An Assessment of Prostatectomy for Benign Urinary Tract Obstruction

Je, Wennberg; Ag, Mulley; Hanley, D.A.; Rp, Timothy; Fj, Fowler; Np, Roos; Mj, Barry; McPherson, Klim; Er, Greenberg; Soule, David N.

doi:10.1001/jama.1988.03720200049032

Cited by 159 publications

(12 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Appropriateness was scored using a 9 point scale, in which 1 indicated that the risk of TURP always outweighed the benefits and so surgery was always inappropriate, and 9 indicated that the benefits of TURP always outweighed the risks and so surgery was always appropriate. A score of 5 indicated that the risks and benefits were in balance.…”

Section: Methodsmentioning

confidence: 99%

Appropriate indications for prostatectomy in the UK--results of a consensus panel.

Hunter

McKee

Sanderson

et al. 1994

Journal of Epidemiology & Community Health

View full text Add to dashboard Cite

Section: Methodsmentioning

confidence: 99%

Appropriate indications for prostatectomy in the UK--results of a consensus panel.

Hunter

McKee

Sanderson

et al. 1994

Journal of Epidemiology & Community Health

View full text Add to dashboard Cite

“…3 The prostate disease and low back pain PORTs (funded by the federal Agency for Health Care Policy and Research) have worked closely with the MMAF; important products of this collaboration have been advances in understanding the theoretical basis for surgical interventions and the critical importance of shared decision making. 4 The role of patient preference in choice of treatment for prostate disease was first elucidated by studies done by the MMAFs practicing urologists and its academic collaborators.…”

Section: Examples From Northern New Englandmentioning

confidence: 99%

Regional Professional Foundations

Wennberg

Keller²

1994

Health Affairs

Self Cite

View full text Add to dashboard Cite

One of the least publicized features of President Bill Clinton's Health Security Act is Section 5008, which provides for regional professional foundations (RPFs), consortia of practicing physicians, academic health centers, medical schools, schools of public health, and other professional organizations. The tasks of the RPFs are to develop programs in professional lifetime learning; to foster collaboration among health plans and health care providers within a region to improve the quality and appropriateness of medical care; to participate in outcomes research; and to develop innovative ways to increase patients' participation in their choices of medical care. RPFs also are asked to ensure the timely dissemination of information about quality improvement programs, practice guidelines, research findings, and ways of using health professionals most effectively.We believe that RPFs can fill a gap in programs for assuring quality of care and for improving the scientific and ethical basis of clinical decision making. An innovative, patient-centered health system depends on learning what works and what patients want and on empowering providers to adapt to change. RPFs can build the knowledge needed to improve health care. This Commentary explains how RPFs can enhance innovation and improve quality of care and makes suggestions for their implementation. Conceptual FrameworkPopulation-based, regional focus. The principal advantage of RPFs is their population-based focus on building a professional infrastructure for quality, outcomes research, and lifetime learning in local communities and regions. The local and regional focus is important because the health care industry also is localized in its organization. In addition, there are extensive variations in practice style among communities within regions. A population-based focus would provide increased knowledge of the illness burden of John Wennberg is director of the Center for the Evaluative

show abstract

“…3 However, recent studies have shown an increased long term risk of death after TURP compared with open operation4 and an unsatisfactory outcome in about a fifth of men. [5][6][7][8][9] These studies have occasioned further discussion. 1011…”

Section: Introductionmentioning

confidence: 98%

Irreversible renal failure in men with outflow obstruction: is it a preventable disease?

Neal

1990

Postgraduate Medical Journal

View full text Add to dashboard Cite

An Assessment of Prostatectomy for Benign Urinary Tract Obstruction

Cited by 159 publications

References 18 publications

Appropriate indications for prostatectomy in the UK--results of a consensus panel.

Appropriate indications for prostatectomy in the UK--results of a consensus panel.

Regional Professional Foundations

Irreversible renal failure in men with outflow obstruction: is it a preventable disease?

Contact Info

Product

Resources

About