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					     SURGICAL
ID   SPECIALTY
                     CATEGORY              PROCEDURE              CODING               2005 PROCEDURE VOLUMES               GENERAL                        SOURCES/ASSUMPTIONS                                   NEW
                                                                (ICD-9-CM)                                                  REMARKS                                                                             CODES
                                                                             GERMANY     FRANCE    ITALY   SPAIN       UK              GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                        National        National       National     National      National
                 Operations on thyroid Unilateral thyroid                                                                             Databank and    Databank and    Databank     Databank     Databank and
1    GENERAL                                                       06.2
                 and parathyroid glands lobectomy                                                                                       National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on thyroid Complete                                                                                       Databank and    Databank and    Databank     Databank     Databank and
2    GENERAL                                                       06.4
                 and parathyroid glands thyroidectomy                                                                                   National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on thyroid                                                                                                Databank and    Databank and    Databank     Databank     Databank and
3    GENERAL                            Parathyroidectomy          06.8
                 and parathyroid glands                                                                                                 National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on other                                                                                                  Databank and    Databank and    Databank     Databank     Databank and
4    GENERAL                            Total adrenalectomy        07.3
                 endocrine glands                                                                                                       National         Expert       and Expert   and Expert     National
                                                                                                                                      organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on other                                                                                                  Databank and    Databank and    Databank     Databank     Databank and
5    GENERAL                            Hypophysectomy             07.6
                 endocrine glands                                                                                                       National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on          Incision of lymphatic                                                                         Databank and    Databank and    Databank     Databank     Databank and
6    GENERAL                                                       40.0
                 lymphatic system       structures                                                                                      National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on          Biopsy of lymphatic                                                  Not                      Databank and    Databank and    Databank     Databank     Databank and
7    GENERAL                                                      40.11
                 lymphatic system       structure                                                          available                    National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                        National        National       National     National      National
                 Operations on                                  40.2 40.3                                                             Databank and    Databank and    Databank     Databank     Databank and
8    GENERAL                            Lymphadenectomy
                 lymphatic system                               40.4 40.5                                                               National        National      and Expert   and Expert     National
                                                                                                                                      organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                  National
                                                                                                                                        National        National       National     National     Databank,
                                        Bone marrow or
                 Operations on bone                                                                                                   Databank and    Databank and    Databank     Databank       National
9    GENERAL                            hematopoietic stem         41.0
                 marrow and spleen                                                                                                      National        National      and Expert   and Expert   organisations
                                        cell transplant
                                                                                                                                      organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                 Interviews
     SURGICAL
ID   SPECIALTY
                      CATEGORY              PROCEDURE              CODING                  2005 PROCEDURE VOLUMES                GENERAL                             SOURCES/ASSUMPTIONS                                   NEW
                                                                 (ICD-9-CM)                                                      REMARKS                                                                                  CODES
                                                                                 GERMANY     FRANCE    ITALY   SPAIN   UK                        GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                  National        National       National     National      National
                 Operations on bone                                                                                                             Databank and    Databank and    Databank     Databank     Databank and
10   GENERAL                             Splenectomy              41.43 41.5
                 marrow and spleen                                                                                                                National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                 Operations on                                                                                                                  Databank and    Databank and    Databank     Databank     Databank and
11   GENERAL                             Esophagectomy               42.4
                 esophagus                                                                                                                        National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                 Operations on                                                                                                                  Databank and    Databank and    Databank     Databank     Databank and
12   GENERAL                             Esophagomyotomy             42.7
                 esophagus                                                                                                                        National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                 Incision and excision of                                                                                                       Databank and    Databank and    Databank     Databank     Databank and
13   GENERAL                              Gastrotomy                 43.0
                 stomach                                                                                                                          National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                 Incision and excision of                                                                                                       Databank and    Databank and    Databank     Databank     Databank and
14   GENERAL                              Pyloromyotomy              43.3
                 stomach                                                                                                                          National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                                         Open extirpation of                                                                                    Databank and    Databank and    Databank     Databank     Databank and
15   GENERAL     Bariatric surgery
                                         lesion of stomach                                                                                        National        National      and Expert   and Expert     National
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                                                                                                                            Total and partial
                 Incision and excision of                       43.5 43.6 43.7                                                                  Databank and    Databank and    Databank     Databank     Databank and
16   GENERAL                              Gastrectomy                                                                       gastrectomy
                 stomach                                           43.8 43.9                                                                      National        National      and Expert   and Expert     National
                                                                                                                            included.
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                 Incision and excision of                                                                                                       Databank and    Databank and    Databank     Databank     Databank and
17   GENERAL                              Vagotomy                   44.0
                 stomach                                                                                                                          National         Expert       and Expert   and Expert     National
                                                                                                                                                organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                  National        National       National     National      National
                                          Gastroenterostomy
                 Incision and excision of                                                                                                       Databank and    Databank and    Databank     Databank     Databank and
18   GENERAL                              without gastrectomy        44.3
                 stomach                                                                                                                          National        National      and Expert   and Expert     National
                                          (gastric bypass)
                                                                                                                                                organisations   organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                      CATEGORY                PROCEDURE              CODING                          2005 PROCEDURE VOLUMES                            GENERAL                                  SOURCES/ASSUMPTIONS                                   NEW
                                                                   (ICD-9-CM)                                                                          REMARKS                                                                                       CODES
                                                                                     GERMANY           FRANCE          ITALY      SPAIN       UK                            GERMANY          FRANCE         ITALY        SPAIN            UK

                                                                                                                                                   Laparoscopic gastric
                                                                                                                                                   bypass procedures         National        National       National     National       National
                                           Gastric Bypass,                                                                                         are a subset of         Databank and    Databank and    Databank     Databank     Organisations
19   GENERAL     Bariatric surgery
                                           laparoscopic                                                                                            gastroenterostomy         National        National      and Expert   and Expert    and Opinion
                                                                                                                                                   without gastrectomy     organisations   organisations   Interviews   Interviews      Leaders
                                                                                                                                                   procedures (44.3)


                                                                                                                                                   Open gastric bypass
                                                                                                                                                   procedures are a          National        National       National     National      National
                                                                                                                                                   subset of               Databank and    Databank and    Databank     Databank     Databank and
20   GENERAL     Bariatric surgery         Gastric Bypass, open
                                                                                                                                                   gastroenterostomy         National        National      and Expert   and Expert     National
                                                                                                                                                   without gastrectomy     organisations   organisations   Interviews   Interviews   organisations
                                                                                                                                                   procedures (44.3)



                                                                                                                                                   Includes all              National        National       National     National      National
                 Operations on                                                                                                                     fundiplications,        Databank and    Databank and    Databank     Databank     Databank and
21   GENERAL                               Fundoplication          Part of 44.66
                 esophagus                                                                                                                         including Nissen          National        National      and Expert   and Expert     National
                                                                                                                                                   fundoplication.         organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                                                       National
                                                                                                                                                                             National        National       National     National     Databank,
                                                                                                                                                                           Databank and    Databank and    Databank     Databank       National
22   GENERAL     Bariatric surgery         Gastroplasty            44.68 44.69       Not available
                                                                                                                                                                             National        National      and Expert   and Expert   organisations
                                                                                                                                                                           organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                                                      Interviews



