Interhospital variation in appropriateness of cataract surgery
| Autor: | Amaia Bilbao, Marisa Baré, César Llorente, Juan Antonio Blasco, José M. Quintana, J. R. Lacalle, Jose M. Begiristain, Txomin Alberdi |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Visual acuity business.industry Health Policy medicine.medical_treatment Public Health Environmental and Occupational Health Health services research Univariate Phacoemulsification Cataract surgery Logistic regression Surgery Emergency medicine medicine Observational study medicine.symptom business Prospective cohort study |
| Zdroj: | Journal of Evaluation in Clinical Practice. 17:188-195 |
| ISSN: | 1356-1294 |
| Popis: | Objective The aim of this study was to analyse the inter-hospital variation in the appropriateness of cataract phacoemulsification in Spain. Methods This observational, multicentre, prospective study involved patients aged 18–90 years. Each phacoemulsification intervention was classified as ‘necessary’, ‘appropriate’, ‘uncertain’ or ‘inappropriate’ according to explicit appropriateness criteria previously established using the RAND/UCLA methodology. A descriptive statistical analysis was performed, followed by univariate and multivariate logistic regression analysis, in order to examine the differences between hospitals. Results In total, 5063 patients from 15 hospitals were enrolled. The percentage of patients in each hospital who inappropriately underwent phacoemulsification varied from 1.2% to 24.0% (P |
| Databáze: | OpenAIRE |
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