Moral hazard or realised access to care?

Evaluating the Incidence, Cause, and Risk Factors for Unplanned 30‐Day Readmission and Emergency Department/General Practitioner Visit After Short‐Stay Thyroidectomy

“…To ensure a complete capture of these unplanned readmissions and ED/GP visits after thyroidectomy, a careful manual search of all patients’ status in the territory‐wide clinical management system (CMS) was performed at the time of analysis. The CMS [15] is a computerized database that links up all public hospitals, clinics, and EDs in Hong Kong and is capable of capturing any unplanned readmissions or visits outside our two hospitals. For those requiring a readmission or ED/GP visit, the actual date and main reason were recorded.…”

How Useful Are Perioperative Biochemical Parameters in Predicting the Duration of Calcium and/or Vitamin D Supplementation After Total Thyroidectomy?

“…The proportion of patients requiring calcium and/or calcitriol supplementation to prevent biochemical and/or symptomatic hypocalcemia after total thyroidectomy tends to vary and is dependent on a multitude of factors including preoperative thyroid function, vitamin D level, surgical indications, extent of surgery, underlying metabolic bone disease, and individual surgeon’s threshold for supplementation [1, 15, 17]. However, even when selective supplementation (as opposed to routine) is adopted, up to 40 % of patients might require some form of supplementation on hospital discharge [1].…”

“…To ensure that those not requiring calcium and/or calcitriol supplementation had really not taken any supplementation (such as those who might have taken calcium supplementation from other physicians for other indications), a careful manual search of all patients’ medication status in the territory‐wide Clinical Management System (CMS) was performed. The CMS is a computerized database that captures all medication entries for all patients in our locality [15].…”

Risk Factors for Nonsynchronous Second Primary Malignancy and Related Death in Patients with Differentiated Thyroid Carcinoma

“…To ensure an accurate and updated follow-up status of all patients, a careful manual search of all patients’ status in the territory-wide clinical management system (CMS) was performed. The CMS is a computerized database linking up all 41 public hospitals and provides inpatient medical records corresponding to over 90% of inpatient bed days in the region 15. Specific variables including latest date of follow-up or date of death, date of birth, cause of death, diagnosis date, and type of second nonthyroidal primary malignancy were recorded from the CMS.…”