                                           (Laparoscopic)                                                                                                                    National        National       National     National      National
                                           adjustment of size of                                                        Not         Not                                    Databank and    Databank and    Databank     Databank     Databank and
23   GENERAL     Bariatric Surgery                                    44.98                           Not available                                                                                                                                   New
                                           adjustable gastric                                                         available   available                                  National         Expert       and Expert   and Expert     National
                                           restrictive device                                                                                                              organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                                             National        National       National     National      National
                 Incision, excision, and
                                                                                                                                                                           Databank and    Databank and    Databank     Databank     Databank and
24   GENERAL     anastomosis of            Enterotomy                  45.0
                                                                                                                                                                             National        National      and Expert   and Expert     National
                 intestine
                                                                                                                                                                           organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                                             National        National       National     National      National
                 Incision, excision, and
                                           Excision of small                                                                                                               Databank and    Databank and    Databank     Databank     Databank and
25   GENERAL     anastomosis of                                     45.3, 45.63
                                           intestine                                                                                                                         National        National      and Expert   and Expert     National
                 intestine
                                                                                                                                                                           organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                                             National        National       National     National      National
                 Incision, excision, and
                                                                                                                                                                           Databank and    Databank and    Databank     Databank     Databank and
26   GENERAL     anastomosis of            Small bowel resection 45.61 45.62 45.51
                                                                                                                                                                             National        National      and Expert   and Expert     National
                 intestine
                                                                                                                                                                           organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                   Excision of colon and     National        National       National     National      National
                 Incision, excision, and
                                           Excision of large                                                                                       rectum                  Databank and    Databank and    Databank     Databank     Databank and
27   GENERAL     anastomosis of                                     45.7 45.8
                                           intestine                                                                                               (hemicolectomy            National        National      and Expert   and Expert     National
                 intestine
                                                                                                                                                   included).              organisations   organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                      CATEGORY                PROCEDURE            CODING               2005 PROCEDURE VOLUMES                GENERAL                                 SOURCES/ASSUMPTIONS                                   NEW
                                                                 (ICD-9-CM)                                                   REMARKS                                                                                      CODES
                                                                              GERMANY     FRANCE    ITALY   SPAIN   UK                            GERMANY          FRANCE         ITALY        SPAIN            UK

                                                                                                                         Right
                                                                                                                                                   National        National       National     National      National
                                                                                                                         hemicolectomies
                 Other operations on                                                                                                             Databank and    Databank and    Databank     Databank     Databank and
28   GENERAL                               Right hemicolectomy     45.73                                                 (45.73) are a subset
                 intestine                                                                                                                         National        National      and Expert   and Expert     National
                                                                                                                         of excisions of large
                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations
                                                                                                                         Intestine (45.7 45.8)



                                                                                                                         Transverse
                                                                                                                                                   National        National       National     National      National
                                                                                                                         colectomies (45.74)
                 Other operations on       Transverse                                                                                            Databank and    Databank and    Databank     Databank     Databank and
29   GENERAL                                                       45.74                                                 are a subset of
                 intestine                 colectomy                                                                                               National        National      and Expert   and Expert     National
                                                                                                                         excisions of large
                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations
                                                                                                                         Intestine (45.7 45.8)




                                                                                                                         Left hemicolectomies      National        National       National     National      National
                 Other operations on                                                                                     (45.75) are a subset    Databank and    Databank and    Databank     Databank     Databank and
30   GENERAL                               Left hemicolectomy      45.75
                 intestine                                                                                               of excisions of large     National        National      and Expert   and Expert     National
                                                                                                                         intestine (45.7 45.8)   organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                             National
                                                                                                                                                   National        National       National     National     Databank,
                                                                                                                                                 Databank and    Databank and    Databank     Databank       National
31   GENERAL     Colorectal surgery        Hartmann procedure
                                                                                                                                                   National         Expert       and Expert   and Expert   organisations
                                                                                                                                                 organisations    Interviews     Interviews   Interviews    and Expert
                                                                                                                                                                                                            Interviews



                                                                                                                         Sigmoidectomies            National       National       National     National      National
                 Operations on rectum,
                                                                                                                         (45.76) are a subset    Organisations   Databank and    Databank     Databank     Databank and
32   GENERAL     rectosigmoid and      Sigmoidectomy               45.76
                                                                                                                         of excisions of large    and Opinion      National      and Expert   and Expert     National
                 perirectal tissue
                                                                                                                         intestine (45.7 45.8)      Leaders      organisations   Interviews   Interviews   organisations




                                                                                                                         Other colectomies          National       National       National     National      National
                                           Other colectomies                                                             (45.79) are a subset    Organisations   Databank and    Databank     Databank     Databank and
33   GENERAL     Colorectal surgery                                45.79
                                           (incl. subtotal)                                                              of excisions of large    and Opinion       Expert       and Expert   and Expert     National
                                                                                                                         intestine (45.7 45.8)      Leaders       Interviews     Interviews   Interviews   organisations




                                                                                                                                                   National        National       National     National      National
                                                                                                                                                 Databank and    Databank and    Databank     Databank     Databank and
34   GENERAL     Colorectal surgery        Total colectomy
                                                                                                                                                   National        National      and Expert   and Expert     National
                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                   National        National       National     National      National
                                           Total                                                                                                 Databank and    Databank and    Databank     Databank     Databank and
35   GENERAL     Colorectal surgery
                                           proctocolectomy                                                                                         National        National      and Expert   and Expert     National
                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                             National
                                                                                                                                                   National        National       National     National     Databank,
                 Incision, excision, and
                                           Intestinal                                                                                            Databank and    Databank and    Databank     Databank       National
36   GENERAL     anastomosis of                                     45.9
                                           anastomosis                                                                                             National        National      and Expert   and Expert   organisations
                 intestine
                                                                                                                                                 organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                            Interviews
     SURGICAL
ID   SPECIALTY
                     CATEGORY              PROCEDURE               CODING                  2005 PROCEDURE VOLUMES                GENERAL                                  SOURCES/ASSUMPTIONS                                   NEW
                                                                 (ICD-9-CM)                                                      REMARKS                                                                                       CODES
                                                                                 GERMANY     FRANCE    ITALY   SPAIN   UK                             GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                            J-Pouch procedures
                                                                                                                            are a subset of
                                                                                                                            intestinal
                                                                                                                            anastomosis
                                                                                                                                                       National        National       National     National      National
                                                                                                                            procedures (45.9).
                                                                                                                                                     Databank and    Databank and    Databank     Databank     Databank and
37   GENERAL     Colorectal surgery     J-Pouch procedure        Part of 45.95                                              The J-pouch
                                                                                                                                                       National         Expert       and Expert   and Expert     National
                                                                                                                            procedures do not
                                                                                                                                                     organisations    Interviews     Interviews   Interviews   organisations
                                                                                                                            include procedures
                                                                                                                            involving formation of
                                                                                                                            an H-pouch or S-
                                                                                                                            pouch (45.95).




