Daphne M Bron, Nienke Wolterbeek, Rudolf W Poolman, Diederik H R Kempen, Diyar Delawi
Resident training does not influence the complication risk in total knee and hip arthroplasty
Acta orthopaedica
retrospective analysis 1203 cases referral primary healthcare units specialized quaternary vascular surgical service findings study revealed high proportion inappropriate referrals may represent substantial subutilization highly complex service consequently study aimed evaluate 1203 cases referral quaternary vascular surgical service paulo brazil 6year period assess appropriate need referral addition prevalence surgical indications retrospective analysis reviewed institutional records participants referred basic healthcare units vascular surgical service inside brazilian unified health system may 2015 december 2020 demographic clinical data collected participants stratified per reason referral vascular surgical service previous imaging studies surgical treatment indications referral appropriateness complementary examinations evaluated disease cohort finally prevalence cases requiring surgical treatment defined outcome measure 1203 referrals evaluated venous disease main reason referral 53 followed peripheral arterial disease 194 considerable proportion participants referred without complementary imaging long duration undergoing examination referrals regarded inappropriate 517 43 cases 32 cases 62 referred vascular surgical service incorrect specialty percentage referred participants ultimately underwent surgical treatment 3992 carotid 18 peripheral arterial diseases 184 correlated lower prevalence surgical treatments rate referral appropriateness specialized vascular care primary care settings low may represent subutilization quaternary surgical services low rates surgical treatment