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Carpal tunnel release surgery: small-area variation and impact of ambulatory surgery in the autonomous region of Valencia, Spain

Rodríguez-Martínez, Pablo ; Peiró, Salvador ; Librero, Julián ; Bernal-Delgado, Enrique ; Gisbert-Grifo, Marina ; Calabuig-Pérez, Julia ; Ridao-López, Manuel ; Sanfélix-Gimeno, Gabriel

Gaceta sanitaria, 2013-05, Vol.27 (3), p.214-219 [Periódico revisado por pares]

Spain: Elsevier Espana

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Título:
Carpal tunnel release surgery: small-area variation and impact of ambulatory surgery in the autonomous region of Valencia, Spain
Autor: Rodríguez-Martínez, Pablo ; Peiró, Salvador ; Librero, Julián ; Bernal-Delgado, Enrique ; Gisbert-Grifo, Marina ; Calabuig-Pérez, Julia ; Ridao-López, Manuel ; Sanfélix-Gimeno, Gabriel
Assuntos: Ambulatory Surgical Procedures - utilization ; Análisis de áreas pequeñas ; Bed Occupancy - statistics & numerical data ; Carpal Tunnel Syndrome - surgery ; Clinical practice variation ; Colaboración público-privada ; Cross-Sectional Studies ; Decompression, Surgical - utilization ; Demography ; Female ; Health Care Sciences & Services ; Health Policy & Services ; Hospitals, Private - statistics & numerical data ; Hospitals, Public - statistics & numerical data ; Humans ; Infectious Diseases ; Internal Medicine ; Length of Stay - statistics & numerical data ; Male ; Operating Rooms - supply & distribution ; Orthopedics - manpower ; Outpatient Clinics, Hospital - statistics & numerical data ; Psychology ; Public, Environmental & Occupational Health ; Public-private partnerships ; Referral and Consultation - statistics & numerical data ; Small-Area Analysis ; Small-area variation analysis ; Sociology ; Spain ; Síndrome del túnel carpiano/cirugía ; Variabilidad en la práctica médica
É parte de: Gaceta sanitaria, 2013-05, Vol.27 (3), p.214-219
Descrição: Abstract Objective This study aimed to analyze variability in rates of carpal tunnel release surgery among the healthcare areas of the autonomous region of Valencia, and to evaluate the contribution of ambulatory surgery and referrals to private hospitals to the variability found. Methods We carried out a cross-sectional, population-based study, describing the rates of carpal tunnel release surgery, standardized by age and sex, among areas in the region of Valencia in 2006. The observed variation was then analyzed using small-area analysis methods. Data from hospital admissions, referrals to private hospitals, population statistics and hospital resources were used to construct standardized rates, and Spearman's correlation was used to test the association with surgical setting and hospital resources. Results There were 8.2 carpal tunnel release surgeries per 10,000 inhabitants in the region of Valencia in 2006. Most (88.2%) of these interventions were performed as ambulatory surgery. After we excluded areas outside the 5th-95th percentiles, variation among areas was moderate and was similar for men and women. Variation was not associated with the proportion of the distinct surgical settings (admission to a public hospital, outpatient clinic, or referral to a private hospital) used in each area, or with the availability of resources. Conclusions Variation in carpal tunnel release surgery among areas in the region of Valencia is moderate, but has a strong impact on the population because of the high prevalence of this disorder. This variation is not explained by the hospital resources available in each area or the surgical setting.
Editor: Spain: Elsevier Espana
Idioma: Inglês;Português

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Carpal tunnel release surgery: small-area variation and impact of ambulatory surgery in the autonomous region of Valencia, Spain

Rodríguez-Martínez, Pablo ; Peiró, Salvador ; Librero, Julián ; Bernal-Delgado, Enrique ; Gisbert-Grifo, Marina ; Calabuig-Pérez, Julia ; Ridao-López, Manuel ; Sanfélix-Gimeno, Gabriel

Spain: Elsevier Espana

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