ESP PLASTIC Database SHELL - 05

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							     SURGICAL                                                                                                                                                                            SOURCES/ASSUMPTIONS
                       CATEGORY                      PROCEDURE                                   2004 PROCEDURE VOLUMES
     SPECIALTY
                                                                          CODING
ID                                                                                   FRANCE GERMANY           ITALY       SPAIN      UK         FRANCE                  GERMANY                     ITALY                     SPAIN                          UK                             REMARKS
                                                                           (ICD-9-
                                                                                                                                                                                                                      National Databank, National
                                            Repair of entropion or                                                                        National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
1     PLASTIC    Operations on eyelids                                      08.4                                                                                                                                     leaders combined with expert
                                            ectropion                                                                                     National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                                            Repair of blepharoptosis                                                                      National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
2     PLASTIC    Operations on eyelids                                      08.3                                                                                                                                     leaders combined with expert
                                            and lid retraction                                                                            National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                                            Reconstruction of eyelid                                                                      National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
3     PLASTIC    Operations on eyelids                                      08.6                                                                                                                                     leaders combined with expert
                                            with flaps or grafts                                                                          National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews


                                                                           21.85                                                                                                             National Databank,       National Databank, National
                                                                                                                                          National Databank and    National Databank and                               organisations and Opinion    National Databank and    Plastic operation on the nose: corrective
4     PLASTIC    Operations on nose         Rhinoplasty                    21.86                                                                                                            National organisations   leaders combined with expert
                                                                                                                                          National organisations   National organisations                                                           National organisations                  procedures
                                                                           21.87                                                                                                             and Opinion leaders               interviews


                                                                                                                                                                                             National Databank,       National Databank, National
                                                                                                                                          National Databank and    National Databank and                               organisations and Opinion    National Databank and
5     PLASTIC    Operations on nose         Turbinectomy                    21.6                                                                                                            National organisations   leaders combined with expert
                                                                                                                                          National organisations   National organisations                                                           National organisations
                                                                                                                                                                                             and Opinion leaders               interviews

                                                                                                                                                                                                                      National Databank, National                              Little's area: anterior region of nasal
                                                                                                               Not                        National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
6     PLASTIC    Operations on nose         Little's litt                                                                                                                                                            leaders combined with expert
                                                                                                                                                                                                                                                                              septum which has a lot of capallaries.
                                                                                                             available                    National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews                                              Figures for septoplasty

                                                                                                                                                                                                                      National Databank, National
                                                                                                                                          National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
7     PLASTIC    Operations on nose         Cauterisation                  21.03                                                                                                                                     leaders combined with expert
                                                                                                                                                                                                                                                                                   For epistaxis (a nose bleed)
                                                                                                                                          National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                                                                                                                                          National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
8     PLASTIC    Operations on nose         Reduction of nasal fracture     21.7                                                                                                                                     leaders combined with expert
                                                                                                                                          National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                                                                                                                                          National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
9     PLASTIC    Operations on nose         Incision of nose                21.1                                                                                                                                     leaders combined with expert
                                                                                                                                          National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews


                                                                            86.2                                                                                                                                      National Databank, National
                 Operations on skin and                                                                                                   National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
10    PLASTIC                               Excision of skin lesion         86.3                                                                                                                                     leaders combined with expert
                 subcutaneous tissue                                                                                                      National organisations   National organisations   National organisations                                  National organisations
                                                                            86.4                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                 Operations on skin and     Suture of skin and                                                                            National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
11    PLASTIC                                                               86.5                                                                                                                                     leaders combined with expert
                 subcutaneous tissue        subcutaneous tissue                                                                           National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                 Operations on skin and     Incision of skin and                                                                          National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
12    PLASTIC                                                               86.0                                                                                                                                     leaders combined with expert
                 subcutaneous tissue        subcutaneous tissue                                                                           National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                 Operations on skin and                                                                                                   National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
13    PLASTIC                               Free skin graft                 86.6                                                                                                                                     leaders combined with expert
                 subcutaneous tissue                                                                                                      National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews

                                                                                                                                                                                                                      National Databank, National
                 Operations on skin and                                                Not         Not                     Not            National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
14    PLASTIC                               Pedicle grafts or flaps         86.7                                                                                                                                     leaders combined with expert
                 subcutaneous tissue                                                 available   available               available        National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                               interviews


