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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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, the literature shows better outcomes when these are performed by experienced surgeons and in high-volume hospitals. This includes several orthopedic procedures and arthroplasties ( 7 , 8 , 9 , 10 , 11 , 12 , 13 ). Besides, in 2011, Sanchez

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Hua Luo Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Xuelei Zhang Department of Ultrasound, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Chengxin Xie Key Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Department of Endocrinology, Ministry of Education, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China
Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Luxia Wu Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Guoping Cai Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yu Ren Department of Pharmacy, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Treatment with TXA Outcomes Arun kumar et al. ( 27 ) Lumbar surgery IBL, volume of drainage, blood transfusion, postoperative hospital stay, and hematological parameters  Cohort 1 1 g TXA soaked into wound  Cohort 2 1

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Hua Luo Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Xueli Yan Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Yu Ren Department of Pharmacy, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Han Zhang Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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Wenjun Pan Department of Orthopedic, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, Zhejiang, China

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study or case–control study. Study population: patients undergoing TLIF. Intervention and control: TXA in the treatment group and no TXA in the control group. Outcome index: intraoperative blood loss, total drain volume, total blood loss, hospital stay

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Fahima A. Begum University College Hospital, London, UK

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Babar Kayani University College Hospital, London, UK

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Samuel D. J. Morgan University College Hospital, London, UK

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Syed S. Ahmed University College Hospital, London, UK

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Sandeep Singh University College Hospital, London, UK

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Fares S. Haddad University College Hospital, London, UK

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periarticular soft tissue trauma, improved preservation of native bone stock, better restoration of native kinematics, increased patient satisfaction, and improved functional outcomes. 4 – 9 Furthermore, UKA is associated with reduced length of hospital

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Peter van Schie Department of Orthopaedics, Leiden University Medical Centre, Leiden, The Netherlands
Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands

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Shaho Hasan Department of Orthopaedics, Leiden University Medical Centre, Leiden, The Netherlands

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Leti van Bodegom-Vos Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands

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Jan W Schoones Walaeus Library, Leiden University Medical Centre, Leiden, The Netherlands

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Rob G H H Nelissen Department of Orthopaedics, Leiden University Medical Centre, Leiden, The Netherlands

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Perla J Marang-van de Mheen Department of Biomedical Data Sciences, Medical Decision Making, Leiden University Medical Centre, Leiden, The Netherlands

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data. In three studies and one report, hospital variation was adjusted for surgery- or hospital-specific determinants (e.g. hospital and surgeon volume) in addition to patient characteristics. However, these determinants could also be a proxy for

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Martyn Porter The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Centre for Hip Surgery, Wrightington Hospital, UK

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Richard Armstrong The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Head of Health Registries, Northgate Public Services, Peoplebuilding 2, Hemel Hempstead, Hertfordshire, England

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Peter Howard The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
Royal Derby Hospital, Derby, UK

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Matthew Porteous The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
West Suffolk NHS Foundation Trust, UK

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J. Mark Wilkinson The National Joint Registry of England, Wales, Northern Ireland and the Isle of Man, UK
University of Sheffield, Sheffield, UK

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a powerful factor in dissuading consultants in General Hospitals in the event of the unpredicted absence from an operating session’. 1 The first national arthroplasty registry was established by the Swedish Knee Arthroplasty Registry in 1975

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Volkmar Jansson Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany

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Alexander Grimberg German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Oliver Melsheimer German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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Carsten Perka Charité Center for Orthopedics and Trauma Surgery, Charité University Hospital, Berlin, Germany

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Arnd Steinbrück Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Campus Grosshadern, Munich, Germany
German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Berlin, Germany

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component shows signs of significantly underperforming. 6 With commencement of EPRD data collection, most participating clinics were high-volume tertiary referral university clinics. Hospitals implanting annually fewer than 100 hip and knee prostheses were

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Jason Trieu University of Melbourne Department of Surgery, Fitzroy, Australia

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Chris Schilling University of Melbourne Department of Surgery, Fitzroy, Australia

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Michelle M. Dowsey University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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Peter F. Choong University of Melbourne Department of Surgery, Fitzroy, Australia
Department of Orthopaedic Surgery, St Vincent’s Hospital, Fitzroy, Australia

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. The analyses suggested that the additional cost of computer navigation for each case decreased in association with higher surgical volumes. Lower-volume hospitals operated at a higher unit cost due to the significant capital investment required to

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Keijo T. Mäkelä Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register

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Ove Furnes Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Geir Hallan Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Anne Marie Fenstad Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Ola Rolfson Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register

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Johan Kärrholm Sahlgrenska University Hospital and University of Gothenburg, Sweden, and the Swedish Hip Arthroplasty Register

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Cecilia Rogmark Department of Orthopedics, Skåne University Hospital, Department of Clinical Sciences Malmö, Lund University, and the Swedish Hip Arthroplasty Register, Sweden

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Alma Becic Pedersen Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark, and the Danish Hip Arthroplasty Register

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Otto Robertsson The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden

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Annette W-Dahl The Swedish Knee Arthroplasty Register, Department of Orthopedics, Skåne University Hospital, and Department of Clinical Sciences, Orthopedics, Lund University, Sweden

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Antti Eskelinen Coxa Hospital for Joint Replacement, Tampere, Finland, and the Finnish Arthroplasty Register

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Henrik M. Schrøder Department of Orthopaedic Surgery, Naestved Hospital, Denmark, and the Danish Knee Arthroplasty Register

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Ville Äärimaa Turku University Hospital and University of Turku, Finland, and the Finnish Arthroplasty Register

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Jeppe V. Rasmussen Department of Orthopaedic Surgery, Herlev Hospital, University of Copenhagen, Denmark, and the Danish Shoulder Arthroplasty Register

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Björn Salomonsson Department of Orthopedics, Karolinska Institutet, Danderyds Sjukhus AB, Sweden, and the Swedish Shoulder Arthroplasty Register

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Randi Hole Haukeland University Hospital, Bergen, Norway, and the Norwegian Arthroplasty Register

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Søren Overgaard Department of Orthopaedic Surgery and Traumatology, Odense University Hospital, Department of Clinical Research, University of Southern Denmark, and the Danish Hip Arthroplasty Register

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indicators Glassou et al examined if hospital procedure volume was associated with the risk of revision after primary THA in the Nordic countries from 1995 to 2011. This study showed a consistent and strong association between hospital procedure volume and

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Juan Ramón Cano Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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José Manuel Bogallo Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Alicia Ramirez Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Enrique Guerado Department of Orthopaedic Surgery and Traumatology, Hospital Universitario Costa del Sol, University of Málaga, Malaga, Spain

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Algorithm of diagnosis and treatment in patients with pelvic fracture. Pre-hospital actions are of overwhelming importance, particularly ATLS. The pelvic binder is mandatory as clinical diagnosis of pelvic fracture does not have a very accurate value. The

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