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Effective Clinical Practice

September/October 1999

ORIGINAL ARTICLES

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.
Full Text  |  Print Version (PDF)

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.
Full Text  |  Print Version (PDF)

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.
Full Text  |  Print Version (PDF)

PATTERNS OF PRACTICE

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.
Full Text  |  Print Version (PDF)

UNANSWERED QUESTIONS: RESEARCH UNDER CONSTRUCTION

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.
Full Text  |  Print Version (PDF)

EDITORIAL

Do Better Treatments Save Money? (or Do They Just Produce More Patients)?
Full Text  |  Print Version (PDF)

A Primer on Before­After Studies: Evaluating a Report of a "Successful" Intervention
Full Text  |  Print Version (PDF)

POLICY MATTERS

Managing Coverage for Clinical Trials
Full Text  |  Print Version (PDF)

CDC MATTERS

The Role of Providers and Health Plans in Infectious Disease Surveillance
Full Text  |  Print Version (PDF)

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