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The lower prevalence of monitoring indicator in the North East and higher prevalence in London might simply reflect selection bias given the small number of practices.
This will allow estimation of the overall prevalence of the different types of monitoring with and without hypertension to within 2.7% assuming a 10% prevalence of monitoring in each case (the approximate community prevalence of self-monitoring in a white population).
An alternative hypothesis is that since prescribing indicators are the culmination of a series of actions, whereas monitoring indicators result from inaction on the part of the practice or the patient, practices with a lower prevalence of monitoring indicators would have a higher prevalence of prescribing indicators.
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Interannual variations in oestrosis prevalence indicate the need of monitoring the disease to establish the appropriate timing of treatments.
43 Currently, it appears that ICD-10 coding is not a reliable way of monitoring prevalence of HAUTI, at least in some healthcare facilities.
Many reports underline the importance of monitoring asthma prevalence, health care, and mortality in order to estimate the burden of the disease and to help assess the impact of asthma prevention programs and improvements in health care quality [ 3- 5].
HPV surveillance is an important mechanism of monitoring HPV prevalence at the population level, to assess the potential effects of cross-protection against non-vaccine-included types, and to exclude potential type-replacement of the vaccine-included types.
From 2006 onwards there was, despite the very different methods of obtaining prevalence estimates between the two data sources, generally good agreement between the prevalence of current smoking recorded in THIN and smoking rates based on national survey data from the GLF, suggesting that THIN may be an accurate means of monitoring smoking prevalence nationally [ 10].
The prevalence of the monitoring indicators was consistently higher than prescribing indicators (fig 4 ).
The descriptive analysis of the data collected during the seven years showed a significant reduction in the prevalence of the monitoring period (p = 0.03).
Therefore, monitoring of a large proportion of the U.S. population with hemophilia will be necessary to obtain accurate measures of incidence and prevalence, effectively monitor trends in occurrence rates over time, and assess risk factors for developing inhibitors.
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