{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:44:25Z","timestamp":1792737865489,"version":"4.5.0"},"reference-count":22,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T00:00:00Z","timestamp":1606521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>The surgical referral policies for patients with trigger finger, ganglion removal and Dupuytren\u2019s disease were collected for all Clinical Commissioning Groups in England. The aim was to assess whether there was variation in the policies across England, resulting in inequality in patients\u2019 access to surgery. Data were collected between October 2018 and January 2019 and compared with national guidelines. Analysis of the results showed that for all three conditions, surgical commissioning policies varied depending on the locality. The results also show that despite the existence of national guidelines, they are not implemented. This has the potential to lead to variation in surgical referral and access to services for patients in different localities in England.<\/jats:p>\n                  <jats:p>Level of evidence: III<\/jats:p>","DOI":"10.1177\/1753193420974244","type":"journal-article","created":{"date-parts":[[2020,11,28]],"date-time":"2020-11-28T12:35:49Z","timestamp":1606566949000},"page":"530-534","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Variation in the clinical commissioning of surgery for three common hand conditions in England"],"prefix":"10.1177","volume":"46","author":[{"given":"Duncan","family":"Coffey","sequence":"first","affiliation":[{"name":"Whipps Cross Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalie","family":"Redgrave","sequence":"additional","affiliation":[{"name":"John Radcliffe Hospital, Oxford, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hudson-Phillips","sequence":"additional","affiliation":[{"name":"St. Georges Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calum","family":"Clark","sequence":"additional","affiliation":[{"name":"St Thomas' NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Tahmassebi","sequence":"additional","affiliation":[{"name":"St Thomas' NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Vig","sequence":"additional","affiliation":[{"name":"St Thomas' NHS Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,11,28]]},"reference":[{"key":"bibr1-1753193420974244","doi-asserted-by":"publisher","DOI":"10.1007\/s12570-012-0092-z"},{"key":"bibr2-1753193420974244","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B8.31822"},{"key":"bibr3-1753193420974244","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2018.03.006"},{"key":"bibr4-1753193420974244","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2001.0569"},{"key":"bibr5-1753193420974244","doi-asserted-by":"publisher","DOI":"10.3310\/hta19900"},{"key":"bibr6-1753193420974244","unstructured":"British Society for Surgery of the Hand. 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