{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T18:18:56Z","timestamp":1791483536707,"version":"4.3.4"},"reference-count":33,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"2","license":[{"start":{"date-parts":[[2015,2,1]],"date-time":"2015-02-01T00:00:00Z","timestamp":1422748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":["online.boneandjoint.org.uk"],"crossmark-restriction":true},"short-container-title":["The Bone &amp; Joint Journal"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Revision total knee arthroplasty (TKA) is a complex procedure which carries both a greater risk for patients and greater cost for the treating hospital than does a primary TKA. As well as the increased cost of peri-operative investigations, blood transfusions, surgical instrumentation, implants and operating time, there is a well-documented increased length of stay which accounts for most of the actual costs associated with surgery.<\/jats:p>\n                  <jats:p>We compared revision surgery for infection with revision for other causes (pain, instability, aseptic loosening and fracture). Complete clinical, demographic and economic data were obtained for 168 consecutive revision TKAs performed at a tertiary referral centre between 2005 and 2012.<\/jats:p>\n                  <jats:p>Revision surgery for infection was associated with a mean length of stay more than double that of aseptic cases (21.5 vs 9.5 days, p &lt; 0.0001). The mean cost of a revision for infection was more than three times that of an aseptic revision (\u00a330 011 (sd 4514) vs \u00a39655 (sd 599.7), p &lt; 0.0001).<\/jats:p>\n                  <jats:p>Current NHS tariffs do not fully reimburse the increased costs of providing a revision knee surgery service. Moreover, especially as greater costs are incurred for infected cases. These losses may adversely affect the provision of revision surgery in the NHS.<\/jats:p>\n                  <jats:p>Cite this article: Bone Joint J 2015;97-B:197\u2013201.<\/jats:p>","DOI":"10.1302\/0301-620x.97b2.33707","type":"journal-article","created":{"date-parts":[[2015,1,27]],"date-time":"2015-01-27T10:12:29Z","timestamp":1422353549000},"page":"197-201","update-policy":"https:\/\/doi.org\/10.1302\/crossmark-policy","source":"Crossref","is-referenced-by-count":184,"title":["Financial analysis of revision knee surgery based on NHS tariffs and hospital costs"],"prefix":"10.1302","volume":"97-B","author":[{"given":"R. F.","family":"Kallala","sequence":"first","affiliation":[{"name":"University College London Hospitals, 235\rEuston Rd, London NW1 2BU, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I. S.","family":"Vanhegan","sequence":"additional","affiliation":[{"name":"Royal National Orthopaedic Hospital Stanmore, Brockley\rHill, Stanmore, Middlesex HA7\r4LP, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. S.","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"University College London Hospitals, 235\rEuston Rd, London NW1 2BU, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Sarmah","sequence":"additional","affiliation":[{"name":"University College London Hospitals, 235\rEuston Rd, London NW1 2BU, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. S.","family":"Haddad","sequence":"additional","affiliation":[{"name":"University College London Hospitals, 235\rEuston Rd, London NW1 2BU, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"r1","unstructured":"No authors listed.\n                      Health &\n Social Care Information Centre: Hospital Episode Statistics. http:\/\/www.hscic.gov.uk\/hes (date last accessed 29 September 2014)."},{"key":"r2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B1.29835"},{"key":"r3","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2011-000332"},{"key":"r4","doi-asserted-by":"publisher","DOI":"10.1001\/2012.jama.11153"},{"key":"r5","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00206"},{"key":"r6","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01958"},{"key":"r7","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-010-1074-8"},{"key":"r8","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3928\/0147-7447-19990201-08","volume":"22","author":"Iorio R","year":"1999","journal-title":"Orthopedics"},{"key":"r9","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(05)80175-5"},{"key":"r10","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-0160(02)00094-7"},{"key":"r11","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.04.026"},{"key":"r12","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.94B5.27073"},{"key":"r13","unstructured":"No authors listed.\n                      National Joint Registry: National Joint Registry for England and Wales, 2012. http:\/\/www.njrcentre.org.uk\/njrcentre\/Portals\/0\/Documents\/England\/Reports\/9th_annual_report\/NJR%209th%20Annual%20Report%202012.pdf (date last accessed 29 Septmber 2014)."},{"key":"r14","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200704000-00012"},{"key":"r15","doi-asserted-by":"publisher","DOI":"10.3109\/17453671003685442"},{"key":"r16","unstructured":"Briggs TWNHS: Getting it right the first time. Improving the quality of orthopaedic care within the National Health Service in England, 2012. http:\/\/www.gettingitrightfirsttime.com\/downloads\/BriggsReportA4_FIN.pdf (date last accessed 29 September 2014)."},{"key":"r17","unstructured":"No authors listed.\n                      Gov.uk.\n                      \n                      http:\/\/www.gov.uk (date last accessed 9 December 2014)."},{"key":"r18","unstructured":"No authors listed.\n                      Department of Health https:\/\/www.gov.uk\/government\/organisations\/department-of-health (date last accessed 9 December 2014)."},{"key":"r19","first-page":"26","volume":"118","author":"Webb A","year":"2008","journal-title":"Health Serv J"},{"key":"r20","doi-asserted-by":"publisher","DOI":"10.1054\/arth.2000.16504"},{"key":"r21","first-page":"745","volume":"78","author":"Baker JF","year":"2012","journal-title":"Acta Orthop Belg"},{"key":"r22","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-010-0106-y"},{"key":"r23","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199610000-00019"},{"key":"r24","doi-asserted-by":"publisher","DOI":"10.1016\/j.otsr.2009.11.004"},{"key":"r25","unstructured":"No authors listed.\n                      Worldwide inflation data. www.inflation.eu (date last accessed 9 December 2014)."},{"key":"r26","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.95B12.31303"},{"key":"r27","doi-asserted-by":"publisher","DOI":"10.1308\/003588413X13629960046435"},{"key":"r28","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01472"},{"key":"r29","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2013.874925"},{"key":"r30","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-013-2374-6"},{"key":"r31","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000214439.95268.59"},{"key":"r32","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.08.009"},{"key":"r33","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1526-y"}],"container-title":["The Bone &amp; Joint Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B2.33707","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.97B2.33707","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.97B2.33707","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,19]],"date-time":"2021-10-19T00:41:16Z","timestamp":1634604076000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.97B2.33707"}},"subtitle":["does it pay to provide a revision service?"],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":33,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1302\/0301-620X.97B2.33707"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.97b2.33707","relation":{},"ISSN":["2049-4394","2049-4408"],"issn-type":[{"value":"2049-4394","type":"print"},{"value":"2049-4408","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2]]},"assertion":[{"value":"2014-01-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-23","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-02-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}