ACP American College of Physicians - Internal Medicine - Doctors for Adults

September/October 1999


Enhanced Access to Primary Care for Patients with Congestive Heart Failure
Eugene Z. Oddone, Morris Weinberger, Anita Giobbie-Hurder, Pamela Landsman, and William Henderson

Enhanced access to primary care was associated with more frequent hospitalization of patients with congestive heart failure and did not improve quality of life.
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An Outpatient Program To Treat Deep Venous Thrombosis with Low-Molecular-Weight Heparin
Steven D. Pearson, Ralph Blair, Andrew Halpert, Eric Eddy, and Sylvia McKean

Outpatient therapy with low-molecular-weight heparin decreases the cost of caring for patients with deep venous thrombosis.
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Medical versus Surgical Treatment for Low Back Pain: Evidence and Clinical Practice
Nancy J.O. Birkmeyer and James N. Weinstein

Although low back pain is one of the most prevalent and costly health problems, the literature comparing the efficacy of surgical and medical treatment is limited.
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Trends in the Use of Radical Prostatectomy for Treatment of Prostate Cancer
Lars M. Ellison, John A. Heaney, and John D. Birkmeyer

Divergent trends in the surgical treatment of prostate cancer among younger and older men reflect patterns of detection in clinical practice.
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What Is the Chance That This Study Is Clinically Significant? A Proposal for Q Values
Gregory W. Froehlich

If P values measure statistical significance, how can clinical significance be measured? Consider a different measure of probability—the Q value.
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Do Better Treatments Save Money? (or Do They Just Produce More Patients)?
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A Primer on Before­After Studies: Evaluating a Report of a "Successful" Intervention
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Managing Coverage for Clinical Trials
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The Role of Providers and Health Plans in Infectious Disease Surveillance
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