                                                                                                                                                                                             National Databank,       National Databank, National
                                                                                                                                          National Databank and    National Databank and                               organisations and Opinion    National Databank and
15    PLASTIC    Operations on the breast Mastectomy                        85.4                                                                                                            National organisations   leaders combined with expert
                                                                                                                                          National organisations   National organisations                                                           National organisations
                                                                                                                                                                                             and Opinion leaders               interviews

                                                                           85.41                                                                                                                                      National Databank, National
                                                                                                                                                                                             National Databank,
                                            Simple mastectomy (total       85.42                                                                                                                                       organisations and Opinion    National Databank and
16    PLASTIC    Operations on the breast                                                                                                   Expert Interviews        Expert Interviews      National organisations   leaders combined with expert
                                            mastectomy)                    85.43                                                                                                                                                                    National organisations
                                                                                                                                                                                             and Opinion leaders               interviews
                                                                           85.44
                                                                           85.45                                                                                                                                      National Databank, National
                                                                                                                                                                                             National Databank,
                                                                           85.46                                                                                                                                       organisations and Opinion    National Databank and
17    PLASTIC    Operations on the breast Radical mastectomy                                                                                Expert Interviews        Expert Interviews      National organisations   leaders combined with expert
                                                                           85.47                                                                                                                                                                    National organisations
                                                                                                                                                                                             and Opinion leaders               interviews
                                                                           85.48

                                                                                                                                                                                             National Databank,       National Databank, National
                                            Modified radical               85.43                                                                                                                                       organisations and Opinion    National Organisations
18    PLASTIC    Operations on the breast                                                                                                   Expert Interviews        Expert Interviews      National organisations   leaders combined with expert
                                            mastectomy                     85.44                                                                                                                                                                     and Opinion Leaders
                                                                                                                                                                                             and Opinion leaders               interviews


                                                                                                                                                                                             National Databank,       National Databank, National
                                                                           85.34                                                                                   National Databank and                               organisations and Opinion    National Databank and
19    PLASTIC    Operations on the breast Subcutaneous mastectomy                                                                           Expert Interviews                               National organisations   leaders combined with expert
                                                                           85.36                                                                                   National organisations                                                           National organisations
                                                                                                                                                                                             and Opinion leaders               interviews
     SURGICAL                                                                                                                                                                            SOURCES/ASSUMPTIONS
                       CATEGORY                   PROCEDURE                                2004 PROCEDURE VOLUMES
     SPECIALTY
                                                                         CODING
ID                                                                                  FRANCE GERMANY      ITALY       SPAIN         UK             FRANCE                  GERMANY                     ITALY                     SPAIN                          UK              REMARKS
                                                                          (ICD-9-
                                                                                                                                                                                              National Databank,       National Databank, National
                                            Removal lesion of breast -                                                                     National Databank and    National Databank and                               organisations and Opinion    National Databank and
20    PLASTIC    Operations on the breast                                 85.21                                                                                                              National organisations   leaders combined with expert
                                            lumpectomy                                                                                     National organisations   National organisations                                                           National organisations
                                                                                                                                                                                              and Opinion leaders               interviews


                                                                                                                                                                                              National Databank,       National Databank, National    National Databank,
                                                                                                                                                                    National Databank and                               organisations and Opinion
21    PLASTIC    Operations on the breast Breast biopsy, open             85.12                                                              Expert Interviews                               National organisations   leaders combined with expert
                                                                                                                                                                                                                                                     National organisations
                                                                                                                                                                    National organisations
                                                                                                                                                                                              and Opinion leaders               interviews            and Opinion leaders

                                                                                                                                                                                              National Databank,       National Databank, National
                                                                                                                                                                    National Databank and                               organisations and Opinion    National Databank and
22    PLASTIC    Operations on the breast Breast biopsy, needle           85.11                                                              Expert Interviews                               National organisations   leaders combined with expert
                                                                                                                                                                    National organisations                                                           National organisations
                                                                                                                                                                                              and Opinion leaders               interviews


                                                                                                                                                                                              National Databank,       National Databank, National    National Databank,
                                                                          85.31                                                            National Databank and    National Databank and                               organisations and Opinion
23    PLASTIC    Operations on the breast Breast reduction                                                                                                                                   National organisations   leaders combined with expert
                                                                                                                                                                                                                                                     National organisations
                                                                          85.32                                                            National organisations   National organisations
                                                                                                                                                                                              and Opinion leaders               interviews            and Opinion leaders

