Journal of public health
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Journal of public health · Sep 2014
Influence of surgical rate on patients' reported clinical need and outcomes in English NHS.
To determine if higher rates of surgery are associated with lower levels of need (patients' pre-operative reports of their symptoms, functional status and quality of life) and with less benefit (patients' post-operative reports). ⋯ Policies by commissioners to reduce surgical rates in the English NHS cannot be justified on the grounds of avoiding inappropriate operations or increasing cost-utility.