HTA - Sahlgrenska Universitetssjukhuset
HTA - Sahlgrenska Universitetssjukhuset
HTA - Sahlgrenska Universitetssjukhuset
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Ethical aspects<br />
7 Ethical consequences<br />
Shoulder arthroplasty needs to be compared with other interventions in well-designed<br />
controlled studies before it is introduced as a clinical routine on a large scale.<br />
However, in individual patients with severe pain or disability it may well be ethical to<br />
offer such surgical intervetion. For detailed analysis see Appendix 5.<br />
Organisation<br />
8a When can this new health technology be put into practice?<br />
Shoulder arthroplasty is today performed at 3 hospitals in VGR, (see 8b).<br />
8b Is this technology used in other hospitals in Western Region of Sweden?<br />
In VGR elective shoulder arthroplasties are performed at the Departments of<br />
Orthopaedics at the <strong>Sahlgrenska</strong> University Hospital Mölndal, the Södra Älvsborg<br />
Hospital, Borås, and the Norra Älvsborgs County Hospital, Uddevalla, Sweden.<br />
8c According to the work group, will there be any consequences of the new health<br />
technology for personnel?<br />
The expected increased use of shoulder arthroplasty will require more resources in<br />
terms of personnel, education, and accessibility to operating theaters, as well as for<br />
equipment and implants.<br />
8d Will there be any consequences for other clinics or supporting functions at the<br />
hospital or in the whole Western Region of Sweden?<br />
The documented increase in prosthetic arthroplasties in patients with primary<br />
shoulder osteoarthritis (see 2b) will cause an increased need of resources in terms of<br />
surgical procedures and in- and outpatient care.<br />
If the ongoing expansion of shoulder arthroplasty will not be reimbursed, the<br />
production of other types of elective orthopaedic surgery including total hip and knee<br />
arthroplasty will have to be reduced.<br />
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