                                                                                                                                                       National        National       National     National      National
                 Other operations on                                                                                                                 Databank and    Databank and    Databank     Databank     Databank and
38   GENERAL                            Colostomy                    46.1
                 intestine                                                                                                                             National        National      and Expert   and Expert     National
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                 Other operations on                                                                                                                 Databank and    Databank and    Databank     Databank     Databank and
39   GENERAL                            Ileostomy                    46.2
                 intestine                                                                                                                             National        National      and Expert   and Expert     National
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                 Operations on                                                                                                                       Databank and    Databank and    Databank     Databank     Databank and
40   GENERAL                            Appendectomy                 47.0
                 appendix                                                                                                                              National        National      and Expert   and Expert     National
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                 Operations on          Drainage of                                                                                                  Databank and    Databank and    Databank     Databank     Databank and
41   GENERAL                                                         47.2
                 appendix               appendiceal abscess                                                                                            National        National      and Expert   and Expert     National
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                 Operations on rectum,
                                       Proctotomy, with and                                                                                          Databank and    Databank and    Databank     Databank     Databank and
42   GENERAL     rectosigmoid and                                    48.0
                                       without anterior repair                                                                                         National        National      and Expert   and Expert     National
                 perirectal tissue
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                                                                                                                            Includes only the
                                        Excision of rectal                                                                                           Databank and    Databank and    Databank     Databank     Databank and
43   GENERAL     Colorectal surgery                                 48.35                                                   excisions of rectal
                                        adenoma                                                                                                        National        National      and Expert   and Expert     National
                                                                                                                            adenoma.
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                       National        National       National     National      National
                                                                                                                            Includes excision of
                                        Reduction of rectal                                                                                          Databank and    Databank and    Databank     Databank     Databank and
44   GENERAL     Colorectal surgery                                                                                         rectal mucosa only--
                                        mucosa                                                                                                         National        National      and Expert   and Expert     National
                                                                                                                            not submucosa.
                                                                                                                                                     organisations   organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                     CATEGORY             PROCEDURE          CODING                  2005 PROCEDURE VOLUMES                GENERAL                                  SOURCES/ASSUMPTIONS                                   NEW
                                                           (ICD-9-CM)                                                      REMARKS                                                                                       CODES
                                                                           GERMANY     FRANCE    ITALY   SPAIN   UK                             GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                 National        National       National     National      National
                 Operations on rectum,
                                       Abdomino-perineal                                                                                       Databank and    Databank and    Databank     Databank     Databank and
45   GENERAL     rectosigmoid and                              48.5
                                       resection of anus                                                                                         National         Expert       and Expert   and Expert     National
                 perirectal tissue
                                                                                                                                               organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                 National        National       National     National      National
                                       Low anterior                                                                                            Databank and    Databank and    Databank     Databank     Databank and
46   GENERAL     Colorectal surgery                        Part of 48.63
                                       resection                                                                                                 National         Expert       and Expert   and Expert     National
                                                                                                                                               organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                 National        National       National     National      National
                                                                                                                                               Databank and    Databank and    Databank     Databank     Databank and
47   GENERAL     Colorectal surgery    Rectopexy           48.76 48.75
                                                                                                                                                 National        National      and Expert   and Expert     National
                                                                                                                                               organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                 National        National       National     National      National
                                                                                                                      Includes all surgical
                                       Procedures on                                                                                           Databank and    Databank and    Databank     Databank     Databank and
48   GENERAL     Operations on anus                            49.4                                                   procedures on
                                       Hemorrhoids                                                                                               National        National      and Expert   and Expert     National
                                                                                                                      hemorrhoids
                                                                                                                                               organisations   organisations   Interviews   Interviews   organisations



                                                                                                                      Destruction of
                                                                                                                      hemorroids
                                                                                                                      procedures (49.43,
                                                                                                                      49.44) are a subset
                                                                                                                                                 National        National       National     National      National
                                                                                                                      of the total number of
                                       Destruction of                                                                                          Databank and    Databank and    Databank     Databank     Databank and
49   GENERAL     Operations on anus                        49.43 49.44                                                procedures on
                                       Hemorrhoids                                                                                               National         Expert       and Expert   and Expert     National
                                                                                                                      hemorroids. This
                                                                                                                                               organisations    Interviews     Interviews   Interviews   organisations
                                                                                                                      includes the
                                                                                                                      destruction of
                                                                                                                      hemorrhoids, any
                                                                                                                      method.


                                                                                                                      Hemorrhoidectomies
                                                                                                                                                 National        National       National     National      National
                                                                                                                      (49.46) are a subset
                                                                                                                                               Databank and    Databank and    Databank     Databank     Databank and
50   GENERAL     Operations on anus    Hemorrhoidectomy       49.46                                                   of the total number of
                                                                                                                                                 National        National      and Expert   and Expert     National
                                                                                                                      procedures on
                                                                                                                                               organisations   organisations   Interviews   Interviews   organisations
                                                                                                                      hemorrhoids (49.4).




                                                                                                                                                 National        National       National     National      National
                                       Implantation of
                                                                                                                                               Databank and    Databank and    Databank     Databank     Databank and
51   GENERAL     Colorectal surgery    artificial anal
                                                                                                                                                 National        National      and Expert   and Expert     National
                                       sphincter
                                                                                                                                               organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                 National        National       National     National      National
                                       Division of anal                                                                                        Databank and    Databank and    Databank     Databank     Databank and
52   GENERAL     Operations on anus                            49.5
                                       sphincter                                                                                                 National        National      and Expert   and Expert     National
                                                                                                                                               organisations   organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                      CATEGORY                PROCEDURE             CODING                2005 PROCEDURE VOLUMES               GENERAL                                   SOURCES/ASSUMPTIONS                                   NEW
                                                                  (ICD-9-CM)                                                   REMARKS                                                                                        CODES
                                                                                GERMANY     FRANCE    ITALY   SPAIN   UK                             GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                      National        National       National     National      National
                                                                                                                                                    Databank and    Databank and    Databank     Databank     Databank and
53   GENERAL     Operations on anus        Repair of anus            49.7
                                                                                                                                                      National        National      and Expert   and Expert     National
                                                                                                                                                    organisations   organisations   Interviews   Interviews   organisations




