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Statistically significant differences were found between classification of procedure overall comfort regarding gender (p = 0.032).
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We suppose that these reasons also supported a decision of international organizations to stop the data collection of total number of surgical procedures till the international classification of procedures will not be agreed and implemented.
However, so far, the classification of procedures into different severity categories mainly relies on theoretic considerations, since it is not entirely clear which of the various procedures compromise the welfare of animals, or, to what extent.
Despite this fact, there absents a single international classification of procedures that would enable a comparison of countries in their DS use and also support determinations of comparable platform.
All potential cases of proximal mega-prosthetic femoral replacement between 2005 and 2015 were identified according to the International Classification of Procedures in Medicine (ICPM) figures that were used to code operations involving femoral replacement with special prostheses (confer Supplementary Material).
Interventions are documented according to the International Classification of Procedures in Medicine.
Cost differed by classification of procedures, mix of services received by patient and severity of the periodontal condition.
Surgical procedures were coded according to the classification of procedures of the Finnish Hospital League in 1995 [ 14] and thereafter according to the NOMESCO classification [ 15].
The exact definition of each surgical procedure is done by means of the German Classification of Procedures in Medicine (OPS, Operationen- und Prozedurenschluessel).
The German classification of procedures (OPS 8-982 and OPS 8-98e) explicitly recommends the use of music therapy in inpatient and outpatient palliative care treatment [ 4].
In addition, there is an interruption in the continuum of care, which is aggravated by the classification of procedures by levels of care, and the contracting of different interventions for a healthcare process with different providers.
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