Table 1.
Restrictive procedures with high increase in procedure rates (2014/15-2018/19) and/or high geographical variation in 2018/19.
| Procedure summary descriptors | Procedure code | National rate per 100,000 (2018/19) | Growth (2014/15 - 2018/19) | Variation by CCG (SCV 2018/19) | 5th percentile rate per 100,000 (2018/19) | 95th percentile rate per 100,000 (2018/19) |
|---|---|---|---|---|---|---|
| Procedures in the top 5% for high variation | ||||||
| Bariatric bypass surgical procedure | G32 | 3.26 | 1.34 | 1.88 | 0 | 10.45 |
| Procedure to alleviate pain in the spine | V48 | 29.52 | 1.27 | 1.96 | 4.99 | 119.06 |
| Total knee joint replacement (uncemented) | W41 | 4.32 | 0.70 | 4.75 | 0.42 | 12.11 |
| Hip joint replacement (cemented pelvic component) | W93 | 4.91 | 1.13 | 8.05 | 0.13 | 40.26 |
| Procedures in the top 5% for high growth | ||||||
| Deep brain stimulation for involuntary posturing | A09 | 2.96 | 1.48 | 0.16 | 0.53 | 5.17 |
| Removal of prostate | M61 | 16.88 | 1.44 | 0.09 | 6.85 | 24.59 |
| Surgical spine procedures | V22 | 11.35 | 1.38 | 0.15 | 4.87 | 19.95 |
| Joint surgery for traumatic dislocation and fracture | W67 | 7.90 | 1.37 | 0.15 | 2.88 | 14.11 |
| Hip joint replacement (cemented femoral component) | W94 | 38.73 | 1.59 | 0.44 | 6.69 | 94.14 |
| Shoulder joint replacement | W97 | 6.18 | 1.79 | 0.20 | 1.88 | 11.87 |
Note: See Table S3 for full procedure descriptions. Growth is the standardised procedure rate in 2018/19 divided by the standardised procedure rate in 2014/15. SCV is Systematic Component of Variance. We provide the 95th percentile standardised procedure rate and the 5th percentile standardised procedure rate by CCG.