SPAIN - MEDTECH OPPORTUNITY ASSESSMENT REPORT 2014

430 Pages | 355 Exhibits | 2014 Analysis | Forecasts Through 2017 Product Family: Market Reports




OVERVIEW:

Spain ‚€" Medtech Opportunity Assessment Report 2014 is a comprehensive assessment of current and future surgical procedure volumes, healthcare and economic trends, and market opportunities in this region.¬† This in-depth report is an essential resource for current and hopeful competitors selling medical products in Spain.¬† The study quantifies, analyzes, and forecasts the Spanish medical devices market.¬† Historical data is for 2010-2012, most recent actual year data is for 2013, and forecasts extend through 2017.¬† This new and improved 2014 edition builds on our previous series of 2012 country reports with current data and additional analysis ‚€" as well as competitor information ‚€" to ensure that you and your team are on top of the critical factors impacting your participation in this market.

Coverage Includes:

  • Surgical Procedure Volumes, by Segment (2010-2017)
  • Patient Caseloads, Clinical Indicators & Statistics, by Segment (2010-2017)
  • Disease Incidence & Prevalence Statistics, by Segment (2010-2017)
  • Device Market Size and Growth Analysis
  • Emerging Trends, Opportunities, and Market Outlook (2010-2017)  
  • Leading Manufacturers Active in¬† the Market, and their Strategies
  • Barriers to Entry for Medical Product Companies
  • Regulatory Overview and Recent Changes
  • Channel Analysis & Potential Sales Models (Distributor, Direct, Hybrid, Other)
  • Key Population, Economic, Healthcare Data & Indicators (2010-2017)
  • Country Analysis and Comparisons
  • More
Questions Answered:
  • Based on Spain‚€™s demographic profile and outlook, and other factors, which technologies will be in highest demand in the coming years?
  • Which manufacturers are active in Spain, and what strategies are they using to gain share?
  • What are the key disease incidence/prevalence, population, economic, healthcare and infrastructure trends impacting surgical procedure volumes in this country?
  • Which surgical procedures are growing, and which are decreasing?¬† Where are the biggest opportunities?
  • What are the main factors driving, and limiting, medical device market development in Spain?
  • How does a medical product company access this market? What are the sales models -- distributor, direct sales force, hybrid, other?
  • What new healthcare legislation or policies are impacting Spain?
  • What is the regulatory path for getting a medical device approved in Spain? What other market barriers or challenges exist?
  • How does Spain compare to other countries in terms of its economic and population health status, and number and type of physicians?
  • What other challenges and opportunities exist in Spain for current and hopeful market participants?
  • More



TABLE OF CONTENTS:
1.	EXECUTIVE SUMMARY	

1.1 Population Overview & Economic Outlook	
1.2 The Spanish Market for Healthcare Technologies: Challenges & Opportunities	

Exhibit 1-1: Population Trends in Spain, 2010-2017	
Exhibit 1-2: World Economic League Table, Top 10 World Economies 2013 Versus 2028	
Exhibit 1-3: Surgical Procedure Volumes in Spain by Type (Tabular), 2010-2017	
Exhibit 1-4: Surgical Procedure Volumes in Spain by Type (Graphical), 2010-2017	
Exhibit 1-5: Summary of Challenges Facing Medical Device Manufacturers in Spain	

2.	COUNTRY HEALTHCARE OVERVIEW	

2.1 Population Overview	
2.2 Economic Outlook	
2.3 Healthcare Overview
	2.3.1 Development of the Healthcare System	
	2.3.2 Health Care Delivery and Resources	
		2.3.2.1 Health Insurance	
	2.3.3 Key Trends	
	2.3.4 Leading Indicators
		2.3.4.1 Aesthetic, Dermatological and Plastic Surgery	
                2.3.4.2 Cardiothoracic and Interventional Cardiology	
                2.3.4.3 Peripheral Vascular
                2.3.4.4 Otolaryngology (Ear, Nose and Throat)	
                2.3.4.5 Digestive and General	
                2.3.4.6 Neurology	
                2.3.4.7 Obstetrics and Gynecology	
                2.3.4.8 Ophthalmology	
                2.3.4.9 Orthopedics	
                2.3.4.10 Spine	
                2.3.4.11 Stereotactic Radiosurgery	
                2.3.4.12 Urology	

