Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo...
Transcript of Enrique Bernal-Delgado, Ester Angulo-Pueyo · Enrique Bernal-Delgado, Ester Angulo-Pueyo...
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/1.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/2.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/3.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/4.jpg)
“... 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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/5.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/6.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/7.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/8.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/9.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/10.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/11.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/12.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/13.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/14.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/16.jpg)
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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/17.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/18.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/19.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/20.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/21.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/22.jpg)
![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 ...](https://reader035.fdocuments.ec/reader035/viewer/2022062507/5fd0a30a0a92a43fb14e4dc5/html5/thumbnails/23.jpg)
www.atlasvpm.org
@atlasvpm