                                                                                                                                                                                              National Databank,       National Databank, National    National Databank,
                                                                                                                                           National Databank and    National Databank and                               organisations and Opinion
24    PLASTIC    Operations on the breast Breast augmentation              85.5                                                                                                              National organisations   leaders combined with expert
                                                                                                                                                                                                                                                     National organisations
                                                                                                                                           National organisations   National organisations
                                                                                                                                                                                              and Opinion leaders               interviews            and Opinion leaders

                                                                          85.82                                                                                                                                        National Databank, National
                                          Breast augmentation with                                                                                                                            National Databank,
                                                                          85.83                                                            National Databank and    National Databank and                               organisations and Opinion    National Organisations
25    PLASTIC    Operations on the breast tissue (TRAM-flap, VRAM-                                                                                                                           National organisations   leaders combined with expert
                                                                          85.84                                                            National organisations   National organisations                                                            and Opinion Leaders
                                          flap, DIEP-flap)                                                                                                                                    and Opinion leaders               interviews
                                                                          85.85

                                                                                                                                                                     National Databank,       National Databank,       National Databank, National
                                            Breast augmentation with      85.54                                                            National Databank and                                                        organisations and Opinion    National Organisations
26    PLASTIC    Operations on the breast                                                                                                                           National organisations   National organisations   leaders combined with expert
                                            implants                      85.53                                                            National organisations                                                                                     and Opinion Leaders
                                                                                                                                                                     and Opinion leaders      and Opinion leaders               interviews


                                                                                                                                                                                              National Databank,       National Databank, National
                                                                                                                                           National Databank and    National Databank and                               organisations and Opinion    National Databank and
27    PLASTIC    Operations on the breast Removal breast implant          85.94                                                                                                              National organisations   leaders combined with expert
                                                                                                                                           National organisations   National organisations                                                           National organisations
                                                                                                                                                                                              and Opinion leaders               interviews


                                                                                                                                                                                              National Databank,       National Databank, National
                                                                                                                                           National Databank and    National Databank and                               organisations and Opinion    National Databank and
28    PLASTIC    Operations on the breast Mastotomy                        85.0                                                                                                              National organisations   leaders combined with expert
                                                                                                                                           National organisations   National organisations                                                           National organisations
                                                                                                                                                                                              and Opinion leaders               interviews


                                                                                                                                                                                              National Databank,       National Databank, National
                                                                                                                                           National Databank and    National Databank and                               organisations and Opinion    National Databank and
29    PLASTIC    Operations on the breast Mastopexy                        85.6                                                                                                              National organisations   leaders combined with expert
                                                                                                                                           National organisations   National organisations                                                           National organisations
                                                                                                                                                                                              and Opinion leaders               interviews

                                                                                                                                                                                                                       National Databank, National
                                                                                             Not         Not         Not         Not       National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
30    PLASTIC    Operations on the breast Removal breast tumour                                                                                                                                                       leaders combined with expert
                                                                                           available   available   available   available   National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                                interviews

                                                                                                                                                                                                                       National Databank, National
                                            Operations on duct of                            Not         Not         Not                   National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
31    PLASTIC    Operations on the breast                                                                                                                                                                             leaders combined with expert
                                            breast                                         available   available   available               National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                                interviews

                                                                                                                                                                                                                       National Databank, National
                                                                                                         Not                               National Databank and    National Databank and    National Databank and      organisations and Opinion    National Databank and
32    PLASTIC    Operations on the breast Prosthesis of breast                                                                                                                                                        leaders combined with expert
                                                                                                       available                           National organisations   National organisations   National organisations                                  National organisations
                                                                                                                                                                                                                                interviews
                                                                                        European Surgical Procedures Data

                        The European Surgical Procedures (ESP) Database reflects the TforG Euro Surgical Databank. Medtech
   <MTI Logo Here>
                                                  Insight is the exclusive distributor of these data.