                                                                                                                           Other repairs of anal      National        National       National     National      National
                                           Other repair of anal                                                            sphincter (49.79) are    Databank and    Databank and    Databank     Databank     Databank and
54   GENERAL     Colorectal surgery                                  49.79
                                           sphincter                                                                       a subset of repairs of     National        National      and Expert   and Expert     National
                                                                                                                           anus (49.7)              organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                      National        National       National     National      National
                                                                                                                                                    Databank and    Databank and    Databank     Databank     Databank and
55   GENERAL     Operations on liver       Hepatotomy                50.0
                                                                                                                                                      National         Expert       and Expert   and Expert     National
                                                                                                                                                    organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                      National        National       National     National      National
                                           Hepatectomy (partial                                                                                     Databank and    Databank and    Databank     Databank     Databank and
56   GENERAL     Operations on liver                              50.22 50.4
                                           + complete)                                                                                                National        National      and Expert   and Expert     National
                                                                                                                                                    organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                                National
                                                                                                                                                      National        National       National     National     Databank,
                                                                                                                                                    Databank and    Databank and    Databank     Databank       National
57   GENERAL     Operations on liver       Lobectomy of liver        50.3
                                                                                                                                                      National        National      and Expert   and Expert   organisations
                                                                                                                                                    organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                               Interviews



                                                                                                                                                      National        National       National     National      National
                                                                                                                                                    Databank and    Databank and    Databank     Databank     Databank and
58   GENERAL     Operations on liver       Liver transplant          50.5
                                                                                                                                                      National        National      and Expert   and Expert     National
                                                                                                                                                    organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                      National        National       National     National      National
                 Operations on
                                                                                                                                                    Databank and    Databank and    Databank     Databank     Databank and
59   GENERAL     gallbladder and biliary   Cholecystectomy           51.2
                                                                                                                                                      National        National      and Expert   and Expert     National
                 tract
                                                                                                                                                    organisations   organisations   Interviews   Interviews   organisations


                                                                                                                           Open
                                                                                                                           cholecystectomy
                                                                                                                                                      National        National       National     National      National
                 Operations on                                                                                             procedures (51.21
                                           Open                                                                                                     Databank and    Databank and    Databank     Databank     Databank and
60   GENERAL     gallbladder and biliary                          51.21 51.22                                              51.22) are a subset
                                           cholecystectomy                                                                                            National        National      and Expert   and Expert     National
                 tract                                                                                                     of all
                                                                                                                                                    organisations   organisations   Interviews   Interviews   organisations
                                                                                                                           cholecystectomies
                                                                                                                           (51.2)

                                                                                                                           Laparoscopic
                                                                                                                           cholecystectomies          National        National       National     National      National
                 Operations on
                                           Laparoscopic                                                                    (51.23 51.24) are a      Databank and    Databank and    Databank     Databank     Databank and
61   GENERAL     gallbladder and biliary                          51.23 51.24
                                           cholecystectomy                                                                 subset of all              National        National      and Expert   and Expert     National
                 tract
                                                                                                                           cholecystectomies        organisations   organisations   Interviews   Interviews   organisations
                                                                                                                           (51.2)
     SURGICAL
ID   SPECIALTY
                      CATEGORY                PROCEDURE             CODING               2005 PROCEDURE VOLUMES                GENERAL                                  SOURCES/ASSUMPTIONS                                   NEW
                                                                  (ICD-9-CM)                                                   REMARKS                                                                                       CODES
                                                                               GERMANY     FRANCE    ITALY   SPAIN   UK                             GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                     National        National       National     National      National
                 Operations on             Anastomosis of
                                                                                                                                                   Databank and    Databank and    Databank     Databank     Databank and
62   GENERAL     gallbladder and biliary   gallbladder or bile       51.3
                                                                                                                                                     National        National      and Expert   and Expert     National
                 tract                     duct
                                                                                                                                                   organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                               National
                                                                                                                                                     National        National       National     National     Databank,
                 Operations on                                                                                            Includes subtotal and
                                           Pancreatectomy -                                                                                        Databank and    Databank and    Databank     Databank       National
63   GENERAL     gallbladder and biliary                            52.52                                                 partial
                                           distal                                                                                                    National        National      and Expert   and Expert   organisations
                 tract                                                                                                    pancreatectomy.
                                                                                                                                                   organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                              Interviews



                                                                                                                                                     National        National       National     National      National
                                           Repair of inguinal                                                                                      Databank and    Databank and    Databank     Databank     Databank and
64   GENERAL     Repair of hernia                                 53.0 53.1
                                           hernia                                                                                                     Expert         National      and Expert   and Expert     National
                                                                                                                                                    Interviews     organisations   Interviews   Interviews   organisations



                                                                                                                          Laparoscopic inguinal
                                                                                                                          herniorrhaphy              National        National       National     National      National
                                           Inguinal
                                                                                                                          procedures are a         Databank and    Databank and    Databank     Databank     Databank and
65   GENERAL     Repair of hernia          herniorrhaphy,
                                                                                                                          subset of repairs of        Expert          Expert       and Expert   and Expert     National
                                           laparoscopic
                                                                                                                          inguinal hernia (53.0,    Interviews      Interviews     Interviews   Interviews   organisations
                                                                                                                          53.1).


                                                                                                                           Open inguinal
                                                                                                                          herniorrhaphy              National        National       National     National      National
                                           Inguinal                                                                       procedures are a         Databank and    Databank and    Databank     Databank     Databank and
66   GENERAL     Repair of hernia
                                           herniorrhaphy, open                                                            subset of repairs of        Expert          Expert       and Expert   and Expert     National
                                                                                                                          inguinal hernia (53.0,    Interviews      Interviews     Interviews   Interviews   organisations
                                                                                                                          53.1).



                                                                                                                                                     National        National       National     National      National
                                           Repair of femoral                                                                                       Databank and    Databank and    Databank     Databank     Databank and
67   GENERAL     Repair of hernia                                 53.2 53.3
                                           hernia                                                                                                     Expert         National      and Expert   and Expert     National
                                                                                                                                                    Interviews     organisations   Interviews   Interviews   organisations




                                                                                                                                                     National        National       National     National      National
                                           Repair of recurrent
                                                                                                                                                   Databank and    Databank and    Databank     Databank     Databank and
68   GENERAL     Repair of hernia          inguinal or femoral
                                                                                                                                                     National         Expert       and Expert   and Expert     National
                                           hernia
                                                                                                                                                   organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                     National        National       National     National      National
                                           Repair of umbilical                                                                                     Databank and    Databank and    Databank     Databank     Databank and
69   GENERAL     Repair of hernia                                    53.4
                                           hernia                                                                                                     Expert         National      and Expert   and Expert     National
                                                                                                                                                    Interviews     organisations   Interviews   Interviews   organisations




                                                                                                                                                     National        National       National     National      National
                                           Repair of incisional                                                                                    Databank and    Databank and    Databank     Databank     Databank and
70   GENERAL     Repair of hernia                                   53.51
                                           hernia                                                                                                     Expert         National      and Expert   and Expert     National
                                                                                                                                                    Interviews     organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                     CATEGORY              PROCEDURE              CODING                  2005 PROCEDURE VOLUMES                GENERAL                                 SOURCES/ASSUMPTIONS                                   NEW
                                                                (ICD-9-CM)                                                      REMARKS                                                                                      CODES
                                                                                GERMANY     FRANCE    ITALY   SPAIN   UK                            GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                     National        National       National     National      National
                 Other operations on    Exploratory                                                                                                Databank and    Databank and    Databank     Databank     Databank and
71   GENERAL                                                       54.11
                 abdominal region       laparotomy                                                                                                   National         Expert       and Expert   and Expert     National
                                                                                                                                                   organisations    Interviews     Interviews   Interviews   organisations



