Erschienen in:
18.09.2017 | Editor's Spotlight/Take 5
Editor’s Spotlight/Take 5: Is There Variation in Procedural Utilization for Lumbar Spine Disorders Between a Fee-for-Service and Salaried Healthcare System?
verfasst von:
Seth S. Leopold, MD
Erschienen in:
Clinical Orthopaedics and Related Research®
|
Ausgabe 12/2017
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Excerpt
No one is surprised that individual surgeons vary in the frequency with which they recommend surgery, or that they sometimes use different procedures to treat the same condition. We can attribute some of the differences to gaps in the evidence base; beyond that, practices differ, as do surgeons’ appetites for tackling riskier or more-complicated operations. We also can accept that there might be broader-based differences in surgical utilization. For example, we know that the frequency of hip dysplasia varies widely across geographic locations, both because of genetics and environmental factors (such as swaddling of infants). That being so, it would come as no surprise if the annual usage of interventions to treat dysplasia—whether surgical or nonsurgical—might differ in response to local variations in disease prevalence [
6]. …