DEFINITION SOURCES
                        20-25 interviews per medical field
                        (ENT, Cardiology, Orthopaedics, ... Departments) per country.
Expert Interviews
                        TforG contacted the Head Doctors to give an overview on the number of
                        surgical procedures (per type) performed per year in their department.
National                National organisations: medical or governmental
Organisations and       (e.g. National Cardiology Association or The Society of Cardio-Thoracic Surgeons).
Opinion Leaders         Opinion Leaders: active in university clinics or national/European medical associations
National Databank       France: PMSI; Italy: Ministero de Salute; Germany: Wido
                        UK Model: Public and Private sector. Public sector: based on HES databanks for
                        England, Scotland, Northern Ireland and Wales.
UK Model                Private sector: 2 steps :
                        1. weighing of the importance of the private sector in each medical field
                        2. Per medical field a ranking or estimation of each surgical procedure
                        (research based on 25 Private Hospitals)

Most recently available Data are derived from the most recently available data in each country. The 2005 ESP Release reflects
                        data:
                        2003 and 2004 data from France, Germany, Italy, the United Kingdom and Spain.
FRANCE
Opinion Leaders
Associations            France Acouphènes, Paris
                        Société Française d'ORL et de Chirurgie Cervico-Faciale, Paris
                        Fédération Française des associations d'Oto Rhino Laryngologie (ORL), Paris
                        Programme de Médicalisation des Systèmes d'Information (PMSI)
                        Direction des Statistiques de la Caisse Primaire Nationale d'Assurance Maladie (CPNAM)
                        Institut National de la Statistique et des Economiques (INSEE)
                        Caisse Nationale d'Assurance-maladie des Travailleurs Salariés (CNAMTS)
                        Ministère de la Santé
                        Société Française des Chirurgiens Esthétiques Plasticiens (SOFCEP)
                        Syndicat National de Chirurgie Plastique Reconstructuive et esthétique (SNCPRE)
                        Agence Technique de l'information sur l'Hospitalisation (ATIH)
                        University hospitals

Desk research
Internet Search
GERMANY
Opinion Leaders   Statistischen Bundesamt
Associations      Deutsche Gesellschaft für Kardiologie
                  Deutsche Gesellschaft für HNO, Kopf und Halschirurgie
                  DKG (Deutsche Krankenhaus Gesellschaft)
                  Bundesministerium für Gesundheit
                  AOK Insurance Company
                  BAK (Bundes Ärzte Kammer)
                  BV Med - Bundesverband Medizintechnologie e.V.
                  Uniklinik Aachen (Plastic Surgery Department)
                  Uniklinik Köln
                  Apherese Forschungsinstitut
                  Deutsche Gesellschaft für UroGyn (Frauenklinik Schwerin)
                  Bundesamt für Statistik
                  Landesamt für Statistik Nordrhein-Westfalen
                  Landesamt für Statistik Berlin
                  Landesamt für Statistik Baden-Württemberg
                  Landesamt für Statistik Bayern
                  InEK - Institut für das Entgeltsystem im Krankenhaus gGmbH
                  DIMDI - Deutsches Institut für Medizinische Dokumentation und Information
                  DKI - Deutsches Krankenhaus Institut
                  WIdO - Wissenschaftliches Institut der AOK
                  DGG - Deutsche Gesellschaft für Gefässchirurgie
                  Deutsche Gesellschaft fur Herz-, Thorax- und Gefässchirurgie
                  DGHNOKHC - Deutsche Gesellschaft für Hals- Nasen- Ohren-Heilkunde, Kopf- und Hals- Chirurgie
                  DGSM - Deutsche Gesellschaft für Schlafforschung und Schlafmedizin
                  Universitäts-HNO-Klinik Homburg
                  DSO - Deutsche Stiftung Organtransplantation
                  Universitäts-Zahn/HNO-Klinik Köln
                  Mosel-Eifel-Klinik ("Fachklinik für Venenerkrankungen")
                  DSO-G - Gemeinnützige Gesellschaft für Gewebetransplantation
                  Städtische Kliniken Frankfurt-Höchst
                  Medizincontrolling / DRG Research Group; Universitätsklinikum Münster; Westfälische Wilhelms-
                  Universität Münster
                  Univertätsklinik Regensburg
                  Heart Center Lahr
                  Universitätsklinik Göttingen
                  Albertinen-Krankenhaus Hamburg
                  Herzbericht
                  RWTH Aachen
Desk research
Internet Search
ITALY
Opinion Leaders   Associazone Italiana di Audiologia Clinica e di Vestibologia, Torino
Associations      Associazone Italiana Otorinolaringoiatri Libero Professionisti, Roma
                  Ministero Della Salute : Programmazione Sanitaria e Qualita
                  ENT Clinic, University of Bologna
                  Department of Audiology, University of Ferrara
                  AICPRE - Associazione Italiana Infermieri Chirurgia Plastica
                  ASSECE - Associazione Europea Chirurgia Estetica
                  AMI - Associazione Medici Italiani
                  SIES - Societá Italiana Medicina e Chirurgia Estetica
                  SOI - Societá Oftalmologica Italiana
                  SICVE - Societá Italiana Chirurgia Vascolare
                  SINch - Societá Italiana Neurochirurgia
                  AOGOI - Associazione Italiana Ostetrici e Ginecologi
                  AOOI - Associazione Italiana Otorinolaringoiatri
                  Azienda Ospedaliera Niguarda Ca' Granda - Milano
                  Azienda Ospedaliera Ospedale Maggiore di Bologna
                  Azienda Ospedaliera Policlinico di Bari
                  Azienda Ospedale Policlinico Umberto I - Roma
                  Istituto Clinico Humanitas - Milano

