English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Plus monthly

Global: Zendy Tools annual

Global: Zendy Tools monthly

Global: Zendy Free Plan

Background In 2017, the OECD suggested robust information systems as one of five measures to tackle wasteful care. Atlases of variation identify variations that may not be medically justified. The aim of this study was twofold: 1. to identify atlases that target variations in the provision of elective surgery and 2. to analyse the interventions that have been addressed. Methods We conducted an online search for atlases of variation on websites and by a selective literature search in PubMed. When necessary, we contacted public health institutes to retrieve further information. We included online and/or paper-based atlases that analysed data on elective surgery. Other atlases (e.g., epidemiological) were excluded. We transferred basic (e.g., on country, language and methods) and specific information on analysed interventions into a predefined data extraction scheme. Results We identified 12 international atlases that fulfilled our inclusion criteria (2 from Germany, 1 from Belgium, France, Great Britain, Norway, The Netherlands, Switzerland, Spain, Australia, New Zealand and the US). In addition to reports/factsheets, 9 atlases provide additional interactive online applications. In total, about 70 different surgical interventions have been analysed, most often the following: Interventions to treat diseases of the musculoskeletal system (11 atlases: e.g.; knee (9), hip (7) and spinal (4) surgery), diseases of the digestive system (9 atlases: e.g., appendectomy (6), cholecystectomy (6), bariatric surgery (4)), diseases of the genitourinary system (8 atlases: e.g., prostatectomy (6), hysterectomy (5)), caesarean sections (8 atlases). Conclusions Despite the large number of interventions, their pattern of analyses might point out known problem areas across countries. Atlases of variations cannot solve the problem of inappropriate care, but help prioritise areas of actions with the greatest need and the best chances to improve the quality of care. Key messages Atlases are commonly used to provide publicly available information on variations in elective surgery. The analysis of interventions across countries provides information on potentially most relevant areas.

Atlases of variation for elective surgery to tackle wasteful care