Exhibit 2-1: Rural and Urban Populations in Spain, 2010-2017	
Exhibit 2-2: Population Distribution by State and Union Territory in Spain, 2011	
Exhibit 2-3: The Distribution of Religions in Spain	
Exhibit 2-4: Population in Spain, 2010-2017	
Exhibit 2-5: Birth Rates in Spain, 2010-2017	
Exhibit 2-6: Key Economic Indicators in Spain, 2007-2012	
Exhibit 2-7: Spain‚€™s Top 15 Trading Partners, Calendar Year 2012-2013	
Exhibit 2-8: Labor Force Distribution in Spain, 2010	
Exhibit 2-9: World Economic League Table, Top 10 World Economies 2013 Versus 2028	
Exhibit 2-10: Evolution of Spain‚€™s Healthcare System	
Exhibit 2-11: Health Expenditures in Spain, 2007-2011	
Exhibit 2-12: Physicians Per 1,000 Population, Spain Versus Selected Other Countries	
Exhibit 2-13: AYUSH Physicians by Specialty in Spain, 2010	
Exhibit 2-14: Hospitals in Spain, 2010-2017	
Exhibit 2-15: Burn Injuries in Spain (Tabular), 2010-2017	
Exhibit 2-16: Burn Injuries in Spain (Graphical), 2010-2017
Exhibit 2-17: Cleft Palate and Cleft Lip Cases in Spain (Tabular), 2010-2017	
Exhibit 2-18: Cleft Palate and Cleft Lip Cases in Spain (Graphical), 2010-2017	
Exhibit 2-19: New Skin Cancer Cases In Spain (Tabular), 2010-2017	
Exhibit 2-20: New Skin Cancer Cases In Spain (Graphical), 2010-2017	
Exhibit 2-21: Ischemic Heart Disease Cases in Spain (Tabular), 2010-2017	
Exhibit 2-22: Ischemic Heart Disease Cases in Spain (Graphical), 2010-2017	
Exhibit 2-23: Rheumatic Heart Disease Cases in Spain (Tabular), 2010-2017	
Exhibit 2-24: Rheumatic Heart Disease Cases in Spain (Graphical), 2010-2017	
Exhibit 2-25: Congenital Heart Disease Cases in Spain (Tabular), 2010-2017	
Exhibit 2-26: Congenital Heart Disease Cases in Spain (Graphical), 2010-2017	
Exhibit 2-27: Lung and Bronchus Cancer Cases in Spain (Tabular), 2010-2017	
Exhibit 2-28: Lung and Bronchus Cancer Cases in Spain (Graphical), 2010-2017	
Exhibit 2-29: Peripheral Artery Disease Cases in Spain (Tabular), 2010-2017	
Exhibit 2-30: Peripheral Artery Disease Cases in Spain (Graphical), 2010-2017	
Exhibit 2-31: Head and Neck Cancers in Spain (Tabular), 2010-2017	
Exhibit 2-32: Head and Neck Cancers in Spain (Graphical), 2010-2017	
Exhibit 2-33: Prevalence of Gall Stones in Spain (Tabular), 2010-2017	
Exhibit 2-34: Prevalence of Gall Stones in Spain (Graphical), 2010-2017	
Exhibit 2-35: Appendicitis Cases in Spain (Tabular), 2010-2017	
Exhibit 2-36: Appendicitis Cases in Spain (Graphical), 2010-2017	
Exhibit 2-37: New Hernia Cases in Spain (Tabular), 2010-2017	
Exhibit 2-38: New Hernia Cases in Spain (Graphical), 2010-2017	
Exhibit 2-39: Traumatic Brain Injuries in Spain (Tabular), 2010-2017	
Exhibit 2-40: Traumatic Brain Injuries in Spain (Graphical), 2010-2017	
Exhibit 2-41: Hydrocephalus Cases in Spain by Type (Tabular), 2010-2017	
Exhibit 2-42: Hydrocephalus Cases in Spain by Type (Graphical), 2010-2017	
Exhibit 2-43: Intracranial Aneurysm Cases in Spain (Tabular), 2010-2017	
Exhibit 2-44: Intracranial Aneurysm Cases in Spain (Graphical), 2010-2017	
Exhibit 2-45: Pituitary and Other Primary CNS Tumor Patients in Spain (Tabular), 2010-2017	
Exhibit 2-46: Pituitary and Other Primary CNS Tumor Patients in Spain (Graphical), 2010-2017	
Exhibit 2-47: The Female Population in Spain (Tabular), 2010-2017	
Exhibit 2-48: The Female Population in Spain (Graphical), 2010-2017	
Exhibit 2-49: Annual Births in Spain (Tabular), 2010-2017	
Exhibit 2-50: Annual Births in Spain (Graphical), 2010-2017	
Exhibit 2-51: Incidence of Cervical Cancer Cases in Spain (Tabular), 2010-2017	
Exhibit 2-52: Incidence of Cervical Cancer Cases in Spain (Graphical), 2010-2017	
Exhibit 2-53: Incidence of Breast Cancer Cases in Spain (Tabular), 2010-2017	
Exhibit 2-54: Incidence of Breast Cancer Cases in Spain (Graphical), 2010-2017	
Exhibit 2-55: Incidence of Ovarian Cancer in Spain (Tabular), 2010-2017	
Exhibit 2-56: Incidence of Ovarian Cancer in Spain (Graphical), 2010-2017	
Exhibit 2-57: Blindness by Cause in Spain (Tabular), 2010-2017	
Exhibit 2-58: Blindness by Cause in Spain (Graphical), 2010-2017	
Exhibit 2-59: Population with Osteoporosis in Spain (Tabular), 2010-2017	
Exhibit 2-60: Population with Osteoporosis in Spain (Graphical), 2010-2017	
Exhibit 2-61: Population with Osteoarthritis in Spain (Tabular), 2010-2017	
Exhibit 2-62 Population with Osteoarthritis in Spain (Graphical), 2010-2017	
Exhibit 2-63: Population with Hip Fractures in Spain (Tabular), 2010-2017	
Exhibit 2-64 Population with Hip Fractures in Spain (Graphical), 2010-2017	
Exhibit 2-65: Vertebral Fractures in Spain (Tabular), 2010-2017	
Exhibit 2-66: Vertebral Fractures in Spain (Graphical), 2010-2017	
Exhibit 2-67: Scoliosis Cases in Spain (Tabular), 2010-2017	
Exhibit 2-68: Scoliosis Cases in Spain (Graphical), 2010-2017	
Exhibit 2-69: Spinal Tumor Cases in Spain (Tabular), 2010-2017	
Exhibit 2-70: Spinal Tumor Cases in Spain (Graphical), 2010-2017	
Exhibit 2-71: Primary Brain Tumor Cases in Spain (Tabular), 2010-2017	
Exhibit 2-72: Primary Brain Cases in Spain (Graphical), 2010-2017	
Exhibit 2-73: Kidney Stone Patients in Spain (Tabular), 2010-2017	
Exhibit 2-74: Kidney Stone Patients in Spain (Graphical), 2010-2017	
Exhibit 2-75: Benign Prostatic Hyperplasia (BPH) Cases in Spain (Tabular), 2010-2017	
Exhibit 2-76: Benign Prostatic Hyperplasia (BPH) Cases in Spain (Graphical), 2010-2017	
Exhibit 2-77: Prostate Cancer Cases in Spain (Tabular), 2010-2017	
Exhibit 2-78: Prostate Cancer Cases in Spain (Graphical), 2010-2017	
Exhibit 2-79: Kidney Cancer Cases in Spain (Tabular), 2010-2017	
Exhibit 2-80: Kidney Cancer Cases in Spain (Graphical), 2010-2017	

