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Enrique Bernal-Delgado, Ester Angulo-Pueyo [email protected]

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Page 1: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

Enrique Bernal-Delgado, Ester [email protected]

Page 2: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

www.echo-health.eu

www.atlasvpm.org

Page 3: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

Modern history of

variation starts off

with Glover in the

20’s of 20th century

in England

Glover JA. The incidence of tonsillectomy in school children.

Proc Royal Society Med. 1938;31:1219-36.

Page 4: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

“... Dr. Garrow came in and reduced

in 1929 (keeping consistency

over the following years, the

tonsillectomy rates from a 2.9%

to a 0.2%

Page 5: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

Unwarranted variation might

entail adverse consequences

Page 6: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

Tonsillectomy in children, Spain and others

DENMARK ENGLAND PORTUGAL SLOVENIASPAI

N

SR 33.4 39.8 62.3 83.7 30.1

EQ5-95 3.9 2.5 3.4 2.5 4.8

SCV 0.21 0.09 0.34 0.66 0.23

Page 7: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

IN DIABETES CARE

Page 8: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

Potentially avoidable hospitalizations for diabetic comma

Page 9: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

A gender effect?

Page 10: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

THE PERTINENCE OF MONITORING DIABETES CARE

A NEW ATLAS ON AIR

Page 11: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 12: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

UNEVEN BURDEN OF COMPLICATIONS

AMPUTATION AMI

Page 13: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

UNEVEN EVOLUTION

Page 14: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

UNEVEN PERFORMANCE

Page 16: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

www.atlasvpm.org

@atlasvpm

Page 17: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 18: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 19: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 20: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 21: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 22: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20
Page 23: Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo ebernal.iacs@aragon.es. . Modern history of variation starts off with Glover in the 20

www.atlasvpm.org

@atlasvpm