S D Deo Research Presented at National & International Presentations: 2015
Kareem Elsorafy, Tamer Kamal, Sunny Deo, Jan-Herman Kuiper. The Swindon Hip Complexity Score Validation. International Combined Meeting BHS-SIDA, Milan 2627 Nov 2015.
In a nutshell: the 4 part clinical complexity classification I devised back in 2004 works in an equivalent fashion in another department
Deo S, Rolton D, Lotz B, Ahmed A, Jhaj J, Brunton L. Analysis of payment for total knee arthroplasty. Breaking the code in renumeration for knee arthroplasty. British Orthopaedic Association Congress, Liverpool Sep 2015
In a nutshell: there are wide discrepancies which cannot be tracked on the basis of rationality or logic, i.e. which are random, which produces financial loss to our Orthopaedic department.
Deo S. Implications and impact of complexity and the principles of complexity science in clinical orthopaedic practice. British Orthopaedic Association Congress, Liverpool Sep 2015 In a nutshell: we ignore the principles of complexity science at our peril, and we have done so to a greater extent thus far.
Deo S, Gopinath P, Rolton D. Analysis on the effects of body mass index and clinical complexity on outcomes following total knee replacement surgery. British Orthopaedic Association Congress, Liverpool Sep 2015
In a nutshell: clinical complexity is a far greater cause for complication and /or poor outcome than BMI, further confirming that BMI alone shouldn’t be used to ration joint replacement surgery.
Vasarhelyi F, Arany L, Kiraly Z, Deo S. Twelve year review of necrotising fasciitis in GWH, Swindon. Magyar Ortoped Tarsasag & Magyar Traumatologous Tarsasag Congress, Sarvar, Jun 2015
In a nutshell: this is a potentially life threatening condition which must be identified & treated promptly. The LRINEC score is useful and incidence may fluctuate suddenly.
Kiraly Z, Vasarhelyi F, Palmar A, Deo S. The painful stiff unicompartmental knee replacement, evaluation of arthroscopic assessment. Magyar Ortoped Tarsasag & Magyar Traumatologous Tarsasag Congress, Sarvar, Jun 2015
In a nutshell: this is a useful technique which may prevent revision of some implants, improve function, and suggest scar tissue as a cause of pain in a proportion of UKR patients.
Rolton D, Jhaj J, Lotz B, Ahmed A, Brunton L, Deo S. Failure of The UK Coding System to Correctly Identify Case Complexity in Total Knee Replacement. [Poster] Surgery. European Federation Orthopaedic & Trauma Societies, Prague May 2015
In a nutshell: traditional UK OPCS coding comprehensively fails to identify patients with clinical complexity making it likely that trusts are losing income due to this.
Rolton D, Lotz B, Ahmed A, Jhaj J, Deo S The cost of a deficient coding system for knee arthroplasty surgery in a UK district hospital setting. BASK, Mar 2015
In a nutshell: traditional UK OPCS coding comprehensively fails to identify patients with clinical complexity making it likely that trusts are losing income due to this.