3.	MARKET DEVELOPMENT AND EMERGING TRENDS	

3.1 Factors Limiting Market Development	
3.2 Factors Driving Market Development	
3.3 Regulatory Overview	
3.4 Barriers to Entry	
3.5 Channel Analysis	
3.6 Emerging Challenges, Opportunities and Trends	
	3.6.1 Medical Device Manufacturers Look to Spain	

Exhibit 3-1: Factors Driving and Limiting Development in the Spanish Market for Medical Technologies		
Exhibit 3-2: Overview of the Regulatory Process for Medical Devices in Spain	
Exhibit 3-3: Barriers to Entry for Foreign Medical Device Suppliers	
Exhibit 3-4: Summary of Challenges Facing Medical Device Manufacturers in Spain	

4.	PROCEDURE VOLUMES ANALYSIS ‚€" AESTHETIC, DERMATOLOGICAL, AND PLASTIC SURGERIES	

Exhibit 4-1: Aesthetic, Dermatological and Plastic Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 4-2: Aesthetic, Dermatological and Plastic Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 4-3: Plastic Surgeries for Burn Injuries in Spain (Tabular), 2010-2017	
Exhibit 4-4: Plastic Surgeries for Burn Injuries in Spain (Graphical), 2010-2017	
Exhibit 4-5: Aesthetic Surgeries in Spain (Tabular), 2010-2017	
Exhibit 4-6: Aesthetic Surgeries in Spain (Graphical), 2010-2017	
Exhibit 4-7: Aesthetic Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 4-8: Aesthetic Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 4-9: Surgeries for Cleft Palate and Lip in Spain (Tabular), 2010-2017	
Exhibit 4-10: Surgeries for Cleft Palate and Lip in Spain (Graphical), 2010-2017	
Exhibit 4-11: Surgeries for Cleft Palate and Lip in Spain by Patient Type (Tabular), 2010-2017
Exhibit 4-12: Surgeries for Cleft Palate and Lip in Spain by Patient Type (Graphical), 2010-2017	
Exhibit 4-13: Surgeries for Skin Cancer in Spain (Tabular), 2010-2017	
Exhibit 4-14: Surgeries for Skin Cancer in Spain (Graphical), 2010-2017	
Exhibit 4-15:  Skin Cancer Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 4-16: Skin Cancer Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 4-17: Skin Cancer Surgical Resections in Spain by Type: Surgeries with/without Lymph Node Dissections (Tabular), 2010-2017
Exhibit 4-18: Skin Cancer Surgical Resections in Spain by Type: Surgeries with/without Lymph Node Dissections (Graphical), 2010-2017	
Exhibit 4-19: Skin Cancer Surgical Resections in Spain by Type: Skin Grafts, Flaps and Simple Surgical Resections (Tabular), 2010-2017	
Exhibit 4-20: Skin Cancer Surgical Resections in Spain by Type: Skin Grafts, Flaps and Simple Surgical Resections (Graphical), 2010-2017	

