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Reinier Feitz Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Yara E. van Kooij Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Marloes H. P. ter Stege Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Mark J. W. van der Oest Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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J. Sebastiaan Souer Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Robbert M. Wouters Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Harm P. Slijper Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Ruud W. Selles Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Steven E. R. Hovius Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Hand–Wrist Study Group RAM Blomme, BJR Sluijter, DJJC van der Avoort, A Kroeze, J Smit, J Debeij, ET Walbeehm, GM van Couwelaar, Guus M Vermeulen, JP de Schipper, JFM Temming, JH van Uchelen, HL de Boer, KP de Haas, K Harmsen, OT Zöphel, R Koch, TM Moojen, X Smit, GJ Halbesma, R van Huis, PY Pennehouat, K Schoneveld, YE van Kooij, RM Wouters, JJ Veltkamp, A Fink, WA de Ridder, J Tsehaie, R Poelstra, MC Janssen, PO Sun, VJMM Schrier, L Hoogendam, JS Teunissen, Jak Dekker, M Jansen-Landheer

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a private hand surgery clinic offering public service in the Netherlands. The startup position allowed for a complete redesign of hand surgery care. Early on, we added value-based healthcare (VBHC) principles such as integrated care, healthcare

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A Prkić Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands
Amsterdam UMC Location University of Amsterdam, Department of Orthopedic Surgery and Sports Medicine, Amsterdam, The Netherlands

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N P Vermeulen Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands

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B W Kooistra Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands
Department of Orthopedic Surgery, Shoulder and Elbow Unit, OLVG, Amsterdam, The Netherlands
Department of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands

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B The Department of Orthopedic Surgery, Upper Limb Section, Amphia Hospital, Breda, The Netherlands

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M P J van den Bekerom Department of Orthopedic Surgery, Medische Kliniek Velsen, Velsen-Noord, The Netherlands
Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Amsterdam, The Netherlands

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D Eygendaal Department of Orthopedic Surgery and Sports Medicine, ErasmusMC, Rotterdam, The Netherlands

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several kinds of orthopedic joint arthroplasty results in lower mortality and reduction in hospitalization time ( 21 , 22 , 23 , 24 , 25 ). This also leads to better value-based healthcare by lowering costs. With surgeon volume being an important

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