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Results: Mother-infant pairs who received all care at Alaska's single tertiary care center had a lower mortality rate than those who received some care at a non tertiary care center (risk ratio, 1.5; 95% confidence interval, 0.86-2.6).
Center risk was controlled for individual treatment offered (conservative versus RRT) and individual disease severity (SHARF score).
While controlling for individual disease severity and treatment modality offered (conservative versus RRT), an increasing center risk of mortality was observed with increasing use of RRT (overall center influence P =.032) reaching a OR = 1.9 (95% CI: 1.2 to 2.9) in the center with most RRT treatment.
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Silberstein, J. L. et al. Reverse stage shift at a tertiary care center: escalating risk in men undergoing radical prostatectomy.
The next mayor can keep architecture and planning front and center or risk taking the city backward.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com