5.	PROCEDURE VOLUMES ANALYSIS ‚€" CARDIOTHORACIC SURGERY & INTERVENTIONAL CARDIOLOGY	

Exhibit 5-1: Cardiothoracic Surgeries and Cardiac Catheterizations in Spain by Type (Tabular), 2010-2017	
Exhibit 5-2: Cardiothoracic Surgeries and Cardiac Catheterizations in Spain by Type (Graphical), 2010-2017	
Exhibit 5-3: Cardiothoracic Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 5-4: Cardiothoracic Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 5-5: Cardiothoracic Surgeries in Spain by Type of Access (Tabular), 2010-2017	
Exhibit 5-6: Cardiothoracic Surgeries in Spain by Type of Access (Graphical), 2010-2017	
Exhibit 5-7: Coronary Artery Bypass Graft Surgeries in Spain (Tabular), 2010-2017	
Exhibit 5-8: Coronary Artery Bypass Graft Surgeries in Spain (Graphical), 2010-2017	
Exhibit 5-9: CABG Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 5-10: CABG Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 5-11: CABG Surgeries by Level of Access in Spain (Tabular), 2010-2017	
Exhibit 5-12: CABG Surgeries by Level of Access in Spain (Graphical), 2010-2017	
Exhibit 5-13: Valve Surgeries in Spain (Tabular), 2010-2017	
Exhibit 5-14: Valve Surgeries in Spain (Graphical), 2010-2017	
Exhibit 5-15: Valve Surgeries by Anatomical Location in Spain (Tabular), 2010-2017	
Exhibit 5-16: Valve Surgeries by Anatomical Location in Spain (Graphical), 2010-2017	
Exhibit 5-17: Valve Surgeries by Level of Access in Spain (Tabular), 2010-2017	
Exhibit 5-18: Valve Surgeries by Level of Access in Spain (Graphical), 2010-2017	
Exhibit 5-19: Congenital Heart Disease Surgeries in Spain (Tabular), 2010-2017	
Exhibit 5-20: Congenital Heart Disease Surgeries in Spain (Graphical), 2010-2017	
Exhibit 5-21: CHD Surgeries by Anatomical Location in Spain (Tabular), 2010-2017	
Exhibit 5-22: CHD Surgeries by Anatomical Location in Spain (Graphical), 2010-2017	
Exhibit 5-23: CHD Surgeries by Level of Access in Spain (Tabular), 2010-2017	
Exhibit 5-24: CHD Surgeries by Level of Access in Spain (Graphical), 2010-2017	
Exhibit 5-25: Other Cardiothoracic Surgeries in Spain (Tabular), 2010-2017	
Exhibit 5-26: Other Cardiothoracic Surgeries in Spain (Graphical), 2010-2017	
Exhibit 5-27: Coronary Interventions in Spain (Tabular), 2010-2017	
Exhibit 5-28: Coronary Interventions in Spain (Graphical), 2010-2017	
Exhibit 5-29: Coronary Interventions by Primary Approach in Spain (Tabular), 2010-2017	
Exhibit 5-30: Coronary Interventions by Primary Approach in Spain (Graphical), 2010-2017	
Exhibit 5-31: Stent Implantations in Spain (Tabular), 2010-2017	
Exhibit 5-32: Stent Implantations in Spain (Graphical), 2010-2017	
Exhibit 5-33: Heart Rhythm Procedures in Spain (Tabular), 2010-2017	
Exhibit 5-34: Heart Rhythm Procedures in Spain (Graphical), 2010-2017	
Exhibit 5-35: Heart Rhythm Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 5-36: Heart Rhythm Procedures in Spain by Type (Graphical), 2010-2017	

