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APPENDIXES - AHRQ Effective Health Care Program

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Table C43. Association between physician specialty and patient outcomes (continued)<br />

C­107<br />

Reference<br />

Design<br />

Vorton,<br />

2004 154<br />

Survey<br />

Data Source<br />

Population<br />

676 participating in national<br />

meetings general practitioners<br />

546 completed questionnaire<br />

Analysis<br />

Risk Adjustment<br />

Logistic<br />

regression<br />

Patient age, sex,<br />

comorbidity,<br />

physician<br />

characteristics<br />

Specialty Outcomes P Values<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Radiation oncologists<br />

Urologists<br />

Physician sex<br />

Males<br />

Females<br />

Ages physicians vs.<br />

young<br />

Physician sex<br />

Physician place to work<br />

Physician age<br />

Physician sex<br />

Physician place to work<br />

Radical prostatectomy underused<br />

16%<br />

51%<br />

Use at about the right rate<br />

16%<br />

51%<br />

External beam radiation overused<br />

13%<br />

37%<br />

External beam radiation underused<br />

50%<br />

5%<br />

Use at about the right rate<br />

35%<br />

51%<br />

Brachytherapy overused<br />

26%<br />

30%<br />

Brachytherapy underused<br />

44%<br />

27%<br />

Use at about the right rate<br />

20%<br />

21%<br />

Referring elderly patient with PC to a<br />

specialist<br />

Odds ratio 0.44<br />

1<br />

Non curative approach (hormone therapy<br />

and watchful waiting)<br />

Odds ratio 1.1 (1.02­1.09)<br />

Not significant<br />

Not significant<br />

Treatments of prostate cancer in elderly<br />

patients<br />

Surgical treatment vs. Hormone therapy<br />

Not significant<br />

Not significant<br />

Not significant<br />

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