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Spending more on trauma care doesn’t improve survival, study finds

BMJ 2012; 345 doi: https://doi.org/10.1136/bmj.e5471 (Published 13 August 2012) Cite this as: BMJ 2012;345:e5471
  1. Janice Hopkins Tanne
  1. 1New York

Western US states spend a third more than northeastern states on trauma care, but survival rates are just the same, a new study says.1 It suggests that rising healthcare costs could be reined in if doctors learnt how colleagues in low cost regions treat their patients.

Wide geographical variations in care and costs for various conditions have previously been identified by the Dartmouth Health Atlas.2

The latest study, from the Johns Hopkins School of Medicine in Baltimore, was led by the trauma surgeon Adil Haider. Although initial trauma resuscitation has been significantly standardised across the United States, the study says that …

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