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Accreditation in stroke units of 6 European regions / Ömer R. Saka in Cerebrovascular Diseases, 35(2013)Suppl.3 ([05/01/2013])  

[article] Accreditation in stroke units of 6 European regions : One name different realities [printed text] / Ömer R. Saka, Author ; Ying Sun, Author ; D Michiels, Author ; Vincent Thijs, Author ; Dimitri Hemelsoet, Author ; Marijke Eyssen , Author ; Dominique Paulus , Author . - 2013 . - 481. Languages : English (eng) in Cerebrovascular Diseases > 35(2013)Suppl.3 [05/01/2013] . - 481 Descriptors: Classification W 1 Serials. Periodicals Indexation 2011-20 ; Belgium ; Cardiac Resynchronization Therapy Devices ; Emergency Treatment ; Journal Article ; Peer Review ; R181 ; Stroke Abstract: Background: ESO guidelines aim to promote standardised care of high quality in Europe but the organisation of acute care in stroke units (SU) largely differs between countries. This study aimed to scrutinize the accreditation or certification procedures of SU in 6 countries/regions: Scotland, Sweden, The Netherlands, France, Germany and the “London Stroke Services” (LSS). Methods: the information was collected with standardised questionnaires (25 pages) sent by mail to 12 experts from the 6 countries/regions. The research team analyzed the answers and clarified further issues by interviews. Results: an official mandatory accreditation procedure (organized and paid by governmental agencies) exists in Scotland, in LSS and in France. In Germany this procedure exists (private organizations) but is not mandatory. The accreditation process always implies at least site-visits and patient data review. Accreditation is renewed on a 1-, 3-, or 5-year basis. Some countries differentiate between types of SU (e.g. primary, comprehensive SU). The study further listed the criteria that SU must fulfil and the indicators measured for their accreditation (structure, process and outcome). Few of them refer to outcomes e.g. mortality, complications and recurrence. Incentives to encourage better quality differ between countries: public reporting of the results of the accreditation procedure, support to poor performers, benchmarking between hospitals, financial consequences. Conclusion: this exhaustive analysis gives an overview of the accreditation procedures in selected European countries. Care of high quality relies on a common evidence base but the quality assurance procedures, the indicators used as well as the consequences of the measurement largely differ between the countries. The question is to know if these various accreditation procedures result in differences in patients' outcomes. Link for e-copy: http://dx.doi.org/10.1159/000353129 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3779 [article]

European Journal of Trauma and Emergency Surgery / Ingo Marzi / Berlin : Springer (2007)  

[serial]  See available issues Search in serial European Journal of Trauma and Emergency Surgery = Eur j trauma emerg surg [printed text] / Ingo Marzi, Editor . - Berlin : Springer, 2007. ISSN : 1863-9933 Languages : English (eng) Descriptors: Classification W 1 Serials. Periodicals Indexation Emergency Treatment ; Europe, Eastern ; Multiple Trauma ; Peer Review ; Periodicals ; Surgery ; Trauma Centers Abstract: Trauma causes individual patterns of injury and involves shock, fractures, soft tissue and organ injuries. Treatment therefore requires the joint effort of emergency medicine, orthopedic and trauma surgery, critical care medicine and rehabilitation. Both scientific progress and the in-depth experimental and clinical research within individual disciplines contribute to the ongoing continuous improvement of trauma care. The European Journal of Trauma and Emergency Surgery aims to open an interdisciplinary forum that allows for the scientific exchange between basic and clinical science related to pathophysiology, diagnostics and treatment of traumatized patients. The journal covers all aspects of clinical management, operative treatment and related research of traumatic injuries. Clinical and experimental papers on issues relevant for the improvement of trauma care are published. Reviews, original articles, short communications and letters allow the appropriate presentation of major and minor topics. The papers published are allocated to one of the following sections of the journal: Biomaterials, Experimental Research, Foot and Ankle Trauma, Hand Trauma, Critical Care, Emergency Surgery, Disaster & Military Surgery, Neurotrauma, Pediatric Trauma, Pelvic Trauma, Polytrauma, Reconstructive Surgery, Spine Trauma, Sports Injuries, Skeletal Trauma, Visceral Trauma The European Journal of Trauma and Emergency Surgery invites articles not only from Europe but also from non-European countries. The journal is peer-reviewed according to international standards and each paper submitted will be scrutinized by two or three referees and a biostatistical consultant. For articles describing important new findings, accelerated peer-review and fast track publication are made available. Contents note: IF : https://www.springer.com/medicine/surgery/journal/68 Indexed in: ndex medicus: v41n1, Feb. 2015- MEDLINE: v41n1, Feb. 2015- PubMed: v41n1, Feb. 2015- ; selected citations only before this date Link for e-copy: https://www.springer.com/medicine/surgery/journal/68 Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4458 [serial]  See available issues Search in serial

The economic impact of using alfuzosin 10 mg once daily in the management of acute urinary retention in the UK / Lieven Annemans in BJU international, 96(2005)4 ([08/01/2005])  

[article] The economic impact of using alfuzosin 10 mg once daily in the management of acute urinary retention in the UK : a 6-month analysis [printed text] / Lieven Annemans, Author ; Irina Cleemput , Author ; M. Lamotte, Author ; A. McNeill, Author ; T. Hargreave, Author . - 2005 . - 566-71. Languages : English (eng) in BJU international > 96(2005)4 [08/01/2005] . - 566-71 Descriptors: Classification W 1 Serials. Periodicals Indexation Adrenergic alpha-Antagonists ; Adult ; Aged ; Decision Support Techniques ; Drug Costs ; Emergency Treatment ; Follow-Up Studies ; Great Britain ; Humans ; Journal Article ; Male ; Middle Aged ; Monte Carlo Method ; Peer Review ; Prostatectomy ; Prostatic Hyperplasia ; Urinary Retention Abstract: OBJECTIVE: To calculate the economic consequences of using alfuzosin 10 mg once daily for managing acute urinary retention (AUR) related to benign prostatic hyperplasia (BPH). METHODS: We examined whether alfuzosin use during hospitalization for AUR and for 6 months after a successful trial without catheter (TWOC) is cost effective compared to placebo and immediate prostatectomy, from the perspective of patients managed in the National Health Service (NHS) in the UK. A decision-analysis model was developed to estimate the costs of various treatment options within the first 6 months after a first episode of AUR. Clinical data were obtained from a large randomized clinical trial comparing alfuzosin 10 mg with placebo, and from published reports. Cost data were obtained from both NHS and resource-use data gathered during the clinical trial. A Monte Carlo analysis, allowing variability in all uncertain variables of the model, was used to calculate the uncertainty surrounding the results. RESULTS: Treating patients with alfuzosin during initial hospitalization for AUR and in the first 6 months after a successful TWOC generates a cost-saving of pounds 349 relative to placebo. Savings related to immediate prostatectomy were pounds 892; both savings were significant (P < 0.05). Alfuzosin treatment was associated with a lower rate of prostatectomy after discharge from hospital after a successful TWOC. CONCLUSION: Treatment with alfuzosin 10 mg once daily before and after a successful TWOC has both clinical and economic benefits. It decreases the need for emergency surgery for BPH and reduces treatment costs in the first 6 months. Link for e-copy: http://vdic.idm.oclc.org/login?url=http://www.bjui.org/ Format of e-copy: VDIC IP recognition Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=2134 [article]