{"id":13784,"date":"2023-10-26T11:53:33","date_gmt":"2023-10-26T11:53:33","guid":{"rendered":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?p=13784"},"modified":"2023-11-23T15:33:14","modified_gmt":"2023-11-23T15:33:14","slug":"llr-policy-for-hip-and-knee-replacement","status":"publish","type":"post","link":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-and-knee-replacement\/","title":{"rendered":"Polityka LLR dotycz\u0105ca wymiany stawu biodrowego i kolanowego"},"content":{"rendered":"

Kategoria<\/strong><\/p>\n\n\n\n

Kryteria progowe<\/p>\n\n\n\n

W Anglii i Walii rocznie wykonuje si\u0119 oko\u0142o 160 000 zabieg\u00f3w wymiany stawu biodrowego i kolanowego, przy czym istnieje og\u00f3lnokrajowa tendencja do zwi\u0119kszania zapotrzebowania na te zabiegi. Choroba zwyrodnieniowa staw\u00f3w jest najcz\u0119stszym wskazaniem do zabieg\u00f3w wymiany staw\u00f3w.<\/p>\n\n\n\n

Uprawnienia<\/strong><\/p>\n\n\n\n

LLR ICB sfinansuje wymian\u0119 stawu biodrowego i kolanowego wy\u0142\u0105cznie po spe\u0142nieniu wszystkich poni\u017cszych kryteri\u00f3w<\/strong>

Kryteria wst\u0119pnego skierowania<\/strong>

\u00b7 Pacjent powinien zosta\u0107 osobi\u015bcie przyj\u0119ty i zbadany pod k\u0105tem biodra\/kolana, aby potwierdzi\u0107 patologi\u0119 odpowiedni\u0105 do tego zabiegu.
\u00b7 Niedokrwisto\u015b\u0107 zbadana i leczona w celu uzyskania poziomu Hb >115 u kobiet i >130 u m\u0119\u017cczyzn. Dop\u00f3ki nie zostan\u0105 one skorygowane, operacja nie zostanie przeprowadzona.
\u00b7 Cukrzyca kontrolowana HbA1c <8,5. Operacja nie jest mo\u017cliwa, je\u015bli nie jest leczona. \u00a0
\u00b7 BMI <45. Je\u017celi BMI > 35, nale\u017cy skierowa\u0107 pacjenta do o\u015brodka kontroli masy cia\u0142a poziomu 3. Operacja jest nie <\/strong>oferowany osobom z BMI >45.
\u00b7 Nadci\u015bnienie leczone skurczowym <150mmHg
\u00b7 Zoptymalizowano istniej\u0105ce wcze\u015bniej choroby wsp\u00f3\u0142istniej\u0105ce

I<\/strong>

3-miesi\u0119czne leczenie zachowawcze obejmuj\u0105ce:
o program \u0107wicze\u0144,
o urz\u0105dzenia wspomagaj\u0105ce, np. pomoce do chodzenia, tam gdzie jest to wskazane
o om\u00f3wienie kontroli masy cia\u0142a i zaprzestania palenia, je\u015bli to konieczne
o stosowanie terapii farmakologicznej w celu kontrolowania objaw\u00f3w

I<\/strong>

\u00b7 Potwierdzenie ch\u0119ci pacjenta do poddania si\u0119 operacji

I<\/strong>
\u00b7 Dow\u00f3d na to, \u017ce potencjalne korzy\u015bci i ryzyko operacji wyja\u015bniono przy u\u017cyciu wsp\u00f3lnego narz\u0119dzia do podejmowania decyzji<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
Kryteria skierowania (oparte na poni\u017cszej klasyfikacji b\u00f3lu i ogranicze\u0144 funkcjonalnych)<\/strong>
\u00b7 Intensywne lub powa\u017cne symptomy

ORAZ\/LUB<\/strong>
\u00b7 Umiarkowane lub powa\u017cne ograniczenia funkcjonalne

I<\/strong>
\u00b7 Pozytywne wyniki bada\u0144 klinicznych we wskazanym stawie

I<\/strong>
. W ci\u0105gu 6 miesi\u0119cy od skierowania wykonano badanie rentgenowskie wykazuj\u0105ce jakiekolwiek radiologiczne objawy choroby zwyrodnieniowej. Warunki zmieniaj\u0105 si\u0119 z biegiem czasu i pojawiaj\u0105 si\u0119 nowe diagnozy, dlatego zdj\u0119cie rentgenowskie musi by\u0107 wykonane wsp\u00f3\u0142cze\u015bnie ze skierowaniem.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Pilne skierowanie bez 3-miesi\u0119cznego leczenia zachowawczego<\/strong><\/p>\n\n\n\n

