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Influence of Clinical and Economical Factors on the Expert Rating of Appropriateness of Preoperative Use of Recombinant Erythropoietin in Elective Orthopedic Surgery Patients

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  • Patrick Taffé
  • Bernard Burnand
  • Vincent Wietlisbach
  • John-Paul Vader

Abstract

To evaluate the relative impact of clinical factors and health care environment resources on the expert ratings of appropriateness of preoperative erythropoietin in elective orthopedic surgery, the authors analyzed 6905 individual votes on 496 clinical scenarios from 14 experts, applying a multivariate logistic model. Sixty-six percent of the indications were appropriate when resource constraints (RC) were not considered and 53% when they were, resulting in a drop in the median vote of 2 points on a 9-point scale (P

Suggested Citation

  • Patrick Taffé & Bernard Burnand & Vincent Wietlisbach & John-Paul Vader, 2004. "Influence of Clinical and Economical Factors on the Expert Rating of Appropriateness of Preoperative Use of Recombinant Erythropoietin in Elective Orthopedic Surgery Patients," Medical Decision Making, , vol. 24(2), pages 122-130, March.
  • Handle: RePEc:sae:medema:v:24:y:2004:i:2:p:122-130
    DOI: 10.1177/0272989X04263153
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