                                                                                                                                                                                                               National
                                                                                                                                                     National        National       National     National     Databank,
                 Other operations on    Lysis of peritoneal                                                                                        Databank and    Databank and    Databank     Databank       National
72   GENERAL                                                        54.5
                 abdominal region       adhesions                                                                                                    National        National      and Expert   and Expert   organisations
                                                                                                                                                   organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                              Interviews


                                                                                                                                                                                                               National
                                                                                                                           Cystocele/rectocele       National        National       National     National     Databank,
                 Operations on rectum,
                                       Cystocele/rectocele                                                                 repairs (70.50) are a   Databank and    Databank and    Databank     Databank       National
73   GENERAL     rectosigmoid and                                  70.50
                                       repair                                                                              subset of repair of       National        National      and Expert   and Expert   organisations
                 perirectal tissue
                                                                                                                           prolapse procedures     organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                              Interviews



                                                                                                                           Cystocele repairs         National        National       National     National      National
                 Operations on rectum,
                                                                                                                           (70.51) are a subset    Databank and    Databank and    Databank     Databank     Databank and
74   GENERAL     rectosigmoid and      Cystocele repair            70.51
                                                                                                                           of repair of prolapse     National        National      and Expert   and Expert     National
                 perirectal tissue
                                                                                                                           procedures              organisations   organisations   Interviews   Interviews   organisations




                                                                                                                           Rectocele repairs         National        National       National     National      National
                 Operations on rectum,
                                                                                                                           (70.52) are a subset    Databank and    Databank and    Databank     Databank     Databank and
75   GENERAL     rectosigmoid and      Rectocele repair            70.52
                                                                                                                           of repair of prolapse     National         Expert       and Expert   and Expert     National
                 perirectal tissue
                                                                                                                           procedures              organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                     National        National       National     National      National
                 Operations on rectum,
                                       Obliteration of the                                                                                         Databank and    Databank and    Databank     Databank     Databank and
76   GENERAL     rectosigmoid and                                   70.8                                                                                                                                                      New
                                       vaginal vault                                                                                                 National         Expert       and Expert   and Expert     National
                 perirectal tissue
                                                                                                                                                   organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                                     National        National       National     National      National
                 Operations on rectum,
                                                                                                                                                   Databank and    Databank and    Databank     Databank     Databank and
77   GENERAL     rectosigmoid and      Enterocele repair        Part of 70.92
                                                                                                                                                     National        National      and Expert   and Expert     National
                 perirectal tissue
                                                                                                                                                   organisations   organisations   Interviews   Interviews   organisations




                                                                                                                                                      National       National       National     National      National
                 Operations on the                                                                                                                 Organisations   Databank and    Databank     Databank     Databank and
78   GENERAL                            Breast biopsy, needle      85.11
                 breast                                                                                                                             and Opinion      National      and Expert   and Expert     National
                                                                                                                                                      Leaders      organisations   Interviews   Interviews   organisations




                                                                                                                                                      National       National       National     National      National
                 Operations on the                                                                                                                 Organisations   Databank and    Databank     Databank     Databank and
79   GENERAL                            Breast biopsy, open        85.12
                 breast                                                                                                                             and Opinion      National      and Expert   and Expert     National
                                                                                                                                                      Leaders      organisations   Interviews   Interviews   organisations
     SURGICAL
ID   SPECIALTY
                      CATEGORY          PROCEDURE                 CODING                          2005 PROCEDURE VOLUMES                      GENERAL                                 SOURCES/ASSUMPTIONS                                   NEW
                                                                (ICD-9-CM)                                                                    REMARKS                                                                                      CODES
                                                                                  GERMANY           FRANCE    ITALY      SPAIN       UK                           GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                                                   National        National       National     National      National
                 Operations on the   Operations on duct of                                                     Not         Not                                   Databank and    Databank and    Databank     Databank     Databank and
80   GENERAL                                                                      Not available
                 breast              breast                                                                  available   available                                 National        National      and Expert   and Expert     National
                                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                                                                                                             National
                                                                                                                                                                   National        National       National     National     Databank,
                 Operations on the   Removal breast                                                                                                              Databank and    Databank and    Databank     Databank       National
81   GENERAL
                 breast              tumour                                                                                                                        National        National      and Expert   and Expert   organisations
                                                                                                                                                                 organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                                            Interviews


                                                                                                                                          Breast lumpectomies
                                                                                                                                          (85.21) are a subset     National        National       National     National      National
                 Operations on the   Removal lesion of                                                                                    of removal of breast   Databank and    Databank and    Databank     Databank     Databank and
82   GENERAL                                                       85.21
                 breast              breast - lumpectomy                                                                                  tumour procedures.       National         Expert       and Expert   and Expert     National
                                                                                                                                          Includes only          organisations    Interviews     Interviews   Interviews   organisations
                                                                                                                                          lumpectomies.



                                                                                                                                                                   National        National       National     National      National
                 Operations on the   Subcutaneous               85.33, 85.34                                                                                     Databank and    Databank and    Databank     Databank     Databank and
83   GENERAL
                 breast              mastectomy                 85.35, 85.36                                                                                       National         Expert       and Expert   and Expert     National
                                                                                                                                                                 organisations    Interviews     Interviews   Interviews   organisations




                                                                                                                                          Mastectomies (85.4)      National        National       National     National      National
                 Operations on the                                                                                                        are a subset of        Databank and    Databank and    Databank     Databank     Databank and
84   GENERAL                         Mastectomy                    85.4
                 breast                                                                                                                   removal of breast        National        National      and Expert   and Expert     National
                                                                                                                                          tumour procedures.     organisations   organisations   Interviews   Interviews   organisations



                                                                                                                                          Simple mastectomies
                                                                                                                                          are a subset of          National        National       National     National      National
                 Operations on the   Simple mastectomy       85.41 85.42 + part                                                           mastectomies (87.4).   Databank and    Databank and    Databank     Databank     Databank and
85   GENERAL
                 breast              (total mastectomy)       of 85.43 & 85.44                                                            Modified radical         National        National      and Expert   and Expert     National
                                                                                                                                          mastectomies are not   organisations   organisations   Interviews   Interviews   organisations
                                                                                                                                          included.

                                                                                                                                          Modified radical
                                                                                                                                          mastectomies are a
                                                                                                                                                                   National        National       National     National      National
                                                                                                                                          subset of
                 Operations on the   Modified radical              Part of                                                                                       Databank and    Databank and    Databank     Databank     Databank and
86   GENERAL                                                                                                                              mastectomies (87.4).
                 breast              mastectomy                85.43 & 85.44                                                                                       National        National      and Expert   and Expert     National
                                                                                                                                          Includes only the
                                                                                                                                                                 organisations   organisations   Interviews   Interviews   organisations
                                                                                                                                          modified radical
                                                                                                                                          mastectomies.

