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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.
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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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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.
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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.
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EDITORIAL
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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POLICY MATTERS
Managing Coverage for Clinical Trials
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CDC MATTERS
The Role of Providers and Health Plans in Infectious Disease Surveillance
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