6.	PROCEDURE VOLUMES ANALYSIS ‚€" PERIPHERAL VASCULAR	

Exhibit 6-1: Peripheral Vascular Procedures in in Spain (Tabular), 2010-2017	
Exhibit 6-2: Peripheral Vascular Procedures in Spain (Graphical) 2010-2017
Exhibit 6-3: Arterial Procedures in Spain (Tabular), 2010-2017	
Exhibit 6-4: Arterial Procedures in Spain (Graphical), 2010-2017	
Exhibit 6-5: Arterial Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 6-6: Arterial Procedures in Spain by Type (Graphical), 2010-2017	
Exhibit 6-7: Arterial Angioplasties in Spain by Type (Tabular), 2010-2017	
Exhibit 6-8: Arterial Angioplasties in Spain by Type (Graphical), 2010-2017	
Exhibit 6-9: Thrombectomies & Thromboendarterectomies in Spain by Anatomical Location (Tabular), 2010-2017	
Exhibit 6-10: Thrombectomies & Thromboendarterectomies in Spain by Anatomical Location (Graphical), 2010-2017	
Exhibit 6-11: Angioplasties in Spain by Anatomical Location (Tabular),  2010-2017	
Exhibit 6-12: Angioplasties in Spain by Anatomical Location (Graphical), 2010-2017	
Exhibit 6-13: Arterial Bypasses in Spain by Anatomical Location (Tabular), 2010-2017	
Exhibit 6-14: Arterial Bypasses in Spain by Anatomical Location (Graphical), 2010-2017	
Exhibit 6-15: Venous Procedures in Spain (Tabular), 2010-2017	
Exhibit 6-16: Venous Procedures in Spain (Graphical), 2010-2017	
Exhibit 6-17: Venous Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 6-18: Venous Procedures in Spain by Type (Graphical), 2010-2017	
Exhibit 6-19: Head, Neck, & Upper Limb Venous Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 6-20: Head, Neck, & Upper Limb Venous Procedures in Spain by Type (Graphical), 2010-2017	
Exhibit 6-21: Head, Neck, & Upper Limb Venous Angioplasties in Spain by Type (Tabular), 2010-2017	
Exhibit 6-22: Head, Neck, & Upper Limb Venous Angioplasties in Spain by Type (Graphical), 2010-2017	
Exhibit 6-23: Lower Limb Venous Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 6-24: Lower Limb Venous Procedures in Spain by Type (Graphical), 2010-2017	

7.	PROCEDURE VOLUMES ANALYSIS ‚€" EAR, NOSE AND THROAT	

Exhibit 7-1: Ear, Nose and Throat Procedures in Spain (Tabular), 2010-2017	
Exhibit 7-2: Ear, Nose and Throat Procedures in Spain (Graphical), 2010-2017	
Exhibit 7-3: Ear, Nose and Throat Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 7-4: Ear, Nose and Throat Procedures in Spain by Type (Graphical), 2010-2017	

8.	PROCEDURE VOLUMES ANALYSIS ‚€" GENERAL SURGERY	

Exhibit 8-1: General Surgeries in Spain (Tabular), 2010-2017	
Exhibit 8-2: General Surgeries in Spain (Graphical), 2010-2017	
Exhibit 8-3: General Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 8-4: General Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 8-5: General Surgeries in Spain by Type of Access (Tabular), 2010-2017	
Exhibit 8-6: General Surgeries in Spain by Type of Access (Graphical), 2010-2017	
Exhibit 8-7: Cholecystectomies in Spain (Tabular), 2010-2017	
Exhibit 8-8: Cholecystectomies in Spain (Graphical), 2010-2017	
Exhibit 8-9: Cholecystectomies in Spain by Type (Tabular), 2010-2017	
Exhibit 8-10: Cholecystectomies in Spain by Type (Graphical), 2010-2017	
Exhibit 8-11: Appendectomies in Spain (Tabular), 2010-2017	
Exhibit 8-12: Appendectomies in Spain (Graphical), 2010-2017	
Exhibit 8-13: Appendectomies in Spain by Type (Tabular), 2010-2017	
Exhibit 8-14: Appendectomies in Spain by Type (Graphical), 2010-2017	
Exhibit 8-15: Herniorrhaphies in Spain (Tabular), 2010-2017	
Exhibit 8-16: Herniorrhaphies in Spain (Graphical), 2010-2017	
Exhibit 8-17: Herniorrhaphies in Spain by Type (Tabular), 2010-2017	
Exhibit 8-18: Herniorrhaphies in Spain by Type (Graphical), 2010-2017	
Exhibit 8-19: Hernias in Spain by Type (Tabular), 2010-2017	
Exhibit 8-20: Hernias in Spain by Type (Graphical), 2010-2017	
Exhibit 8-21: Selected Other Endoscopic General and Colorectal Procedures in Spain (Tabular), 2010-2017
Exhibit 8-22: Selected Other Endoscopic General and Colorectal Procedures in Spain (Graphical), 2010-2017	
Exhibit 8-23: Other General Surgeries in Spain (Tabular), 2010-2017
Exhibit 8-24: Other General Surgeries in Spain (Graphical), 2010-2017	