                                                                                                                                                                                                                             National
                                                                                                                                          Radical                  National        National       National     National     Databank,
                 Operations on the                              85.45 85.46                                                               mastectomies are a     Databank and    Databank and    Databank     Databank       National
87   GENERAL                         Radical mastectomy
                 breast                                         85.47 85.48                                                               subset of                National        National      and Expert   and Expert   organisations
                                                                                                                                          mastectomies (87.4)    organisations   organisations   Interviews   Interviews    and Expert
                                                                                                                                                                                                                            Interviews


                                                                                                                                          Only includes
                                                                                                                                          reduction of             National        National       National     National      National
                                                                                                                                          abdomen: does not      Databank and    Databank and    Databank     Databank     Databank and
88   GENERAL     Bariatric surgery   Abdominoplasty            Part of 86.83
                                                                                                                                          include reduction of     National         Expert       and Expert   and Expert     National
                                                                                                                                          arms, buttocks and     organisations    Interviews     Interviews   Interviews   organisations
                                                                                                                                          thighs.
     SURGICAL
ID   SPECIALTY
                     CATEGORY              PROCEDURE            CODING               2005 PROCEDURE VOLUMES           GENERAL                        SOURCES/ASSUMPTIONS                                   NEW
                                                              (ICD-9-CM)                                              REMARKS                                                                             CODES
                                                                           GERMANY     FRANCE    ITALY   SPAIN   UK              GERMANY          FRANCE         ITALY        SPAIN            UK


                                                                                                                                  National        National       National     National      National
                 Operations on rectum,
                                                                                                                                Databank and    Databank and    Databank     Databank     Databank and
89   GENERAL     rectosigmoid and      Sacro-colpo-fixation
                                                                                                                                  National        National      and Expert   and Expert     National
                 perirectal tissue
                                                                                                                                organisations   organisations   Interviews   Interviews   organisations
                                          The European Surgical Procedures (ESP) Database reflects the TforG Euro Surgical Databank.
                                                           Medtech Insight is the exclusive distributor of these data.

PROCEDURES INCLUDED
General                              The European Surgical Procedures Database (ESP) includes both primary and secondary surgical
                                     procedures performed in the public, private and university hospitals in France, the United Kingdom (UK),
                                     Germany, Spain and Italy. For each country, data were derived from national databases and interviews
                                     with private hospitals and professional organizations. The data were standardized using the ICD-9
                                     system for comparison and validated via interviews with 25 physician experts and opinion leaders in
                                     each specialty (ENT, Cardiology, Orthopedics, etc.) per country. A complete list of definition sources is
                                     given below.
                                     Data are derived from the most recently available data in each country. The 2006 ESP Release reflects
Most recently available data:
                                     2004 and 2005 data from France, Germany, Italy, the United Kingdom and Spain.
METHODOLOGY
To make sure we handle the same definitions in each European country, procedures are defined by identifying the correct ICD-9 code. The
definition of this code is then used to find in each country the country-specific codes.
                                     When there is a clear code translation from the ICD-9 coding to the country-coding, the numbers are
Data-identification:
                                     identified in the country-databases.
                                     Some ICD-9 procedures are in other coding systems part of more general code. To filter out the defined
                                     procedure, we contact national organisations and/or opinion leaders and/or experts.
                                     When no country-specific codes are identified, TforG has conducted expert interviews to gather the
                                     data.
Validation:                          To validate the data, the following quality checks are taken into account:
                                     1) All data are double-checked and verified with national organizations.
                                     2) The procedures/population ratio is calculated for each country for comparison.
                                     3) The growth path for each procedure is compared to the prior year.
                                     4) When data-points deviate more than 10% from the prior year or when the procedures/population
                                     ratio from one country is completely different from the others, the database figures are checked with
                                     national organizations and/or opinion leaders.
                                     As the different country-databases in Europe also evolve, there can be a change in data identification
Change in process
                                     from one year to the next for a specific procedure.
                                     This can mean a new database is launched and/or new and more detailed codes are added.
                                     For procedures where the data-identification is handled differently compared to last year, the numbers
                                     are put in bold and italic. This also means that for these data-points some caution needs to be taken into
                                     account when comparing current figures with last year's figures.
                                     In France the coding system changed in 2005. Formerly hospitals were working with the Cdam coding
                                     (Catalogue des Actes Médicaux). Since 2005 hospitals are coding their procedures according to the
                                     CCAM (Classification Commune des Actes Médicaux). The CCAM coding system is a lot more detailed
                                     compared to the Cdam system. Becuase of this caution needs to be taken into account when
                                     comparing the French procedures with last year's figures.
DEFINITION SOURCES
Expert Interviews                    20-25 interviews per medical field
                                     (ENT, Cardiology, Orthopaedics, ... Departments) per country.
                                     TforG contacted the head doctors to give an overview on the number of
                                     surgical procedures (per type) performed per year in their department.
                                     National organisations: medical or governmental
National Organisations and
                                     (e.g. National Cardiology Association or The Society of Cardio-Thoracic Surgeons).
Opinion Leaders
                                     Opinion leaders: those active in university clinics or national/European medical associations.
National Databank                    Germany: WIdO
GERMANY                                                                                                         English Translation
Opinion Leaders
Associations      DGNC (Deutsche Gesellschaft für Neurochirugie e.V.)                                           German Society for Neurosurgery
                  DGN (Deutsche Gesellschaft für Neurologie)                                                    German Society for Neurology
                  DGK (Deutsche Gesellschaft für Kardiologie - Herz- und Kreislaufforschung)                    German Society for Cardiology
                  DKG (Deutsche Krankenhaus Gesellschaft)                                                       German Hospital Association
                                                                                                                German Society for Orthopaedics and
                  DGOOC (Deutsche Gesellschaft für Orthopädie und Orthopädische Chirurgie e. V.)
                                                                                                                Orthopaedic Surgery
                  DGW (Deutsche Gesellschaft für Wirbelsäulenchirurgie e.V.)                                    German Society for Spine Surgery
                                                                                                                German Society for ENT medicine and
                  DGHNOKHC(Deutsche Gesellschaft für Hals- Nasen- Ohren-Heilkunde, Kopf- und Hals- Chirurgie)
                                                                                                                Head- and Neck Surgery
                  DGSM (Deutsche Gesellschaft für Schlafforschung und Schlafmedizin)                            German Sleep Society
                  DGG (Deutsche Gesellschaft für Gefässchirurgie)                                               German Society for Vascular Surgery
                                                                                                                German Association of Heart-, Thorax- and
                  DGTHG (Deutsche Gesellschaft fur Herz-, Thorax- und Gefässchirurgie)
                                                                                                                Vascular Surgery
                                                                                                                German Association of
                  Deutsche Gesellschaft für UroGyn (Frauenklinik Schwerin)                                      Obstetrics/Gynaecology (Women's
                                                                                                                Hospital in Schwerin)
                                                                                                                German Foundation for Organ
                  DSO (Deutsche Stiftung Organtransplantation)
                                                                                                                Transplantations
                                                                                                                German Association of Tissue
                  DSO-G (Gemeinnützige Gesellschaft für Gewebetransplantation)
                                                                                                                Transplantation
                  Bundesministerium für Gesundheit                                                              Federal Health Administration
                  AOK Insurance Company                                                                         AOK Insurance Company
                  BAK (Bundes Ärzte Kammer)                                                                     Chamber of Federal Physicians
                                                                                                                German Association for Medical
                  BV Med - Bundesverband Medizintechnologie e.V.
                                                                                                                Technology
                                                                                                                Hospital of Aachen (Plastic Surgery
                  Uniklinik Aachen (Plastic Surgery Department)
                                                                                                                Department)
                  Uniklinik Köln                                                                                Hospital of Cologne
                  Apherese Forschungsinstitut                                                                   Apheresis Research Institute
                  Bundesamt für Statistik                                                                       Federal Office for Statistics
                                                                                                                Regional Office for Statistics, Nordrein-
                  Landesamt für Statistik Nordrhein-Westfalen
                                                                                                                Westfalen
                  Landesamt für Statistik Berlin                                                                Regional Office for Statistics, Berlin
                                                                                                                Regional Office for Statistics, Baden-
                  Landesamt für Statistik Baden-Württemberg
                                                                                                                Württemberg
                  Landesamt für Statistik Bayern                                                                Regional Office for Statistics, Bayern
                  InEK - Institut für das Entgeltsystem im Krankenhaus gGmbH
                                                                                                                InEK, Institute for Hospital Reimbursement
                                                                                                                DIMDI, German Institute for Medical
                  DIMDI - Deutsches Institut für Medizinische Dokumentation und Information
                                                                                                                Documentation and Information
                  DKI - Deutsches Krankenhaus Institut                                                          DKI, German Hospital Institute
                  WIdO - Wissenschaftliches Institut der AOK                                                    WldO, Scientific Institute of AOK
                  Herzbericht                                                                                   German Heart Report
                  Universitäts-HNO-Klinik Homburg
                                                                                                                Academic Hospital for ENT, Homburg