LLR ICB b\u0119dzie finansowa\u0107 tylko wtedy, gdy spe\u0142nione zostan\u0105 nast\u0119puj\u0105ce kryteria<\/strong>

\u00b7 Ci\u0119\u017cka symptomologia
 
LUB<\/strong>
\u00b7 Powa\u017cne ograniczenie funkcjonalne
 <\/strong>
I<\/strong>
. objawy umiarkowane, intensywne lub ci\u0119\u017ckie<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Klasyfikacja symptom\u00f3w i ogranicze\u0144 funkcjonalnych <\/strong><\/p>\n\n\n\n

SYMPTOMOLOGIA<\/strong><\/td><\/tr>
Niewielki<\/strong>
\u2013 Rzadki b\u00f3l
\u2013 B\u00f3l podczas wchodzenia\/schodzenia po schodach
\u2013 Potrafi wykonywa\u0107 codzienne czynno\u015bci, z wyj\u0105tkiem tych wymagaj\u0105cych du\u017cej aktywno\u015bci fizycznej
\u2013 Leki stosowane w celu opanowania b\u00f3lu, bez \u017cadnych\/nielicznych skutk\u00f3w ubocznych<\/td><\/tr>
Umiarkowany<\/strong>
\u2013 Sporadyczny b\u00f3l
\u2013 B\u00f3l podczas chodzenia lub stania na p\u0142askiej powierzchni przez p\u00f3\u0142 godziny
\u2013 Pewne ograniczenie codziennych czynno\u015bci
\u2013 Leki stosowane w celu opanowania b\u00f3lu bez\/kilku skutk\u00f3w ubocznych<\/td><\/tr>
Intensywny <\/strong>
\u2013 Prawie ci\u0105g\u0142y b\u00f3l
\u2013 B\u00f3l podczas chodzenia na kr\u00f3tkie odleg\u0142o\u015bci lub stania na poziomej powierzchni przez mniej ni\u017c p\u00f3\u0142 godziny
\u2013 Znacz\u0105ce ograniczenie codziennych czynno\u015bci
\u2013 Leki przyjmowane w spos\u00f3b ci\u0105g\u0142y, aby zadzia\u0142a\u0142y
\u2013 Sporadyczne korzystanie z system\u00f3w wsparcia, np. pomocy do chodzenia<\/td><\/tr>
Ci\u0119\u017cki : silny<\/strong>
\u2013 Ci\u0105g\u0142y b\u00f3l
\u2013 B\u00f3l w spoczynku
\u2013 Sta\u0142e znaczne ograniczenie codziennych czynno\u015bci
\u2013 Ci\u0105g\u0142e przyjmowanie lek\u00f3w bez reakcji i skutk\u00f3w ubocznych
\u2013 Sta\u0142e korzystanie z system\u00f3w wspomagaj\u0105cych, np. pomocy przy chodzeniu<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n
OGRANICZENIA FUNKCJONALNE <\/strong><\/td><\/tr>
Drobny<\/strong>
\u2013 Zdolno\u015b\u0107 funkcjonalna odpowiednia do prowadzenia normalnych zaj\u0119\u0107 i samoopieki
\u2013 Zdolno\u015b\u0107 do chodzenia powy\u017cej jednej godziny
\u2013 Nie potrzeba \u017cadnych pomocy<\/td><\/tr>
Umiarkowany <\/strong>
\u2013 Zdolno\u015b\u0107 funkcjonalna wystarczaj\u0105ca do wykonywania tylko kilku lub \u017cadnej z normalnych czynno\u015bci i samoopieki
\u2013 Zdolno\u015b\u0107 do chodzenia oko\u0142o p\u00f3\u0142 godziny
\u2013 Potrzebna pomoc, np. laska<\/td><\/tr>
Ci\u0119\u017cki : silny<\/strong>
\u2013 Ca\u0142kowit\u0105 lub znaczn\u0105 niezdolno\u015b\u0107 do pracy
\u2013 Zdolno\u015b\u0107 do chodzenia kr\u00f3cej ni\u017c p\u00f3\u0142 godziny lub niemo\u017cno\u015b\u0107 chodzenia lub przykucie do \u0142\u00f3\u017cka
\u2013 Sta\u0142e korzystanie z pomocy, np. laski, chodzika lub w\u00f3zka inwalidzkiego<\/td><\/tr><\/tbody>
Na podstawie: Kierownik wsp\u00f3lnej opieki planowej dla North Kirklees i Wakefield CCG. Polityka uruchamiania CCG NHS North Kirklees i Wakefield. 2017<\/em><\/td><\/tr><\/tfoot><\/table><\/figure>\n\n\n\n

