Exploring spillover effects following surgical de-implementation: an observational evaluation of primary care, referrals, and time to surgical intervention following reductions in the use of tonsillectomy and Dupuytren’s contracture
Reductions in both surgical procedures were associated with small, but potentially important, changes to primary care utilisation and specialist treatment. Policy makers should identify potential spillovers from de-implementation, design policies to mitigate negative effects, and monitor these wider impacts alongside the direct influence on the targeted procedure rates.
Authors
- Angus McNair (ORCID: https://orcid.org/0000-0002-2601-9258)
- Tim Jones (ORCID: https://orcid.org/0000-0002-1199-8668)
- Victoria Tucker (ORCID: https://orcid.org/0000-0002-2842-7837)
- Iestyn Williams (ORCID: https://orcid.org/0000-0002-9462-9488)
- Christopher R Burton (ORCID: https://orcid.org/0000-0003-1159-1494)
- Josie Morley
- Ellen Rule
- Nicola Farrar (ORCID: https://orcid.org/0000-0002-9473-5678)
- Joel Glynn (ORCID: https://orcid.org/0000-0002-3790-9205)
- William Hollingworth (ORCID: https://orcid.org/0000-0002-0840-6254)
- Gail Thornton
- Mike Bell
- Leila Rooshenas
- Sam Creavin
- Jenny L. Donovan
- Carmel Conefrey
- Andy Gibson
- Jane Blazeby
- Jenny Falco
- Amanda Owen-Smith
Institutions
- Canterbury Christ Church University (GB)
- University of the West of England (GB)
- University Hospitals Bristol NHS Foundation Trust (GB)
- Public Health England (GB)
- University of Bristol (GB)
- NIHR Bristol Biomedical Research Centre (GB)
- Bristol Clinical Commissioning Group (GB)
- Gloucestershire Health and Care NHS Foundation Trust (GB)
- University of Birmingham (GB)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2026-02-12
- DOI
- https://doi.org/10.1186/s43058-026-00857-7
- Primary Topic
- Healthcare cost, quality, practices
- Type
- article
- Field-Weighted Citation Impact
- 0.00