                  Universitäts-Zahn/HNO-Klinik Köln                                                             Department for ENT and Dental Surgery of
                                                                                                                the University Hospital of Cologne

                                                                                                                                              (Continued)
GERMANY (Continued)                                                                                                   English Translation (Continued)
                      Städtische Kliniken Frankfurt-Höchst                                                            City Hospital Frankfurt-Höchst
                      Medizincontrolling / DRG Research Group; Universitätsklinikum Münster; Westfälische Wilhelms-   DRG Research Group of the University
                      Universität Münster                                                                             Hospital of Münster
                      Univertätsklinik Regensburg                                                                     University Hospital Regensburg
                      Heart Center Lahr                                                                               Heart Center Lahr
                      Universitätsklinik Göttingen                                                                    University Hospital of Göttingen
                      RWTH Aachen                                                                                     University Hospital of Aachen
                      Universitätsklinik Rostock                                                                      University Hospital of Rostock
                      Universitätsklinik Düsseldorf                                                                   University Hospital of Düsseldorf
                      Paracelsus-Klinik München                                                                       Paracelsus Hospital Munich
                      Albertinen-Krankenhaus Hamburg                                                                  Albertinen Hospital Hamburg
Desk research
Internet Search
FRANCE                                                                                                     English Translation
Opinion Leaders
Associations      France Acouphènes, Paris                                                                 Tinnitus, France
                                                                                                           French Society of ENT and Cervico-Facial
                  Société Française d'ORL et de Chirurgie Cervico-Faciale, Paris                           surgery
                  Fédération Française des associations d'Oto Rhino Laryngologie (ORL), Paris              French Society of ENT associations
                                                                                                           Program of Medicalization of Information
                  Programme de Médicalisation des Systèmes d'Information (PMSI)                            Systems
                                                                                                           Direction of Statistics of the Primary
                  Direction des Statistiques de la Caisse Primaire Nationale d'Assurance Maladie (CPNAM)   National Fund of Medical Insurance
                                                                                                           National Institute of Statistics and
                  Institut National de la Statistique et des Economiques (INSEE)                           Economics
                                                                                                           National Fund of Medical Insurance for
                  Caisse Nationale d'Assurance-maladie des Travailleurs Salariés (CNAMTS)                  Employed Workers
                  Ministère de la Santé                                                                    Ministery of Health
                                                                                                           French Society of Aesthetic Plastic
                  Société Française des Chirurgiens Esthétiques Plasticiens (SOFCEP)                       Surgeons
                                                                                                           National Union of reconstructive and
                  Syndicat National de Chirurgie Plastique Reconstructuive et esthétique (SNCPRE)          esthetic plastic surgeons
                                                                                                           Technical Agency for Information on
                  Agence Technique de l'information sur l'Hospitalisation (ATIH)                           Hospitalisation
                  Assistance Public des Hôpitaux de Paris (APHP)                                           Public Assistence of Parisien Hospitals
                  Hopital Europeen G. Pompidou                                                             European Hospital G. Pompidou
                  Société Française de cardiologie                                                         French Society for Cardiology
                  Fédération Française de cardiologie                                                      French Federation of Cardiology
                                                                                                           Research Institute for Healthcare Institutes -
                  Bureau d'Etude des Etablissements de la Santé - Direction des statistiques               Direction Statistics
                                                                                                           Direction of Research, Studies, Evaluations
                  Direction de la Recherche des Etudes de l'Evaluation et des Statistiques (DREES)         and Statistics
                  University hospitals                                                                     University Hospitals

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ITALY                                                                                    English Translation
Opinion Leaders
Associations      Associazone Italiana di Audiologia Clinica e di Vestibologia, Torino   Italian Association of Audiology, Torina
                                                                                         Italian Assocation of ENT, non-hospital
                  Associazone Italiana Otorinolaringoiatri Libero Professionisti, Roma   based
                  Ministero Della Salute : Programmazione Sanitaria e Qualita            Ministery of Health
                  ENT Clinic, University of Bologna                                      ENT clinic, University of Bologna
                                                                                         Department of Audiology, University of
                  Department of Audiology, University of Ferrara                         Ferrara
                                                                                         Italian Association of plastic surgery
                  AICPRE - Associazione Italiana Infermieri Chirurgia Plastica           nursing
                                                                                         European Association of Aesthetic
                  ASSECE - Associazione Europea Chirurgia Estetica                       Surgeons
                  AMI - Associazione Medici Italiani                                     Italian Association of physicians
                                                                                         Italian Society of Medicine and Aesthetic
                  SIES - Societá Italiana Medicina e Chirurgia Estetica                  Surgery
                  SOI - Societá Oftalmologica Italiana                                   Italian Society of ophthalmology
                  SICVE - Societá Italiana Chirurgia Vascolare                           Italian Society of Vascular Surgery
                  SINch - Societá Italiana Neurochirurgia                                Italian Society of Neurosurgery
                  AOGOI - Associazione Italiana Ostetrici e Ginecologi                   Italian Assocation of ObGyn

