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- Talk
- UK
Interview with Mr Paul Baker - Surgical Approaches and Implants for Primary Elective Hip Replacement
Description
In this engaging session, David Sochart introduces a panel discussing the processes behind the National Institute for Health and Care Excellence (NICE) guidelines related to hip, knee, and shoulder replacements. Joined by expert clinicians Paul Baker and Andy Hamer, the conversation unfolds to explore how NHS England funded NICE to generate these clinical guidelines. Paul Baker explains that the process includes collaboration with patients and public engagement to identify priority questions that guide the evidence-gathering process.
Throughout the dialogue, they underscore the complexity and duration of creating guidelines, which involves multiple meetings and careful framing of questions based on preliminary work. Paul highlights that evidence synthesis is fundamental, but there are challenges, such as reliance on level 1 evidence and potential biases in randomized trials across various settings that lead to low-quality evidence in outcomes.
Andy joins to discuss the introduction of new implants and approaches in surgical practice, emphasizing the importance of training and mentorship for surgeons. They note a need for transparent reporting and rigorous scientific evaluation of new techniques to ensure patient safety and effective practice. The discussion concludes with reflections on the responsibilities of organizations like the British Hip Society in fostering a culture of responsible adoption of new approaches and continuous learning within the surgical community.