一站式清醒状态下掌腱膜挛缩症筋膜切除术服务的发展：一项回顾性研究
The development of one-stop wide-awake dupuytren's fasciectomy service: a retrospective review.
作者信息
Bismil Qmk, Bismil Msk, Bismil Annamma, Neathey Julia, Gadd Judith, Roberts Sue, Brewster Jennifer
机构信息
Consultant Orthopaedic Surgeon, The Wellington Hospital , London NW8 9LE , UK.
出版信息
JRSM Short Rep. 2012 Jul;3(7):48. doi: 10.1258/shorts.2012.012050. Epub 2012 Jul 23.
OBJECTIVES
To detail the transition to a totally one-stop wide-awake (OSWA) Dupuytren's contracture surgical service.
DESIGN
Retrospective review of Dupuytren's component of last 1000 OSWA cases.
SETTING
The UK's first totally one-stop wide-awake orthopaedic service.
PARTICIPANTS
270 patients with Dupuytren's contracture out of the last 1000 OSWA cases.
MAIN OUTCOME MEASURES
Surgical outcomes, patient satisfaction and cost-effectiveness and efficiency.
RESULTS
The OSWA Dupuytren's model is safe, efficient and effective; with a low complication rate, extremely high patient satisfaction; and cost-savings to the nhs of £2500 per case treated. The service saved the NHS approximately £675,000 for the 270 cases presented.
CONCLUSIONS
A totally one-stop wide-awake Dupuytren's Contracture service is practicable and feasible alternative to the conventional treatment pathway, with benefits in terms of efficiency and cost-effectiveness.
目的
详细介绍向完全一站式清醒（OSWA）治疗杜普伊特伦挛缩症手术服务的转变。
设计
对最近1000例OSWA病例中的杜普伊特伦挛缩症部分进行回顾性研究。
地点
英国首个完全一站式清醒骨科服务机构。
参与者
最近1000例OSWA病例中的270例杜普伊特伦挛缩症患者。
主要观察指标
手术结果、患者满意度以及成本效益和效率。
结果
OSWA杜普伊特伦挛缩症治疗模式安全、高效且有效；并发症发生率低，患者满意度极高；每治疗一例可为英国国家医疗服务体系（NHS）节省2500英镑。该服务为所呈现的270例病例为NHS节省了约67.5万英镑。
结论
完全一站式清醒杜普伊特伦挛缩症治疗服务是传统治疗途径切实可行的替代方案，在效率和成本效益方面具有优势。
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