Matches in SemOpenAlex for { <https://semopenalex.org/work/W1995208933> ?p ?o ?g. }
- W1995208933 abstract "Abstract Background Geographical variations in medical practice are expected to be small when the evidence about the effectiveness and safety of a particular technology is abundant. This would be the case of the prescription of conservative surgery in breast cancer patients. In these cases, when variation is larger than expected by need, socioeconomic factors have been argued as an explanation. Objectives: Using an ecologic design, our study aims at describing the variability in the use of surgical conservative versus non-conservative treatment. Additionally, it seeks to establish whether the socioeconomic status of the healthcare area influences the use of one or the other technique. Methods 81,868 mastectomies performed between 2002 and 2006 in 180 healthcare areas were studied. Standardized utilization rates of breast cancer conservative (CS) and non-conservative (NCS) procedures were estimated as well as the variation among areas, using small area statistics. Concentration curves and dominance tests were estimated to determine the impact of income and instruction levels in the healthcare area on surgery rates. Multilevel analyses were performed to determine the influence of regional policies. Results Variation in the use of CS was massive (4-fold factor between the highest and the lowest rate) and larger than in the case of NCS (2-fold), whichever the age group. Healthcare areas with higher economic and instruction levels showed highest rates of CS, regardless of the age group, while areas with lower economic and educational levels yielded higher rates of NCS interventions. Living in a particular Autonomous Community (AC), explained a substantial part of the CS residual variance (up to a 60.5% in women 50 to 70). Conclusion The place where a woman lives -income level and regional policies- explain the unexpectedly high variation found in utilization rates of conservative breast cancer surgery." @default.
- W1995208933 created "2016-06-24" @default.
- W1995208933 creator A5011621140 @default.
- W1995208933 creator A5018550053 @default.
- W1995208933 creator A5021609657 @default.
- W1995208933 creator A5028121292 @default.
- W1995208933 creator A5036638389 @default.
- W1995208933 date "2011-04-19" @default.
- W1995208933 modified "2023-09-26" @default.
- W1995208933 title "Income level and regional policies, underlying factors associated with unwarranted variations in conservative breast cancer surgery in Spain" @default.
- W1995208933 cites W1782647475 @default.
- W1995208933 cites W1970254741 @default.
- W1995208933 cites W1995358838 @default.
- W1995208933 cites W2007791107 @default.
- W1995208933 cites W2009288217 @default.
- W1995208933 cites W2011891057 @default.
- W1995208933 cites W2030199450 @default.
- W1995208933 cites W2034450589 @default.
- W1995208933 cites W2045414638 @default.
- W1995208933 cites W2047966681 @default.
- W1995208933 cites W2067420088 @default.
- W1995208933 cites W2074904170 @default.
- W1995208933 cites W2077618811 @default.
- W1995208933 cites W2091668320 @default.
- W1995208933 cites W2101542354 @default.
- W1995208933 cites W2101603546 @default.
- W1995208933 cites W2118003745 @default.
- W1995208933 cites W2119288235 @default.
- W1995208933 cites W2121653169 @default.
- W1995208933 cites W2130746306 @default.
- W1995208933 cites W2145343427 @default.
- W1995208933 cites W2150834704 @default.
- W1995208933 cites W2152138812 @default.
- W1995208933 cites W2166711849 @default.
- W1995208933 cites W2167871072 @default.
- W1995208933 cites W2338895639 @default.
- W1995208933 cites W2987227731 @default.
- W1995208933 doi "https://doi.org/10.1186/1471-2407-11-145" @default.
- W1995208933 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3103476" @default.
- W1995208933 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21504577" @default.
- W1995208933 hasPublicationYear "2011" @default.
- W1995208933 type Work @default.
- W1995208933 sameAs 1995208933 @default.
- W1995208933 citedByCount "23" @default.
- W1995208933 countsByYear W19952089332013 @default.
- W1995208933 countsByYear W19952089332014 @default.
- W1995208933 countsByYear W19952089332015 @default.
- W1995208933 countsByYear W19952089332016 @default.
- W1995208933 countsByYear W19952089332017 @default.
- W1995208933 countsByYear W19952089332019 @default.
- W1995208933 countsByYear W19952089332020 @default.
- W1995208933 countsByYear W19952089332022 @default.
- W1995208933 crossrefType "journal-article" @default.
- W1995208933 hasAuthorship W1995208933A5011621140 @default.
- W1995208933 hasAuthorship W1995208933A5018550053 @default.
- W1995208933 hasAuthorship W1995208933A5021609657 @default.
- W1995208933 hasAuthorship W1995208933A5028121292 @default.
- W1995208933 hasAuthorship W1995208933A5036638389 @default.
- W1995208933 hasBestOaLocation W19952089331 @default.
- W1995208933 hasConcept C121608353 @default.
- W1995208933 hasConcept C126322002 @default.
- W1995208933 hasConcept C141071460 @default.
- W1995208933 hasConcept C144024400 @default.
- W1995208933 hasConcept C147077947 @default.
- W1995208933 hasConcept C149923435 @default.
- W1995208933 hasConcept C159110408 @default.
- W1995208933 hasConcept C160735492 @default.
- W1995208933 hasConcept C162324750 @default.
- W1995208933 hasConcept C2426938 @default.
- W1995208933 hasConcept C27415008 @default.
- W1995208933 hasConcept C2780140570 @default.
- W1995208933 hasConcept C2908647359 @default.
- W1995208933 hasConcept C50522688 @default.
- W1995208933 hasConcept C530470458 @default.
- W1995208933 hasConcept C71924100 @default.
- W1995208933 hasConcept C99454951 @default.
- W1995208933 hasConceptScore W1995208933C121608353 @default.
- W1995208933 hasConceptScore W1995208933C126322002 @default.
- W1995208933 hasConceptScore W1995208933C141071460 @default.
- W1995208933 hasConceptScore W1995208933C144024400 @default.
- W1995208933 hasConceptScore W1995208933C147077947 @default.
- W1995208933 hasConceptScore W1995208933C149923435 @default.
- W1995208933 hasConceptScore W1995208933C159110408 @default.
- W1995208933 hasConceptScore W1995208933C160735492 @default.
- W1995208933 hasConceptScore W1995208933C162324750 @default.
- W1995208933 hasConceptScore W1995208933C2426938 @default.
- W1995208933 hasConceptScore W1995208933C27415008 @default.
- W1995208933 hasConceptScore W1995208933C2780140570 @default.
- W1995208933 hasConceptScore W1995208933C2908647359 @default.
- W1995208933 hasConceptScore W1995208933C50522688 @default.
- W1995208933 hasConceptScore W1995208933C530470458 @default.
- W1995208933 hasConceptScore W1995208933C71924100 @default.
- W1995208933 hasConceptScore W1995208933C99454951 @default.
- W1995208933 hasIssue "1" @default.
- W1995208933 hasLocation W19952089331 @default.
- W1995208933 hasLocation W19952089332 @default.
- W1995208933 hasLocation W19952089333 @default.
- W1995208933 hasLocation W19952089334 @default.
- W1995208933 hasOpenAccess W1995208933 @default.
- W1995208933 hasPrimaryLocation W19952089331 @default.