Desk research
Internet Search
UK
Opinion Leaders   British Association of Otorhinolaryngologists Head and Neck Surgeons, London
Associations      British Cardiac Society
                  British Heart Foundation
                  Independent Healthcare Association
                  The Society of Cardiothoracic Surgeons
                  Association of Hospitals
                  NHS: National Health Service
                  Institute of Healthcare management
                  Department of Health
                  Womens Hospital Trust Birmingham (OB/Gyn)
                  BUI British Urological Institute
                  BAUS: British Association of Urological Surgeons
                  British Orthopaedic Association
                  British Association of Aesthetic Plastic Surgeons (BAAPS)
                  British Association of Plastic Surgeons (BAPS)
                  Hospitals e.g. Kings College University Hospital
                  County Durham & Darlington Acute hospital
                  Lancashire Teaching Hospital
                  Trafford General Hospital
                  Countess of Chester Hospital
                  BUPA Hartswood hospital
                  Chelsea & Westminster
                  Barts and the London NHS trust
                  Bradford Teaching Hospital NHS Trust
                  Trent Clinicode NHS, Doncaster Royal Infirmiry
                  St-George's Health Care Trust
                  Hammersmith Hospitals NHS trust
                  South Tees Hospitals NHS Trust
                  North Staffordshire Hospital NHS Trust
                  Wirral Hospital NHS Trust
                  Halton General Hospital NHS Trust

Desk research
Internet Search
SPAIN
Opinion Leaders   Servicio Andaluz de Salud
Associations      Ministerio de Sanidad y Consumo – Comunidad de Madrid
                  Diputación General de Aragón
                  Servicio de Salud del Principado de Asturias (SESPA)
                  Servicio Canario de la Salud
                  Servicio Cántabro de Salud
                  Servicio Español de Salud Castilla La Mancha (SESCAM)
                  Junta de Castilla y León - Consejería de Sanidad
                  Generalitat de Catalunya - CATSALUT
                  Generalitat Valenciana - Conselleria de Sanitat
                  Servicio Extremeño de Salud
                  Servicio Gallego de Salud
                  Servicio Balear de Salud
                  Servicio Riojano de Salud
                  Ministerio de Sanidad y Consumo - Instituto de Información Sanitaria
                  Servicio Murciano
                  Servicio Navarro de Salud
                  Servicio Vasco de Salud - Osakidetza
                       Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)
                       Sociedad Española de Neumología y Cirugía Torácica
                       Sociedad Española de Cirugía Torácica y Cardiovascular (SECTCV)
                       Sociedad Española de Cardiología (SEC)
                       Sociedad Española de Angiología y Cirugía Vascular
                       Asociación Española de Urología (AEU)
                       Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica
                       Asociación Española de Gastroenterología
                       Sociedad Española de Patología Digestiva
                       Asociación Española de Endoscopia Digestiva
                       Sociedad Española de Rehabilitación y Medicina Física
                       Sociedad Española de Cirugía Ortopédica y Traumatológica
                       Sociedad Española de Ginecología y Obstetricia
                       Sociedad Española de Otorrinolaringología y Patología Cérvico-facial
                       Sociedad Española de Neurocirugía
                       Sociedad Española de Neurología
                       Sociedades Oftalmológicas Españolas
                       Asociación Española de Cirujanos

Desk research
Internet Search
OTHER
European Society of Cardiology
European Society of Ophthalmology
European Society of Neurology
UEGF: United European Gastro-enterology Federation
European Association of Plastic Surgeons
Eurostat
WHO
OECD
University Hospital Antwerp
ures Data




