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Orbital decompression for Graves’ orbitopathy in England

2011; Springer Nature; Volume: 26; Issue: 3 Linguagem: Inglês

10.1038/eye.2011.323

1476-5454

Petros Perros, Toni M. Chandler, Colin Dayan, Amanda Dickinson, Peter Foley, J. Hickey, Carrie MacEwen, John H. Lazarus, Julie McLaren, Geoffrey E. Rose, Jimmy Uddin, Bijay Vaidya,

Child Abuse and Related Trauma

The purpose of this study was to obtain data on orbital decompression procedures performed in England, classed by hospital and locality, to evaluate regional variation in care.Data on orbital decompression taking place in England over a 2-year period between 2007 and 2009 were derived from CHKS Ltd and analysed by the hospital and primary care trust.In all, 44% of these operations took place in hospitals with an annual workload of 10 or fewer procedures. Analysis of the same data by primary care trust suggests an almost 30-fold variance in the rates of decompression performed per unit population. Expertise available to patients with Graves' orbitopathy and rates of referral for specialist care in England appears to vary significantly by geographic location. These data, along with other outcome measures, will provide a baseline by which progress can be judged.