Description
The talk presented by Mike Reed outlines the annual report of the NJR (National Joint Registry), which highlights significant developments and statistics over the past year. This year marks the 20th anniversary of the NJR, detailing a partial recovery in hip replacement activity at 97% of 2019 levels, with a surge in submissions in early 2023. Reed explains the decline in NHS hip replacement operations since 2014, noting an increase in private practice surgeries, which reflects economic pressures faced by patients.
He emphasizes key findings from the HIP report, notably a decline in NHS activity and a noteworthy rise in private sector surgeries. The discussion includes statistics regarding knee replacement performance, with advancements in certain brands reducing revision rates significantly. He points out concerns with revision rates in ankle replacements, which have improved thanks to new implant technologies. However, there are potential underreporting issues of revision surgeries.
Reed discusses variations in surgical practices across regions in Wales and South Central and underscores the low patient-reported outcome measures (PROMs) completion rate in shoulder surgeries, suggesting a bias in the data regarding patient outcomes. Additionally, he highlights key research papers featured in the report that reflect the impact of NHS policies on procedures. Overall, the presentation concludes by encouraging further exploration of the vast body of data available in the annual report.