Evaluating the impact of revision knee arthroplasty networks in England: an analysis of temporal trends in referral patterns, surgical volumes and early outcomes using hospital episode statistics data for England between 2012 and 2024
The data suggest early signals of regions aligning with the implementation of revision networks, especially in the Northwest, Northeast & Yorkshire, and London regions. There are encouraging improvements in re-revision rates and hospital stays which may indicate potential benefits of the new model. As revision networks mature, strategies to increase surgical volume may be key to sustaining further improvements in patient outcomes.
Authors
- Andrew Price (ORCID: https://orcid.org/0000-0002-4258-5866)
- Jonathan Phillips (ORCID: https://orcid.org/0000-0001-8945-6511)
- William K. Gray (ORCID: https://orcid.org/0000-0002-9597-5446)
- Paul Baker (ORCID: https://orcid.org/0000-0001-8529-2417)
- Abtin Alvand (ORCID: https://orcid.org/0000-0001-6069-978X)
- Benjamin V. Bloch (ORCID: https://orcid.org/0000-0002-2305-7478)
- Andrew D. Toms (ORCID: https://orcid.org/0000-0002-8035-0494)
- Alexander H. Matthews (ORCID: https://orcid.org/0000-0002-1606-5840)
- Andrew J. Porteous (ORCID: https://orcid.org/0000-0002-4364-8822)
- Jonathan Peter Evans (ORCID: https://orcid.org/0000-0003-0090-1012)
- Tim Briggs
Institutions
- North Bristol NHS Trust (GB)
- Nottingham University Hospitals NHS Trust (GB)
- University of Exeter (GB)
- Royal Devon & Exeter NHS Foundation Trust (GB)
- NHS Education for Scotland (GB)
- Nuffield Orthopaedic Centre (GB)
- Royal National Orthopaedic Hospital (GB)
- South Tees Hospitals NHS Foundation Trust (GB)
- University College London (GB)
Publication Details
- Journal
- The Knee
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1016/j.knee.2025.11.006
- Citations
- 1
- Primary Topic
- Total Knee Arthroplasty Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 2.01