9.	PROCEDURE VOLUMES ANALYSIS ‚€" NEUROSURGERY	

Exhibit 9-1: Neurosurgeries in Spain (Tabular), 2010-2017	
Exhibit 9-2:  Neurosurgeries in Spain (Graphical), 2010-2017	
Exhibit 9-3: Neurosurgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 9-4: Neurosurgeries in Spain by Type (Graphical), 2010-2017
Exhibit 9-5: Neurosurgeries in Spain by Level of Access (Tabular), 2010-2017	
Exhibit 9-6: Neurosurgeries in Spain by Level of Access (Graphical), 2010-2017	
Exhibit 9-7: Surgeries for Traumatic Brain Injuries in Spain (Tabular), 2010-2017	
Exhibit 9-8: Surgeries for Traumatic Brain Injuries in Spain (Graphical), 2010-2017	
Exhibit 9-9: Ventricular Operations and Shunt Insertions in Spain (Tabular), 2010-2017	
Exhibit 9-10: Ventricular Operations and Shunt Insertions in Spain (Graphical), 2010-2017	
Exhibit 9-11: Hydrocephalus Cases in Spain by Type (Tabular), 2010-2017	
Exhibit 9-12: Hydrocephalus Cases in Spain by Type (Graphical), 2010-2017	
Exhibit 9-13: Ventricular and Shunt Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 9-14: Ventricular and Shunt Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 9-15: Endoscopic Ventriculostomies in Spain by Type (Tabular), 2010-2017	
Exhibit 9-16: Endoscopic Ventriculostomies in Spain by Type (Graphical), 2010-2017	
Exhibit 9-17: Surgeries for Vascular Lesions in Spain (Tabular), 2010-2017	
Exhibit 9-18: Surgeries for Vascular Lesions in Spain (Graphical), 2010-2017	
Exhibit 9-19: Surgeries for Vascular Lesions by Type in Spain (Tabular), 2010-2017	
Exhibit 9-20: Surgeries for Vascular Lesions by Type in Spain (Graphical), 2010-2017	
Exhibit 9-21: Cranial Tumor Surgeries in Spain (Tabular), 2010-2017	
Exhibit 9-22: Cranial Tumor Surgeries in Spain (Graphical), 2010-2017	
Exhibit 9-23: Pituitary Surgeries in Spain (Tabular), 2010-2017	
Exhibit 9-24: Pituitary Surgeries in Spain (Graphical), 2010-2017	
Exhibit 9-25: Intracranial Tumor Surgeries in Spain (Tabular), 2010-2017	
Exhibit 9-26: Intracranial Tumor Surgeries in Spain (Graphical), 2010-2017	
Exhibit 9-27: Cranioplasties in Spain (Tabular), 2010-2017	
Exhibit 9-28: Cranioplasties in Spain (Graphical), 2010-2017	

10.	PROCEDURE VOLUMES ANALYSIS ‚€" OBSTETRICAL & GYNECOLOGICAL SURGERIES	

Exhibit 10-1: Obstetrical and Gynecological Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-2: Obstetrical and Gynecological Surgeries in Spain (Graphical), 2010-2017	
Exhibit 10-3: Obstetrical and Gynecological Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 10-4: Obstetrical and Gynecological Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 10-5: Obstetrical Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-6: Annual and Institutional Births in Spain (Graphical), 2010-2017	
Exhibit 10-7: Obstetrical Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 10-8: Obstetrical Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 10-9: Cesarean Sections in Spain (Tabular), 2010-2017	
Exhibit 10-10: Cesarean Sections in Spain (Graphical), 2010-2017	
Exhibit 10-11: Episiotomies in Spain (Tabular), 2010-2017	
Exhibit 10-12: Episiotomies in Spain (Graphical), 2010-2017	
Exhibit 10-13: Destructive Operations in Spain (Tabular), 2010-2017
Exhibit 10-14: Destructive Operations in Spain (Graphical), 2010-2017	
Exhibit 10-15: Other Obstetrical Procedures in Spain (Tabular), 2010-2017	
Exhibit 10-16: Other Obstetrical Procedures in Spain (Graphical), 2010-2017	
Exhibit 10-17: Gynecological Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-18: Gynecological Surgeries in Spain (Graphical), 2010-2017	
Exhibit 10-19: Gynecological Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 10-20: Gynecological Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 10-21: Cervical and Ovarian Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-22: Cervical and Ovarian Surgeries in Spain (Graphical), 2010-2017	
Exhibit 10-23: Cervical and Ovarian Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 10-24: Cervical and Ovarian Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 10-25: Breast Cancer Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-26: Breast Cancer Surgeries in Spain (Graphical), 2010-2017	
Exhibit 10-27: Breast Cancer Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 10-28: Breast Cancer Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 10-29: Breast-Conserving Surgeries and Mastectomies in Spain (Tabular), 2010-2017	
Exhibit 10-30: Breast-Conserving Surgeries and Mastectomies in Spain (Graphical), 2010-2017	
Exhibit 10-31: Other Gynecological Surgeries in Spain (Tabular), 2010-2017	
Exhibit 10-32: Other Gynecological Surgeries in Spain (Graphical), 2010-2017	

