U.S issues guidelines on adult urinary incontinence

Article Abstract:

The U.S. Agency for Health Care Policy and Research has approved a medical practice guideline on adult urinary incontinence Mar 23, 1992. The health policy agency reviewed over 7,000 studies and held public hearings to develop guidelines for diagnosing and treating this disorder that affects over 10 million adults. Implementation of the guidelines could narrow variation in treatment patterns, and reduce costly and unnecessary treatment. The agency said the guideline will be available to physicians free of charge.

Author: Meyer, Harris
Care and treatment, Standards, Urinary incontinence, United States. Agency for Healthcare Research and Quality

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Tighter rules urged on new gallbladder surgery

Article Abstract:

Surgeons who wish to perform laparoscopic cholecystectomy must possess credentials to show they are qualified, according to a New York State Department of Health draft memorandum. An unacceptable number of deaths and injuries have resulted from the work of surgeons who had insufficient training in the procedure. The health department recommends that hospitals permit only board-qualified surgeons to perform biliary tract surgery. Suggested guidelines for the training process are outlined.

Author: Meyer, Harris
Reports, Surgery, New York. Department of Health, Gallbladder

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N.Y., Pa. to report surgeons' bypass outcomes

Article Abstract:

Physicians and hospitals are decrying plans by New York and Pennsylvania to begin reporting individual surgeons' coronary bypass mortality rates. Surprisingly, the American Medical Assn announced in Jun 1992 its support for limited releases of such physician-specific data. Medical societies are concerned about the accuracy of the data, and worried that inaccurate data may unfairly and dangerously impact surgeons, hospitals and patients.

Author: Meyer, Harris
Quality management, Coronary artery bypass, SURGE

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Subjects list: Practice, Surgeons
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