Access to and outcomes of joint replacement surgery
Research type
Research Study
Full title
The access to and outcomes of elective joint replacement surgery for patients with long-term conditions: a study using PROMs and administrative data
IRAS ID
211186
Contact name
Belene Podmore
Contact email
Sponsor organisation
London School of Hygiene and Tropical Medicine
Duration of Study in the UK
3 years, 2 months, 31 days
Research summary
One of the biggest challenges currently facing the NHS is the increase in people living with long-term conditions (LTCs). The latest estimates from 2010 suggest that around 15 million people in England have a long-term condition. Patients with LTCs tend to be frequent users of health care resources but it is still not clearly understood how having different LTCs impacts on access to health care services and outcomes post-intervention.
The overall aim of this PhD is to investigate the role that LTCs may play in the variations in access to and outcomes of elective hip and knee replacement surgery for patients with different LTCs. To do this Patient Reported Outcomes Measures (PROMs) and administrative health data (Hospital Episode Statistics (HES) and ONS mortality data) will be used along with interview data.
There will be five work packages in this PhD; the first will consist of a systematic review on access to and outcomes of hip and knee replacement surgery for patients with LTCs. Work package two consists of a qualitative study to understand the barriers and facilitators to accessing hip and knee replacement surgery for patients with LTCs. Work package three will examine the reliability and validity of identifying LTCs by comparing PROMs and HES data. Work Package four will examine variation in the access to and utilisation of hip and knee replacement surgery for patients with different LTCs. The final work package will examine variation in the outcomes of hip and knee replacement surgery for patients with different LTCs.
The project is funded by the NIHR CLAHRC North Thames and is based at the London School of Hygiene and Tropical Medicine and the Clinical Effectiveness Unit at the the Royal College of Surgeons of England.
REC name
Wales REC 6
REC reference
16/WA/0241
Date of REC Opinion
3 Aug 2016
REC opinion
Favourable Opinion