Narz\u0119dzie Oxford Scoring Tool jest opcjonalne i mo\u017cna je stosowa\u0107 w ramach konsultacji klinicznych w celu zbadania wp\u0142ywu na pacjent\u00f3w, ich obaw oraz oceny post\u0119pu choroby.<\/p>\n\n\n\n

Za\u0142\u0105cznik A ilustruje kryteria skierowania.<\/em><\/p>\n\n\n\n

<\/p>\n\n\n\n

Przewodnictwo <\/strong><\/p>\n\n\n\n

https:\/\/pathways.nice.org.uk\/pathways\/osteoarthritis#path=view%3A\/pathways\/osteoarthritis\/management-of-osteoarthritis.xml&content=view-quality-statement%3Aqualitystatements-referral-for-consideration-of-joint-surgery<\/a>
 
 
Brytyjskie Stowarzyszenie Ortopedyczne, Royal College of Surgeons. Przewodnik uruchomienia: B\u00f3l powstaj\u0105cy w stawie biodrowym u doros\u0142ych. 2017.
 
Brytyjskie Stowarzyszenie Ortopedyczne, Royal College of Surgeons. Przewodnik uruchomienia: Bolesna choroba zwyrodnieniowa stawu kolanowego. 2017.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

za\u0142\u0105cznik A <\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
Data przegl\u0105du ARP 53: 2026 r<\/td><\/tr><\/tbody><\/table><\/figure>","protected":false},"excerpt":{"rendered":"

Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. Osteoarthritis is […]<\/p>\n","protected":false},"author":542,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[57],"tags":[69,83],"class_list":["post-13784","post","type-post","status-publish","format-standard","hentry","category-policies","tag-orthopaedics","tag-threshold"],"yoast_head":"\nLLR Policy for Hip and Knee Replacement - LLR ICB<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-and-knee-replacement\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"LLR Policy for Hip and Knee Replacement - LLR ICB\" \/>\n<meta property=\"og:description\" content=\"Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. Osteoarthritis is […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-and-knee-replacement\/\" \/>\n<meta property=\"og:site_name\" content=\"LLR ICB\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NHSLLR\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-26T11:53:33+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-11-23T15:33:14+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png\" \/>\n<meta name=\"author\" content=\"Tracy Jesa\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:site\" content=\"@NHS_LLR\" \/>\n<meta name=\"twitter:label1\" content=\"Napisane przez\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tracy Jesa\" \/>\n\t<meta name=\"twitter:label2\" content=\"Szacowany czas czytania\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minuty\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/\"},\"author\":{\"name\":\"Tracy Jesa\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\"},\"headline\":\"LLR Policy for Hip and Knee Replacement\",\"datePublished\":\"2023-10-26T11:53:33+00:00\",\"dateModified\":\"2023-11-23T15:33:14+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/\"},\"wordCount\":705,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/THR-TKR-869x1024.png\",\"keywords\":[\"orthopaedics\",\"threshold\"],\"articleSection\":[\"Policies\"],\"inLanguage\":\"pl-PL\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/\",\"name\":\"LLR Policy for Hip and Knee Replacement - LLR ICB\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/THR-TKR-869x1024.png\",\"datePublished\":\"2023-10-26T11:53:33+00:00\",\"dateModified\":\"2023-11-23T15:33:14+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#breadcrumb\"},\"inLanguage\":\"pl-PL\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pl-PL\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#primaryimage\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/THR-TKR-869x1024.png\",\"contentUrl\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/THR-TKR-869x1024.png\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/llr-policy-for-hip-and-knee-replacement\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"LLR Policy for Hip and Knee Replacement\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#website\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"name\":\"LLR ICB\",\"description\":\"LLR Integrated Care Board\",\"publisher\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pl-PL\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#organization\",\"name\":\"LLR ICB\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pl-PL\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"contentUrl\":\"https:\\\/\\\/i0.wp.com\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/wp-content\\\/uploads\\\/2022\\\/06\\\/New-Project-4.jpg?fit=452%2C93&ssl=1\",\"width\":452,\"height\":93,\"caption\":\"LLR ICB\"},\"image\":{\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/NHSLLR\",\"https:\\\/\\\/x.com\\\/NHS_LLR\",\"https:\\\/\\\/www.instagram.com\\\/nhsllr\\\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/#\\\/schema\\\/person\\\/a721bf22e073f34efdc6c7f2dd8a5976\",\"name\":\"Tracy Jesa\",\"url\":\"https:\\\/\\\/leicesterleicestershireandrutland.icb.nhs.uk\\\/pl\\\/author\\\/tracy-jesanhs-net\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Polityka LLR dotycz\u0105ca wymiany stawu biodrowego i kolanowego - LLR ICB","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-and-knee-replacement\/","og_locale":"pl_PL","og_type":"article","og_title":"LLR Policy for Hip and Knee Replacement - LLR ICB","og_description":"Category Threshold Criteria Approximately 160,000 hip and knee replacement procedures are performed annually in England and Wales and there is a national trend towards increasing demand for these. Osteoarthritis is […]","og_url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/llr-policy-for-hip-and-knee-replacement\/","og_site_name":"LLR ICB","article_publisher":"https:\/\/www.facebook.com\/NHSLLR","article_published_time":"2023-10-26T11:53:33+00:00","article_modified_time":"2023-11-23T15:33:14+00:00","og_image":[{"url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png","type":"","width":"","height":""}],"author":"Tracy Jesa","twitter_card":"summary_large_image","twitter_creator":"@NHS_LLR","twitter_site":"@NHS_LLR","twitter_misc":{"Napisane przez":"Tracy Jesa","Szacowany czas czytania":"3 minuty"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#article","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/"},"author":{"name":"Tracy Jesa","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976"},"headline":"LLR Policy for Hip and Knee Replacement","datePublished":"2023-10-26T11:53:33+00:00","dateModified":"2023-11-23T15:33:14+00:00","mainEntityOfPage":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/"},"wordCount":705,"commentCount":0,"publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#primaryimage"},"thumbnailUrl":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png","keywords":["orthopaedics","threshold"],"articleSection":["Policies"],"inLanguage":"pl-PL","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/","name":"Polityka LLR dotycz\u0105ca wymiany stawu biodrowego i kolanowego - LLR ICB","isPartOf":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website"},"primaryImageOfPage":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#primaryimage"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#primaryimage"},"thumbnailUrl":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png","datePublished":"2023-10-26T11:53:33+00:00","dateModified":"2023-11-23T15:33:14+00:00","breadcrumb":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#breadcrumb"},"inLanguage":"pl-PL","potentialAction":[{"@type":"ReadAction","target":["https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/"]}]},{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#primaryimage","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png","contentUrl":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2023\/10\/THR-TKR-869x1024.png"},{"@type":"BreadcrumbList","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/llr-policy-for-hip-and-knee-replacement\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/"},{"@type":"ListItem","position":2,"name":"LLR Policy for Hip and Knee Replacement"}]},{"@type":"WebSite","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#website","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","name":"LLR ICB","description":"Zintegrowana Rada Opieki LLR","publisher":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pl-PL"},{"@type":"Organization","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#organization","name":"LLR ICB","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/","logo":{"@type":"ImageObject","inLanguage":"pl-PL","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/","url":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","contentUrl":"https:\/\/i0.wp.com\/leicesterleicestershireandrutland.icb.nhs.uk\/wp-content\/uploads\/2022\/06\/New-Project-4.jpg?fit=452%2C93&ssl=1","width":452,"height":93,"caption":"LLR ICB"},"image":{"@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/NHSLLR","https:\/\/x.com\/NHS_LLR","https:\/\/www.instagram.com\/nhsllr\/"]},{"@type":"Person","@id":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/#\/schema\/person\/a721bf22e073f34efdc6c7f2dd8a5976","name":"Tracy Jesa","url":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/author\/tracy-jesanhs-net\/"}]}},"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/13784","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/users\/542"}],"replies":[{"embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/comments?post=13784"}],"version-history":[{"count":2,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/13784\/revisions"}],"predecessor-version":[{"id":14315,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/posts\/13784\/revisions\/14315"}],"wp:attachment":[{"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/media?parent=13784"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/categories?post=13784"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/leicesterleicestershireandrutland.icb.nhs.uk\/pl\/wp-json\/wp\/v2\/tags?post=13784"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}