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There was no statistical difference in the appropriateness between empirical (57%) and nonempirical (44%) antibiotic use.
It is noteworthy that De Bus and colleagues found no difference in the appropriateness of therapy when comparing the two (theoretical) algorithm-based strategies with the actual therapy received by patients [ 1].
Unfortunately, design limitations, most notably the small sample size and the response rate of only 30.5%, seriously limit the study's primary conclusion that there was no difference in the appropriateness of decision-making between GPs who made recommendations after calculating CHD risk (N = 52) and those who made recommendations without calculating risk (N = 26, P = 0.21).
Similar(57)
These studies tell us nothing about differences in the appropriateness or quality of care.
Second, there were urban-rural differences in the appropriateness of disease treatment and the inclination of patients to receive medical care.
23 Conversely, a study by Brause et al 24 found no socioeconomic difference for the appropriateness of a medical indication for coronary interventions in Germany.
There were no differences between experienced and less experienced prescribers in the appropriateness of asthma medicines selected.
We should note that whether the 13 medicines in our analysis are really a therapeutic improvement depends on a sound review of all relevant properties, the clinical relevance of the differences and the appropriateness of the comparator.
Importantly, no relevant difference in the duration of symptoms before hospital admission or appropriateness of the initiated antibiotics in patients with or without TFAD <4 h could be identified.
There was no difference in appropriateness of VTE prophylaxis on admission between the two groups.
No significant difference in appropriateness of care for patients at different income levels, but higher expenditures for patients with the highest income level.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com