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Surgical rates among older people in England vary widely across CCGs

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g4381 (Published 03 July 2014) Cite this as: BMJ 2014;349:g4381
  1. Zosia Kmietowicz
  1. 1The BMJ

Rates of surgery for six procedures known to be effective in older people vary widely in people aged over 65 and 75 depending on where they live in England, a new analysis has found.1

The report, by the Royal College of Surgeons and the charity Age UK, builds on a report published in 2012, which warned that decisions about patients’ suitability for surgery should be based on their overall health rather than their age.2

The latest report broke down the surgical rates for breast excision, colorectal excision, cholecystectomy, hernia repairs, hip replacements, and knee replacements during 2011-12 across England’s 211 clinical commissioning groups (CCGs). It found that, in people over 65, those with breast cancer faced the biggest variation in access to surgery. The highest surgery …

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