AdrianSayers

Statistician /*All views are my own*/

[AdrianSayers @Adrian_Sayers_]

#orthotwitter #COVID19 has had a huge impact on joint replacement in England, Wales and Northern Ireland.

New data from @JointRegistry shows a 48.8% decline in joint replacement comparing 2020 to 2019.

Pre-print link:
https://t.co/4ANK7RUT7K

@BritOrthopaedic @VersusArthritis

[The Bone & Joint Journal @BoneJointJ]

While most contemporary cement types have comparable revision rates, five were associated with a significantly higher rate of revision. Outcome monitoring for bone cement warrants scrutiny just like implant components.

#BoneCement #Orthopedics

https://t.co/Wng4FCbkNp

[AdrianSayers @Adrian_Sayers_]

Extensions from our previous work, @BritOrthopaedic @JointRegistry #ortho #jointreplacement @VersusArthritis . I wonder how the new govt will respond to this crisis!

[NIHR Biomedical Research Centre: Bristol @BristolBRC]

Nearly 9 months of #JointReplacement surgery has been lost (around 160,000 fewer operations) since the start of the COVID-19 pandemic. Researchers analysed @JointRegistry data from 2019-22. Study published in @BoneJointJ
News https://t.co/OPhjGZdHxQ
Paper https://t.co/XaFGpIhc4D

[NIHR Biomedical Research Centre: Bristol @BristolBRC]

Nearly 9 months of #JointReplacement surgery has been lost (around 160,000 fewer operations) since the start of the COVID-19 pandemic. Researchers analysed @JointRegistry data from 2019-22. Study published in @BoneJointJ
News https://t.co/OPhjGZdHxQ
Paper https://t.co/XaFGpIhc4D

[Tom Cotter @ProfTomCotter]

Staggering profit margins for academic publishers. Reviewers working for free and paying through the nose to get their work published. A disgrace #research

Source: the Guardian https://t.co/ir6QkI8MSp

[Martyn Porter @MartynPorter1]

Today I carried out my last ever operation after 33 years as a Consultant Orthopaedic Surgeon.
An honour and a privilege to have worked with such tremendous people and patients.Loyalty, skill, kindness, dedication, trust, professionalism and humour. Absolutely humbling.

[AdrianSayers @Adrian_Sayers_]

@jd_wilko I thinking checking baseline similarity is a great idea, next level 💡. Need someway of checking the t test has required coverage.

[AdrianSayers @Adrian_Sayers_]

@jd_wilko Time component in case control, exposure occurs at different time to outcome.

[AdrianSayers @Adrian_Sayers_]

@rbarbosa91 He probably watched his wife crocheting a nice scarf and thought that looked like a good idea..

[AdrianSayers @Adrian_Sayers_]

@statsepi Which is why no one wants to work in academia anymore.

[AdrianSayers @Adrian_Sayers_]

@drgarethroberts Can't believe no said Stats and Epi!

[AdrianSayers @Adrian_Sayers_]

@DrPeteTaylor Make sure you get time for a visit too the air craft carrier it qas awesome...

[AdrianSayers @Adrian_Sayers_]

#Volume and Shoulder replacements. Important data for those planning the provision of joint replacement. https://t.co/HS3021bLmK #orthotwitter @VersusArthritis @Girft @JointRegistry @BritOrthopaedic @NIHRresearch Well done Marko!

[Jonathan T Evans @jtevans13]

Ever wondered whether the short cement in cement revision Exeter stem (44/00 125mm) lasts as well as the standard stems in the range when used in primary THR?

The team @ExeterHipUnit also did, so we used data from the @JointRegistry to check!

https://t.co/WvDtlmqkQz

[Erik Lenguerrand @LenguerrandErik]

Inequalities in joint provision remained constant over time. Providers of healthcare need to take action to reduce this unwarranted variation in provision of surgery. With @andyjudgeox
@Adrian_Sayers_ https://t.co/tVC38XXpz0

[AdrianSayers @Adrian_Sayers_]

@StataChuck #Driveslowly!

[AdrianSayers @Adrian_Sayers_]

@xlgriffin @Orthopod_Errant @timpetheram @BritOrthopaedic Given the potential sample size required, the cost of screws vs nails, is there really a cost effectiveness argument for nailing when you could screw, assuming no benefit to nailing.

[AdrianSayers @Adrian_Sayers_]

@xlgriffin @Orthopod_Errant @timpetheram @BritOrthopaedic 23645 per arm according to the discussion, it will only increase if you account for clustering etc.

[AdrianSayers @Adrian_Sayers_]

@xlgriffin @Orthopod_Errant @timpetheram @BritOrthopaedic It's really tricky with rare events, what's better, grossly underpowered RCT or observational study with the potential for residual confounding. I'm glad to be not holding the saw!

[AdrianSayers @Adrian_Sayers_]

@stevemchale @Orthopod_Errant @timpetheram @xlgriffin @BritOrthopaedic Always a possibility, have a read of the comments from other authors and our response. No RCT is ever going to be practically possible given the sample sizes required. You pay your money and you make your choices.. You just pay more with Nails!

[AdrianSayers @Adrian_Sayers_]

@Orthopod_Errant @timpetheram @xlgriffin @BritOrthopaedic https://t.co/ADh2QzjTPc