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New analyses fill an important evidence gap while we wait for trials In 2020, the National Institute for Health and Care Research commissioned the randomised RAPSODI trial, aiming to find the best type of joint replacement for the treatment of painful osteoarthritis of the shoulder. This trial commenced in 2022, but will not report its results until the spring of 2027 at the eaanatorliest.1 In a linked paper in The BMJ (doi:10.1136/bmj-2023-077939), Valsamis and colleagues leveraged routinely collected data from public and private hospitals in England, using modern epidemiological methods to p...

Objectives To answer a national research priority by comparing the risk-benefit and costs associated with reverse total shoulder replacement (RTSR) and anatomical total shoulder replacement (TSR) in patients having elective primary shoulder replacement for osteoarthritis. Design Population based cohort study using data from the National Joint Registry and Hospital Episode Statistics for England. Setting Public hospitals and publicly funded procedures at private hospitals in England, 2012-20. Participants Adults aged 60 years or older who underwent RTSR or TSR for osteoarthritis with intact rot...

Using hospital records of 34 million adults admitted to hospitals in England, Marlous Hall and team examine the long-term risk of major health outcomes following myocardial infarction.

The evidence on the effects of maternal mental health illnesses on increased risk of adverse obstetric and neonatal outcomes.

Rory Sheehan and colleagues investigate how often intellectual disability is recorded when people with the condition are admitted to general hospitals in England.