Referral-to-Treatment for Surgical Carpal Tunnel ... - 18 Weeks

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Musculoskeletal Audit (MSk) - Carpal Tunnel Surgery On average 11% of all patients did not go to surgery on their original booked date (Fig. 16). Fig. 16: Reason for delay from first booked theatre date to actual date of operation Percentage of patients 30 20 10 0 Wishaw GRI/Stobhill DGRI/Garrick QMH/Victoria Elgin Borders Ninewells/Stra RAH/VOL ARI/Woodend Perth Monklands Hairmyres St Johns/RIE Raigmore IRH/Dunoon Forth Valley All patients No delay Missing data Surgery cancelled following admission Failed pre-assessment Hospital cancelled Patient cancelled Did Not Attend Ninety-seven percent of carpal tunnel patients were operated on as daypatients. - - 16
Musculoskeletal Audit (MSk) - Carpal Tunnel Surgery F) Second hands Carpal tunnel commonly affects both hands. Patients often present with bilateral symptoms and having undergone investigations and surgery for the first side they are often placed directly back on the waiting list for the second hand. As explained earlier, this report has concentrated on time to Carpal Tunnel surgery on ‘new’ Carpal Tunnel patients or those who were not immediately referred for surgery on the second hand. However, an average of 15% of operations were on the second hand, following directly on from the first (Fig. 17). Fig. 17: Percentage of operations that were on the opposite hand following earlier surgery on the first Percentage of patients 40 30 20 10 0 Wishaw GRI/Stobhill DGRI/Garrick QMH/Victoria Elgin Borders Ninewells/Stra RAH/VOL Patients were only included as ‘second’ hands if the decision for treatment on the second hand was made upon review of surgery on the first hand. ARI/Woodend Perth Monklands Hairmyres St Johns/RIE Raigmore IRH/Dunoon Forth Valley All patients The length of time to surgery on the second hand was much reduced compared to the first (Fig. 18). Fig. 18: Length of overall time from referral to surgery - first hands versus second hands 100 Percentage of patients 80 60 40 20 0 First hand Second hand 1 year Missing data Missing data if referral date was not known (see Fig. 1) - - 17
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Page 9 and 10: C) Time from Outpatient Appointment
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Referral-to-Treatment for Surgical Carpal Tunnel ... - 18 Weeks

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