Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland
Abstract Background Single‐entry models (SEM) improve wait times for hip and knee replacement, but little is known whether prioritization implemented in SEM can help meet the benchmarks for consolation/surgery. This study aimed to determine the impact of prioritization on receiving consultation and...
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ftdoajarticles:oai:doaj.org/article:24e4d8958ded4919ad3e8ab03df74cfe 2023-10-29T02:38:00+01:00 Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland Anh Thu Vo Yanqing Yi Maria Mathews James Valcour Michelle Alexander Marcel Billard 2023-09-01T00:00:00Z https://doi.org/10.1002/puh2.104 https://doaj.org/article/24e4d8958ded4919ad3e8ab03df74cfe EN eng Wiley https://doi.org/10.1002/puh2.104 https://doaj.org/toc/2769-2450 2769-2450 doi:10.1002/puh2.104 https://doaj.org/article/24e4d8958ded4919ad3e8ab03df74cfe Public Health Challenges, Vol 2, Iss 3, Pp n/a-n/a (2023) Canada hip replacement surgery knee replacement surgery logistic regression Newfoundland patients Public aspects of medicine RA1-1270 article 2023 ftdoajarticles https://doi.org/10.1002/puh2.104 2023-10-01T00:36:29Z Abstract Background Single‐entry models (SEM) improve wait times for hip and knee replacement, but little is known whether prioritization implemented in SEM can help meet the benchmarks for consolation/surgery. This study aimed to determine the impact of prioritization on receiving consultation and surgery within the benchmarks. Methods This is a retrospective cohort study for which two administration databases were linked. Logistic regression was used to investigate the impact of prioritization on receiving consultations and surgery within the benchmarks of 90 and 182 days, respectively, adjusting for patients’ characteristics and preference for surgeon. Results 1,967 patients were included in this study. The odds ratios of having consultation within 90 days for hip replacement patients in priorities 1 and 2 (high priority) were 57.24 (CI: 23.16–141.47) and 14.63 (CI: 6.44–33.25), respectively, compared with those in priority 3. For knee replacement, patients with higher priority were more likely to have consultation within 90 days. Although priority levels were not related to having surgery within 182 days for knee replacement, hip replacement patients with priority 1 (CI: 0.2–0.75) and 2 (CI: 0.16–0.54) were less likely to have surgery within 182 days, compared with those with priority 3. Conclusion Patients with high priority levels were more likely to have consultation within 90 days for hip and knee replacements. SEM may not help have surgery within 182 days. Prioritization has no impact on receiving surgery within 182 days for knee replacement, but hip replacement patients with high priority were less likely to have surgery within 182 days. Article in Journal/Newspaper Newfoundland Directory of Open Access Journals: DOAJ Articles Public Health Challenges 2 3 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Canada hip replacement surgery knee replacement surgery logistic regression Newfoundland patients Public aspects of medicine RA1-1270 |
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Canada hip replacement surgery knee replacement surgery logistic regression Newfoundland patients Public aspects of medicine RA1-1270 Anh Thu Vo Yanqing Yi Maria Mathews James Valcour Michelle Alexander Marcel Billard Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
topic_facet |
Canada hip replacement surgery knee replacement surgery logistic regression Newfoundland patients Public aspects of medicine RA1-1270 |
description |
Abstract Background Single‐entry models (SEM) improve wait times for hip and knee replacement, but little is known whether prioritization implemented in SEM can help meet the benchmarks for consolation/surgery. This study aimed to determine the impact of prioritization on receiving consultation and surgery within the benchmarks. Methods This is a retrospective cohort study for which two administration databases were linked. Logistic regression was used to investigate the impact of prioritization on receiving consultations and surgery within the benchmarks of 90 and 182 days, respectively, adjusting for patients’ characteristics and preference for surgeon. Results 1,967 patients were included in this study. The odds ratios of having consultation within 90 days for hip replacement patients in priorities 1 and 2 (high priority) were 57.24 (CI: 23.16–141.47) and 14.63 (CI: 6.44–33.25), respectively, compared with those in priority 3. For knee replacement, patients with higher priority were more likely to have consultation within 90 days. Although priority levels were not related to having surgery within 182 days for knee replacement, hip replacement patients with priority 1 (CI: 0.2–0.75) and 2 (CI: 0.16–0.54) were less likely to have surgery within 182 days, compared with those with priority 3. Conclusion Patients with high priority levels were more likely to have consultation within 90 days for hip and knee replacements. SEM may not help have surgery within 182 days. Prioritization has no impact on receiving surgery within 182 days for knee replacement, but hip replacement patients with high priority were less likely to have surgery within 182 days. |
format |
Article in Journal/Newspaper |
author |
Anh Thu Vo Yanqing Yi Maria Mathews James Valcour Michelle Alexander Marcel Billard |
author_facet |
Anh Thu Vo Yanqing Yi Maria Mathews James Valcour Michelle Alexander Marcel Billard |
author_sort |
Anh Thu Vo |
title |
Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
title_short |
Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
title_full |
Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
title_fullStr |
Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
title_full_unstemmed |
Prioritization of patients for surgery in Canada: The case of hip and knee replacement surgeries in Newfoundland |
title_sort |
prioritization of patients for surgery in canada: the case of hip and knee replacement surgeries in newfoundland |
publisher |
Wiley |
publishDate |
2023 |
url |
https://doi.org/10.1002/puh2.104 https://doaj.org/article/24e4d8958ded4919ad3e8ab03df74cfe |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Public Health Challenges, Vol 2, Iss 3, Pp n/a-n/a (2023) |
op_relation |
https://doi.org/10.1002/puh2.104 https://doaj.org/toc/2769-2450 2769-2450 doi:10.1002/puh2.104 https://doaj.org/article/24e4d8958ded4919ad3e8ab03df74cfe |
op_doi |
https://doi.org/10.1002/puh2.104 |
container_title |
Public Health Challenges |
container_volume |
2 |
container_issue |
3 |
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1781063610402865152 |