title: Orbital decompression for Graves' orbitopathy in England.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Endocrinology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Royal Victoria Infirmary, Newcastle upon Tyne, UK. petros.perros@ncl.ac.uk
authors.forename: P
authors.initials: P
authors.lastname: Perros
authors.forename: T
authors.initials: T
authors.lastname: Chandler
authors.forename: C M
authors.initials: CM
authors.lastname: Dayan
authors.forename: A J
authors.initials: AJ
authors.lastname: Dickinson
authors.forename: P
authors.initials: P
authors.lastname: Foley
authors.forename: J
authors.initials: J
authors.lastname: Hickey
authors.forename: C J
authors.initials: CJ
authors.lastname: Macewen
authors.forename: J H
authors.initials: JH
authors.lastname: Lazarus
authors.forename: J
authors.initials: J
authors.lastname: McLaren
authors.forename: G E
authors.initials: GE
authors.lastname: Rose
authors.forename: J M
authors.initials: JM
authors.lastname: Uddin
authors.forename: B
authors.initials: B
authors.lastname: Vaidya
mesh_terms: D000704:Analysis of Variance; D019299:Decompression, Surgical / Q000706:statistics & numerical data*; D004739:England; D049970:Graves Ophthalmopathy / Q000601:surgery*; D006297:Health Services Accessibility; D006779:Hospitals, Public / Q000706:statistics & numerical data; D006801:Humans; D011320:Primary Health Care / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data