI policies.

The purpose of the study was to investigate the impact of these test run policies on access to selective knee surgery, and whether there was evidence of exacerbating health inequality through the disproportionate impact on non-wealthy groups of society. ..

In this study, the policy implemented by NHS CCG to change access to knee replacement based on patient weight / BMI was associated with reduced surgery and could lead to postal code health inequalities. I found out that there is.

Studies show that the rules may exacerbate health inequality, as the introduction of policies may be associated with an increase in the number of patients undergoing private surgery and a decrease in the most economically disadvantaged patients undergoing surgery. I emphasized that there is.

The rate of surgery decreased in all patient groups, not just overweight and obesity PatienceThe target of the policy.

Bristol Medical College: Dr. Joanna McLaughlin, Ph.D. Fellow of Translational Health Sciences (THS) and lead author of the study, said: Knee replacement Surgery for overweight and obese depends on where you live in the UK.

“Our research raises concerns that these policies are associated with deterioration. Health inequality With less NHS operations for the least wealthy groups in society when the policy was introduced. “

The research team encourages commissioners and policy makers to rethink restrictive policies that affect access to electives. Surgery As an urgent matter.Researchers have also seen the recent formation of an integrated care system from the existing CCG group. Positive change In the position of the policy.

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Obesity that lowers the age of knee replacement

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For more information:
How did the NHS Commissioner’s policy on body mass index affect access to knee arthroplasty in the United Kingdom? : Interrupted time series analysis from National Joint Registry PLoS ONE (2022). DOI: 10.1371 / journal.pone.0270274

Provided by
University of Bristol

Quote: After the introduction of the NHS policy on patient weight (June 29, 2022), knee replacements have decreased.

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