                  AOOI - Associazione Italiana Otorinolaringoiatri                       Italian Association of ENT, Hospital Based
                  Azienda Ospedaliera Niguarda Ca' Granda - Milano                       Hospital Niguarda Ca'Granda, Milan
                  Azienda Ospedaliera Ospedale Maggiore di Bologna                       Hospital Maggiore, Bologna
                  Azienda Ospedaliera Policlinico di Bari                                Policlinic, Bari
                  Azienda Ospedale Policlinico Umberto I - Roma                          Policlinic, Roma
                  Istituto Clinico Humanitas - Milano                                    Clinical Institute Humanitas, Milan

                  AIAC - Associazione Italiana Aritmologia e Cardiostimolazione          Italian Association for Cardiac Stimulation
                  Ospedale Madonna delle Grazie - Matera                                 Madonna delle Grazie Hospital - Matera
                  Ospedale Civile - Ravenna                                              Ospedale Civile- Ravenna
                  Ospedale San Severino - Basilicata                                     San Severino's Hospital - Basilicata
                  Azienda Ospedaliera San Giovanni di Dio - Sicilia                      San Giovanni di Dio's Hospital - Sicilia
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UK                                                                                                     English Translation
Opinion Leaders
Associations      BAAPS British Association of Aesthetic Plastic Surgeons
                  BAO-HNS British Association of Otorhinolaryngologists - Head & Neck Surgeons
                  BAPS British Association of Plastic Surgeons
                  Barts and the London NHS trust
                  BASO-ACS British Association of Surgical Oncology - Association for Cancer Surgery
                  BAUS British Association of Urological Surgeons
                  BCIS British Cardiovascular Intervention Society
                  BCS British Cardiac Society
                  BHF British Heart Foundation
                  BOA British Orthopaedic Association
                  Bradford Teaching Hospital NHS Trust
                  BUI British Urological Institute
                  BUPA Hartswood Hospital
                  Chelsea & Westminster
                  Countess of Chester Hospital
                  County Durham & Darlington Acute Hospital
                  DH Department of Health
                  Doncaster Royal Infirmiry
                  EHRA European Heart Rhythm Association
                  ETCO European Transplant Coordination Organization
                  Halton General Hospital NHS Trust
                  Hammersmith Hospitals NHS Trust
                  IHA Independent Healthcare Association
                  IHM Institute of Healthcare Management
                  Kings College University Hospital
                  Lancashire Teaching Hospital
                  NHS National Health Service
                  NJREW National Joint Registry for England and Wales
                  North Staffordshire Hospital NHS Trust
                  RCOG Royal College of Obstetricians and Gynaecologists
                  SBNS Society of British Neurological Surgeons
                  SCTS The Society of Cardiothoracic Surgeons
                  South Tees Hospitals NHS Trust
                  St-George's Health Care Trust
                  Trafford General Hospital
                  UKBIR UK Breast Implant Registry
                  Wirral Hospital NHS Trust
                  Womens Hospital Trust Birmingham
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SPAIN                                                                                          English Translation
Opinion Leaders
Associations      Servicio Andaluz de Salud                                                    Andalusian Healthcare Service
                                                                                               Spanish Ministry of Health – Community of
                  Ministerio de Sanidad y Consumo – Comunidad de Madrid                        Madrid
                  Servicio Aragonés de Salud                                                   Healthcare Service of Aragón
                  Servicio de Salud del Principado de Asturias (SESPA)                         Healthcare Service of Asturias
                  Servicio Canario de la Salud                                                 Canarian Healthcare Service
                  Servicio Cántabro de Salud                                                   Cantabrian Healthcare Service
                  Servicio Español de Salud Castilla La Mancha (SESCAM)                        Healthcare Service of Castilla La Mancha
                                                                                               Council of Castilla y León - Healthcare
                  Junta de Castilla y León - Consejería de Sanidad                             Department
                  Generalitat de Catalunya - CATSALUT                                          Catalan Healthcare Service
                  Generalitat Valenciana - Conselleria de Sanitat                              Healthcare Service of Valencia
                  Servicio Extremeño de Salud                                                  Healthcare Service of Extremadura
                  Servicio Gallego de Salud                                                    Galician Healthcare Service
                  Servicio Balear de Salud                                                     Healthcare Service of Baleares
                  Servicio Riojano de Salud                                                    Healthcare Service of Rioja
                  Ministerio de Sanidad y Consumo - Instituto de Información Sanitaria         Ministery of Health and Consumption
                  Servicio Murciano                                                            Murcian Healthcare Service
                  Servicio Navarro de Salud                                                    Navarran Healthcare Service
                  Servicio Vasco de Salud - Osakidetza                                         Basque Healthcare Service
                                                                                               Spanish Society of Reparatory, Aesthetic
                  Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)        and Plastic Surgery
                                                                                               Spanish Society of neumology and thoracic
                  Sociedad Española de Neumología y Cirugía Torácica                           surgery
                                                                                               Spanish Society of Cardiovascular and
                  Sociedad Española de Cirugía Torácica y Cardiovascular (SECTCV)              Thoracic Surgery
                  Sociedad Española de Cardiología (SEC)                                       Spanish Society of cardiology
                                                                                               Spanish Society of Angiology and Vascular
                  Sociedad Española de Angiología y Cirugía Vascular                           Surgery
                  Asociación Española de Urología (AEU)                                        Spanish Association of urology
                                                                                               Spanish Society of Gastroenterology,
                  Sociedad Española de Gastroenterología, Hepatología y Nutrición Pediátrica   Hepatology and Pediatric Nutrition
                  Asociación Española de Gastroenterología                                     Spanish Association of Gastroenterology
                  Sociedad Española de Patología Digestiva                                     Spanish Society of digestive diseases
                                                                                               Spanish Association of Digestive
                  Asociación Española de Endoscopia Digestiva                                  Endoscopy
                                                                                               Spanish Society of rehabilitation and
                  Sociedad Española de Rehabilitación y Medicina Física                        physical medicine
                                                                                               Spanish Society of Orthopeadic and
                  Sociedad Española de Cirugía Ortopédica y Traumatológica                     Trauma Surgery
                  Sociedad Española de Ginecología y Obstetricia                               Spanish Society of ObGyn
                  Sociedad Española de Otorrinolaringología y Patología Cérvico-facial         Spanish Society of ENT
                  Sociedad Española de Neurocirugía                                            Spanish Society of Neuro Surgery
                  Sociedad Española de Neurología                                              Spanish Society of Neurology
                  Sociedades Oftalmológicas Españolas                                          Ophthalmology Society of Spain
                  Asociación Española de Cirujanos                                             Spanish Association of Surgeons
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OTHER                                                English Translation
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

				
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