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Video Interview

Dr. Henrik Husted

For 16:9 format video


 

How do you think we can speed up the implementation of results from scientific clinical studies?

We can speed up the implementation of results from clinical studies by telling us what we have found, that is the reduced length of stay and also a reduction in re-admissions and increased patient satisfaction. If we get those numbers out there, then surgeons, nurses and staff should know to implement it, but it takes some time.

 

Are the effects of fast track surgery sustainable in the future, given the short term benefits?

The effects of fast track surgery is sustainable in the future, even though they are rather short lived to begin with because you have the patients get off to a good start and they have less pain, faster recovery and they achieve their functional milestones earlier, so we need to see if the results are prolonged, even longer than a few weeks, but they could be, so there is no need even though they are not prolonged, there is no need not to do it because they are off to a better start.

 

Why should surgeons perform more surgery, it doesn’t lead to improved outcomes, so why should they do that? 

Surgeons should perform more surgery in terms of doing more volumes of patients because they will get specialised in doing hips or knees, so they have the ability to standardise the track, not only within the OR, but also before surgery and last but not least after surgery, so if you have a high volume of patients, you can implement all your good clinical enhancements and you will get a good logistical outcome as well.

 

What do you think is the relation between reduction of length of stay and re-admission rates?

When you reduce length of stay you should also look at re-admissions and I think also patient satisfaction. Those three terms are key outcomes that should be linked together. It is no good if you reduce length of stay and you have an increase of re-admissions or patients are not satisfied so you have to look at those three outcome parameters. If you do, you should see that if you do it the right way that you will have a reduction in length of stay, a decrease in re-admissions and an increase in patient satisfaction.

 

Your talk at the symposium is about adopting principles of evidence based medicine, why is that so important?

It’s extremely important to adopt the evidence from the literature because if you don’t, you are all over the place, you don’t know what you’re doing you should always aim to give your patient the best possible treatment and that is evidence based. The best pain treatment, the best way to immobilise, the best care whatever, so so so will get the best possible result. It may change over time, but as it is now you should always look at what’s evidence based and then you should get rid of the good old tradition of not being evidence based.

 

 

Video Information

Interview with Henrik Husted, Head of Arthroplasty, Hvidovre University Hospital, Copenhagen, Denmark

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