11.	PROCEDURE VOLUMES ANALYSIS ‚€" OPHTHALMOLOGY	

Exhibit 11-1: Ophthalmological Surgeries in Spain (Tabular), 2010-2017	
Exhibit 11-2: Ophthalmological Surgeries in Spain (Graphical), 2010-2017	
Exhibit 11-3: Ophthalmological Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 11-4: Ophthalmological Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 11-5: Blindness by Cause in Spain (Tabular), 2010-2017	
Exhibit 11-6: Blindness by Cause in Spain (Graphical), 2010-2017	
Exhibit 11-7: Cataract Surgeries in Spain (Tabular), 2010-2017	
Exhibit 11-8: Cataract Surgeries in Spain (Graphical), 2010-2017	
Exhibit 11-9: Cataract Surgeries in Spain, with and without Intraocular Lens Implantations (Tabular), 2010-2017	
Exhibit 11-10: Cataract Surgeries in Spain, with and without Intraocular Lens Implantations (Graphical), 2010-2017	
Exhibit 11-11: Cataract Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 11-12: Cataract Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 11-13: Refractive Surgeries in Spain (Tabular), 2010-2017	
Exhibit 11-14: Refractive Surgeries in Spain (Graphical), 2010-2017	

12.	PROCEDURE VOLUMES ANALYSIS ‚€" ORTHOPEDICS	

Exhibit 12-1: Orthopedic Procedures in Spain (Tabular), 2010-2017	
Exhibit 12-2: Orthopedic Procedures in Spain (Graphical), 2010-2017
Exhibit 12-3: Orthopedic Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 12-4: Orthopedic Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 12-5: Hip Arthroplasties in Spain (Tabular), 2010-2017	
Exhibit 12-6: Hip Arthroplasties in Spain (Graphical), 2010-2017	
Exhibit 12-7: Hip Arthroplasties by Type in Spain: Primary and Revision (Tabular), 2010-2017	
Exhibit 12-8: Hip Arthroplasties by Type in Spain: Primary and Revision (Graphical), 2010-2017	
Exhibit 12-9: Primary Hip Arthroplasties by Type in Spain: Partial and Total (Tabular), 2010-2017	
Exhibit 12-10: Primary Hip Arthroplasties by Type in Spain: Partial and Total (Graphical), 2010-2017	
Exhibit 12-11: Knee Arthroplasties in Spain (Tabular), 2010-2017	
Exhibit 12-12: Knee Arthroplasties in Spain (Graphical), 2010-2017	
Exhibit 12-13: Knee Arthroplasties by Type in Spain: Primary and Revision (Tabular), 2010-2017	
Exhibit 12-14: Knee Arthroplasties by Type in Spain: Primary and Revision (Graphical), 2010-2017	
Exhibit 12-15: Primary Knee Arthroplasties by Type in Spain: Partial and Total (Tabular), 2010-2017	
Exhibit 12-16: Primary Knee Arthroplasties by Type in Spain: Partial and Total (Graphical), 2010-2017	
Exhibit 12-17: Other Hardware Procedures for Extremity Fractures in Spain (Tabular), 2010-2017	
Exhibit 12-18: Other Hardware Procedures for Extremity Fractures in Spain (Graphical), 2010-2017	
Exhibit 12-19: Other Hardware Procedures for Extremity Fractures in Spain by Type (Tabular), 2010-2017	
Exhibit 12-20: Other Hardware Procedures for Extremity Fractures in Spain by Type (Graphical), 2010-2017	
Exhibit 12-21: Hardware Procedures for Lower Extremity Fractures in Spain (Tabular), 2010-2017	
Exhibit 12-22: Hardware Procedures for Lower Extremity Fractures in Spain (Graphical), 2010-2017	
Exhibit 12-23: Arthroscopies in Spain (Tabular), 2010-2017	
Exhibit 12-24: Arthroscopies in Spain (Graphical), 2010-2017	
Exhibit 12-25: Arthroscopies in Spain by Type (Tabular), 2010-2017	
Exhibit 12-26: Arthroscopies in Spain by Type (Graphical), 2010-2017	
Exhibit 12-27: Other Joint Replacements in Spain (Tabular), 2010-2017	
Exhibit 12-28: Other Joint Replacements in Spain (Graphical), 2010-2017	
Exhibit 12-29: Other Joint Replacements by Type in Spain (Tabular), 2010-2017	
Exhibit 12-30: Other Joint Replacements by Type in Spain (Graphical), 2010-2017	

