Abstract：
BACKGROUND:To examine any geographical variation in the management of urolithiasis amongst the Australian states and territories. METHODS:Retrospective study with data obtained from the Medicare Australia database, the Royal Australasian College of Surgeons and the Urological Society of Australia and New Zealand. RESULTS:Minimally invasive stone treatment with shock wave lithotripsy (SWL) and ureteroscopy (URS) accounted for the majority of stone treatments in Australia (98%). Variation of stone treatment modalities exists amongst the Australian states and territories with an inverse relationship between the use of SWL and URS. We compared Western Australia (WA) and Queensland (QLD) which have a comparable geographical area. SWL accounts for 1% and 22% of stone treatments in WA and QLD, respectively. In WA, urologists are concentrated in two cities with no SWL available in the private sector. In QLD, urologists are distributed in 11 cities with SWL available in both the public and private sector. The three largest states or territories by geographical area - the Northern Territory, WA and QLD - have stone treatment rates of 1:1337, 1:1110 and 1:2432 per capita of privately insured patients, respectively. In comparison, smaller Australian states/territories such as Tasmania and Victoria have stone treatment rates of 1:619 and 1:765 per capita of privately insured patients, respectively. CONCLUSION:The distribution of urologists and treatment modalities available in each state or territory appear to play a contributory role in choice of treatment modality. In addition, inequality to stone treatment access exists in geographically large Australian states/territories.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Tran MA,Chak-Lee M,Bariol SVdoi
10.1111/ans.13646subject
Has Abstractpub_date
2017-06-01 00:00:00pages
509-513issue
6eissn
1445-1433issn
1445-2197journal_volume
87pub_type
杂志文章abstract：BACKGROUND:This study aimed to explore the effects of early antiplatelet therapy (APT) for portal vein thrombosis (PVT) in patients with cirrhotic portal hypertension after splenectomy with gastro-oesophageal devascularization. METHODS:We retrospectively analysed 139 patients who underwent splenectomy with gastro-oeso...
journal_title：ANZ journal of surgery
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更新日期：2018-10-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章,多中心研究
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abstract：BACKGROUND:Perioperative hypothermia occurs frequently and can have serious health-related and financial consequences. Despite multiple warming methods available, perioperative hypothermia remains prevalent. To be effective, preventative measures must be timely and target patients most at risk. The aim of this retrospe...
journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
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更新日期：2019-05-01 00:00:00
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journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
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更新日期：2008-12-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2009-03-01 00:00:00
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更新日期：2020-04-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
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更新日期：2017-07-01 00:00:00
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journal_title：ANZ journal of surgery
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13248
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Evidence suggests that there is considerable variation in the types of procedures used to treat cancer. This variation may result in suboptimal or cost-ineffective care. The present study examined the variation in surgical treatment of melanoma before the establishment of a Melanoma Network that could promot...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03717.x
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Haemorrhoidectomy is associated with significant post-operative pain which is primarily managed pharmacologically. Whether a non-pharmacological adjunct such as a checklist can improve pain outcomes after an open haemorrhoidectomy has yet to be studied. The purpose of this study was to determine if a patient...
journal_title：ANZ journal of surgery
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更新日期：2020-04-01 00:00:00
abstract：BACKGROUND:Single-incision laparoscopic cholecystectomy (SILC) is a common procedure performed worldwide. In this study, we evaluated the safety and efficacy of SILC for acute cholecystitis. METHODS:Patients who underwent SILC between September 2012 and December 2016 were retrospectively enrolled and divided into acut...
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doi：10.1111/ans.14246
更新日期：2018-07-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1445-2197.2008.04683.x
更新日期：2008-10-01 00:00:00
abstract：BACKGROUND:In Australia and New Zealand, more than 2000 carotid endarterectomies are performed annually. The major morbidities arising from this procedure are post-operative stroke, cranial nerve injury and death. Carotid endarterectomy surgery is a key component of the vascular surgical training programme. We assessed...
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doi：10.1111/ans.16209
更新日期：2020-09-01 00:00:00
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pub_type： 临床试验,杂志文章
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journal_title：ANZ journal of surgery
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更新日期：2002-08-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12136
更新日期：2013-12-01 00:00:00
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journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2010.05606.x
更新日期：2011-07-01 00:00:00
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journal_title：ANZ journal of surgery
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更新日期：2020-08-11 00:00:00
abstract：BACKGROUND:The role of splenectomy remains unclear in patients with gastric cancer who undergo total gastrectomy. The aim of this study was to prospectively evaluate the impact of splenectomy on circulating T-lymphocyte subsets and survival in advanced gastric cancer. METHODS:Analysis of lymphocyte subsets was perform...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02429.x
更新日期：2002-06-01 00:00:00
abstract：BACKGROUND:Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14680
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Appendicitis is the most common surgical emergency affecting children. Rurality has been shown to be a predictor of worse surgical outcomes in patients with acute appendicitis compared to urban residents. There are no previously published studies investigating this in Australasia. METHODS:A 10-year retrospe...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15328
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:The role of carotid endarterectomy in octogenarians is unclear as this age group was not included in the major trials of carotid surgery. The aim of the present study was to determine the trends and early outcome of carotid endarterectomy performed in octogenarians at a single institution. METHODS:A retrosp...
journal_title：ANZ journal of surgery
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更新日期：2004-04-01 00:00:00
abstract：BACKGROUND:The Victorian Audit of Surgical Mortality (VASM) seeks to peer review all deaths associated with surgical care in Victoria, Australia. The effectiveness of the VASM as an educational and quality improvement tool is dependent on the accuracy of source data it receives. We aimed to examine the accuracy and qua...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14910
更新日期：2019-01-01 00:00:00
