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Coping with regional variations: the case of surgery in Denmark.

https://arctichealth.org/en/permalink/ahliterature74027
Source
Int J Health Plann Manage. 1987 Oct-Dec;2(4):253-64
Publication Type
Article
Author
T F Andersen
R. Blais
J. Bredesen
T. Jørgensen
A. Loft
M. Madsen
G. Mooney
T. Sejr
Source
Int J Health Plann Manage. 1987 Oct-Dec;2(4):253-64
Language
English
Publication Type
Article
Keywords
Cholecystectomy - utilization
Data Collection
Denmark
Female
Health Services Misuse
Health status
Humans
Hysterectomy - utilization
Male
Physician's Practice Patterns
Population Dynamics
Prostatectomy - utilization
Questionnaires
Surgical Procedures, Operative - utilization
Abstract
This article examines some of the key research and policy issues that are emerging as a result of recent analyses of regional variations in health care. The article presents a historical background to this important new field of health services' research, and indicates, using some Danish examples of research on hysterectomy, cholecystectomy, and prostatectomy, the relevance of this research to management and policy planning. Regional variations are not yet fully explained in terms of what causes them. What is clear and what is the primary focus of this article is that their very existence, whatever their explanation, creates a major challenge for the management and planning of future health services.
PubMed ID
10318049 View in PubMed
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A survey concerning the attitudes of urologists toward prostatism patients.

https://arctichealth.org/en/permalink/ahliterature75111
Source
Scand J Urol Nephrol. 1994 Sep;28(3):257-64
Publication Type
Article
Date
Sep-1994
Author
M V Hansen
T. Wold
Author Affiliation
Department of Surgery, Central Hospital, Fredrikstad, Norway.
Source
Scand J Urol Nephrol. 1994 Sep;28(3):257-64
Date
Sep-1994
Language
English
Publication Type
Article
Keywords
Aged
Attitude of Health Personnel
Data Collection
Humans
Male
Norway
Physician's Practice Patterns
Prostatectomy - utilization
Prostatic Hyperplasia - diagnosis - epidemiology - surgery
Questionnaires
Urology
Abstract
In a questionnaire all urological units in Norway were asked about: 1. The examinations they routinely used for prostatism patients before deciding upon treatment. 2. How they would score different objective and subjective information about these patients on a scale from 0 to 10. 3. How the physicians classified different prostatism symptoms into categories of weak, moderate and severe. The results were: Urinary retention occurring more than once or residual urine greater than 500 ml was considered an absolute indication for surgery. Agreement about indications for surgery was good for information which received a high median score, but was much poorer for information which received a lower median score. Agreement on how to classify different symptoms into categories according to severity was not good. Using the median classification of symptoms it was estimated that urologists believe that 0.1-5.8% of men over 60 years of age have severe symptoms, 2.1-36.4% have moderate symptoms and 57.8-97.8% weak or no symptoms.
PubMed ID
7529432 View in PubMed
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Undertreatment of Men in Their Seventies with High-risk Nonmetastatic Prostate Cancer.

https://arctichealth.org/en/permalink/ahliterature271011
Source
Eur Urol. 2015 Jul;68(1):53-8
Publication Type
Article
Date
Jul-2015
Author
Ola Bratt
Yasin Folkvaljon
Marie Hjälm Eriksson
Olof Akre
Stefan Carlsson
Linda Drevin
Ingela Franck Lissbrant
Danil Makarov
Stacy Loeb
Pär Stattin
Source
Eur Urol. 2015 Jul;68(1):53-8
Date
Jul-2015
Language
English
Publication Type
Article
Keywords
Age Factors
Aged
Clinical Decision-Making
Comorbidity
Humans
Life expectancy
Male
Middle Aged
Patient Selection
Prostatectomy - utilization
Prostatic Neoplasms - pathology - therapy
Quality of Health Care
Radiotherapy - utilization
Registries
Risk
Sweden
Abstract
Many elderly men with high-risk nonmetastatic prostate cancer (HRnMPCa) do not receive radical treatment, despite the high mortality associated with conservative management.
To investigate how age and comorbidity affect treatment of men with HRnMPCa.
This was an observational nationwide register study during 2001-2012. We identified 19 190 men of
Notes
Comment In: Eur Urol. 2015 Jul;68(1):59-6025813689
PubMed ID
25813688 View in PubMed
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