13.	PROCEDURE VOLUMES ANALYSIS ‚€" SPINE	

Exhibit 13-1: Spinal Surgeries in Spain (Tabular), 2010-2017	
Exhibit 13-2: Spinal Surgeries in Spain (Graphical), 2010-2017	
Exhibit 13-3: Spinal Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 13-4: Spinal Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 13-5: Cervical Spine Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 13-6: Cervical Spine Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 13-7: Thoracic and Deformity Spinal Surgeries in Spain (Tabular), 2010-2017	
Exhibit 13-8: Thoracic and Deformity Spinal Surgeries in Spain (Graphical), 2010-2017	
Exhibit 13-9: Instrumented Spinal Deformity Surgeries in Spain (Tabular), 2010-2017	
Exhibit 13-10: Instrumented Spinal Deformity Surgeries in Spain (Graphical), 2010-2017	
Exhibit 13-11: Lumbar Spine Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 13-12: Lumbar Spine Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 13-13: Vertebroplasties and Kyphoplasties in Spain (Tabular), 2010-2017	
Exhibit 13-14: Vertebroplasties and Kyphoplasties in Spain (Graphical), 2010-2017	
Exhibit 13-15: Vertebroplasties and Kyphoplasties by Type in Spain (Tabular), 2010-2017	
Exhibit 13-16: Vertebroplasties and Kyphoplasties by Type in Spain (Graphical), 2010-2017	
Exhibit 13-17: Spinal Surgeries by Type in Spain (Tabular), 2010-2017	
Exhibit 13-18: Spinal Surgeries by Type in Spain (Graphical), 2010-2017	
Exhibit 13-19: Spinal Surgeries by Level of Access in Spain (Tabular), 2010-2017
Exhibit 13-20: Spinal Surgeries by Level of Access in Spain (Graphical), 2010-2017	
Exhibit 13-21: Other Spinal Surgeries in Spain (Tabular), 2010-2017	
Exhibit 13-22: Other Spinal Surgeries in Spain (Graphical), 2010-2017	

14.	PROCEDURE VOLUMES ANALYSIS ‚€" STEREOTACTIC RADIOSURGERY	

Exhibit 14-1: Stereotactic Radiosurgery in Spain (Tabular), 2010-2017	
Exhibit 14-2: Stereotactic Radiosurgery in Spain (Graphical), 2010-2017	
Exhibit 14-3: Stereotactic Radiosurgery in Spain by Type (Tabular), 2010-2017	
Exhibit 14-4: Stereotactic Radiosurgery in Spain by Type (Graphical), 2010-2017	
Exhibit 14-5: Intracranial SRS Procedures in Spain (Tabular), 2010-2017	
Exhibit 14-6: Intracranial SRS Procedures in Spain (Graphical), 2010-2017	
Exhibit 14-7: Extracranial SRS Procedures in Spain (Tabular), 2010-2017	
Exhibit 14-8: Extracranial SRS Procedures in Spain (Graphical), 2010-2017	
Exhibit 14-9: Extracranial SRS Patients in Spain by Type (Tabular), 2010-2017	
Exhibit 14-10: Extracranial SRS Patients in Spain by Type (Graphical), 2010-2017	
Exhibit 14-11: Extracranial SRS Procedures in Spain by Patient Type (Tabular), 2010-2017	
Exhibit 14-12: Extracranial SRS Procedures in Spain by Patient Type (Graphical), 2010-2017	

15.	PROCEDURE VOLUMES ANALYSIS ‚€" UROLOGY
	
Exhibit 15-1: Urological Surgeries in Spain (Tabular), 2010-2017	
Exhibit 15-2: Urological Surgeries in Spain (Graphical), 2010-2017	
Exhibit 15-3: Urological Surgeries in Spain by Type (Tabular), 2010-2017	
Exhibit 15-4: Urological Surgeries in Spain by Type (Graphical), 2010-2017	
Exhibit 15-5: Kidney Stone Procedures in Spain (Tabular), 2010-2017	
Exhibit 15-6: Kidney Stone Procedures in Spain (Graphical), 2010-2017	
Exhibit 15-7: Kidney Stone Procedures in Spain by Type (Tabular), 2010-2017	
Exhibit 15-8: Kidney Stone Procedures in Spain by Type (Graphical), 2010-2017	
Exhibit 15-9: Surgeries for Benign Prostatic Hyperplasia in Spain (Tabular), 2010-2017	
Exhibit 15-10: Surgeries for Benign Prostatic Hyperplasia in Spain (Graphical), 2010-2017	
Exhibit 15-11: Surgeries for Benign Prostatic Hyperplasia in Spain by Type (Tabular), 2010-2017	
Exhibit 15-12: Surgeries for Benign Prostatic Hyperplasia in Spain by Type (Graphical), 2010-2017	
Exhibit 15-13: Prostatectomies in Spain (Tabular), 2010-2017	
Exhibit 15-14: Prostatectomies in Spain (Graphical), 2010-2017
Exhibit 15-15: Nephrectomies in Spain (Tabular), 2010-2017	
Exhibit 15-16: Nephrectomies in Spain (Graphical), 2010-2017	
Exhibit 15-17: Nephrectomies in Spain by Type (Tabular), 2010-2017	
Exhibit 15-18: Nephrectomies in Spain by Type (Graphical), 2010-2017	

APPENDIX A: REPORT METHODOLOGY



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