Prioritising waiting lists.

作者: Gudex C , Williams A , Jourdan M , Mason R , O'Flynn R

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摘要: The 'top 22' patient conditions on the general surgical waiting list at Guy's Hospital were rated independently by five surgeons. Each surgeon estimated peri-operative mortality rates associated with each treatment; proportion of patients who failed to benefit; effect successful treatment life expectancy and patients' quality life. mean values used estimate expected net benefits (in terms quality-adjusted life-years) from one year earlier than might otherwise have been case. These then related operating times length stay this identified which treatments offered greatest benefit per unit constrained resource. Of all examined anal fissures where shown be least resource intensive in relation generated, whilst varicose veins epigastric hernias proved otherwise. For full potential approach realised it needs repeated other places specialties. It nevertheless offers a more rational basis for interpreting data presently exists using short-cut methods is relatively cheap way generating much useful data.

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