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Our results confirm that when assessing the quality of the NHs, it is relevant to include risk adjustment models in the calculation of outcome indicators [ 46– 46].
We used sequential cumulative adjustment models in the Poisson regression analyses with robust error variance, controlling first for age; then central obesity.
Finally, when assessing the quality of the NHs, it is relevant to develop risk adjustment models in the calculation of outcome indicators.
We acknowledge however that additional comorbidity information from other sources could improve risk adjustment models in other contexts, for example to compare individual patient outcomes.
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