            English Translation

            Tinnitus, France
            French Society of ENT and Cervico-Facial Surgery
            French Society of ENT Associations
            Program of Medicalization of Information Systems
            Direction of Statistics of the Primary National Fund of Medical Insurance
            National Institute of Statistics and Economics
            National Case of Sickness Insurance of the Workers Pay
            National Fund of Medical Insurance for Employed Workers
            Ministery of Health
            French Society of Aesthetic Plastic Surgeons
            National Union of Reconstructive and Aesthetic Plastic Surgeons
            Technical Agency for Information on Hospitalisation
            University Hospitals
Federal Office for Statistics
German Association of Cardiology
German Association of ENT, Head and Neck Surgery
German Hospital Association
Federal Health Administration
AOK Insurance Company
Chamber of Federal Physicians
German Association for Medical Technology
Hospital of Aachen (Plastic Surgery Department)
Hospital of Cologne
Apheresis Research Institute
German Association of Obstetrics/Gynaecology (Women's Hospital in Schwerin)
Federal Office for Statistics
Regional Office for Statistics, Nordrein-Westfalen
Regional Office for Statistics, Berlin
Regional Office for Statistics, Baden-Württemberg
Regional Office for Statistics, Bayern
InEK, Institute for Hospital Reimbursement
DIMDI, German Institute for Medical Documentation and Information
DKI, German Hospital Institute
WldO, Scientific Institute of AOK
DGG, German Association of Vascular Surgery
German Association of Heart-, Thorax- and Vascular surgery
German Association of ENT Medicine and Head- and Neck Surgery
German Sleep Society
Academic Hospital for ENT, Homburg
German Foundation for Organ Transplantations
Department for ENT and Dental Surgery of the University Hospital of Cologne
Mosel-Eifel Clinic (Clinic for Vascular Diseases)
German Association of Tissue Tranplantation

City Hospital Frankfurt-Höchst
DRG Research Group of the University Hospital of Münster
Academic Hospital Regensburg
Heart Center Lahr
Academic Hospital Göttingen
Albertinen Hospital, Hamburg
German Heart Report
University Hospital of Aachen




Italian Association of Audiology, Torina
Italian Assocation of ENT, Non-Hospital Based
Ministery of Health
ENT Clinic, University of Bologna
Department of Audiology, University of Ferrara
Italian Association of Plastic Surgery Nursing
European Association of Aesthetic Surgeons
Italian Association of Physicians
Italian Society of Medicine and Esthetic Surgery
Italian Society of Ophthalmology
Italian Society of Vascular Surgery
Italian Society of Neurosurgery
Italian Assocation of ObGyn
Italian Association of ENT, Hospital-Based
Hospital Niguarda Ca'Granda, Milan
Hospital Maggiore, Bologna
Policlinic, Bari
Policlinic, Roma
Clinical Institute Humanitas, Milan
Andalusian Healthcare Service
Spanish Ministry of Health – Community of Madrid
General Council of Aragon
Healthcare Service of Asturias
Canarian Healthcare Service
Cantabrian Healthcare Service
Healthcare Service of Castilla La Mancha
Council of Castilla y León - Healthcare Department
Catalan Healthcare Service
Healthcare Service of Valencia
Healthcare Service of Extremadura
Galician Healthcare Service
Healthcare Service of Baleares
Healthcare Service of Rioja
Ministery of Health and Consumption
Murcian Healthcare Service
Navarran Healthcare Service
Basque Healthcare Service
Spanish Society of Reparatory, Aesthetic and Plastic Surgery
Spanish Society of Neumology and thoracic Surgery
Spanish Society of Cardiovascular and Thoracic Surgery
Spanish Society of Cardiology
Spanish Society of Angiology and Vascular Surgery
Spanish Association of Urology
Spanish Society of Gastroenterology, Hepatology and Pediatric Nutrition
Spanish Association of Gastroenterology
Spanish Society of Digestive Diseases
Spanish Association of Digestive Endoscopy
Spanish Society of Rehabilitation and Physical Medicine
Spanish Society of Orthopeadic and Trauma Surgery
Spanish Society of ObGyn
Spanish Society of ENT
Spanish Society of Neuro Surgery
Spanish Society of Neurology
Ophthalmology Society of Spain
Spanish Association of Surgeons