Regional variation in orthopedic surgery in Switzerland

Widmer, Marcel; Matter, Pius; Staub, Lukas; Schoeni-Affolter, Franziska; Busato, André (2009). Regional variation in orthopedic surgery in Switzerland. Health & place, 15(3), pp. 761-8. Oxford: Elsevier 10.1016/j.healthplace.2008.12.009

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The study systematically describes the frequency and geographic variability of major surgical interventions for musculoskeletal disorders in Switzerland. Age- and sex-standardized rates for joint replacements, arthroscopies, spine surgery and hip fracture repair were calculated for hospital service regions. Various statistical analyses were used to measure the extent of variation. The authors argue that the surgery of hip fractures can be used as index surgery in the context of analyzing variations in orthopedic surgery. Temporal trends imply that patient demand and supply factors related to clinical ambiguity and non-medical incentives of providers are far more important components leading to increased use than the sole effect of an aging population.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute for Evaluative Research into Orthopaedic Surgery

UniBE Contributor:

Widmer, Marcel; Staub, Lukas and Busato, André

ISSN:

1353-8292

Publisher:

Elsevier

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:10

Last Modified:

04 May 2014 23:22

Publisher DOI:

10.1016/j.healthplace.2008.12.009

PubMed ID:

19217818

Web of Science ID:

000267183600013

URI:

https://boris.unibe.ch/id/eprint/30857 (FactScience: 195196)

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