International comparison of waiting times for selected cardiovascular procedures

Carroll, Richard J.; Horn, Susan D.; Söderfeldt, Björn; James, Brent C.; Malmberg, Lars‐Erik

doi:10.1016/1062-1458(96)81080-4

Cited by 11 publications

(15 citation statements)

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“…While waiting times of less than three months have been quoted for hospitals in the United States, the average waiting time for elective CABG is well over three months in Canada (14). Patients often wait in hospital after an MI for several weeks before they are allotted a date for CABG because of these backlogs, resulting in increased costs related to hospital stay.…”

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confidence: 99%

Timing of bypass surgery in stable patients after acute myocardial infarction

Raghavan

Benzaquen

Rudski

2007

Canadian Journal of Cardiology

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R Raghavan, BS Benzaquen, L Rudski. Timing of bypass surgery in stable patients after acute myocardial infarction. Can J Cardiol 2007;23(12):976-982.OBJECTIVES: To determine the optimal timing for bypass surgery in stable patients after acute myocardial infarction (MI). BACKGROUND: Coronary artery bypass graft surgery (CABG) is a proven treatment for coronary artery disease. Because of the hypothesized risk of hemorrhagic transformation, it had become common practice to wait four to six weeks after MI. Recently, improvements in surgical and perioperative management, as well as an increase in pre-CABG in-hospital waiting times and excess burden on health care resources, have pushed surgeons to operate earlier. The optimal timing for a stable patient to undergo CABG after MI is unclear, because there have been no randomized trials to answer this question. METHODS:The published literature comparing early versus late surgical revascularization procedures in stable post-MI patients was reviewed. RESULTS: No randomized, prospective trials were found; however, several retrospective studies were identified. Most series examining Q wave MIs showed that mortality is higher in the early stages post-MI and progressively decreases with time post-MI. When studies examined non-Q wave MIs separately, there appeared to be less of a mortality difference between early and late surgical revascularization. There was a large disparity between the definitions of early surgery post-MI among the studies, some as early as 6 h and others up to eight days. Factors that increased mortality include abnormal left ventricular function and urgency of surgery, and some studies found risk models helpful to define increased risk after infarction. The possible increased risk of early surgery may be balanced against the potential for improved remodelling, improved quality of life and decreased hospital stay costs. CONCLUSIONS: There is a need for a randomized, prospective trial examining the optimal timing for CABG in stable post-MI patients.

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Timing of bypass surgery in stable patients after acute myocardial infarction

Raghavan

Benzaquen

Rudski

2007

Canadian Journal of Cardiology

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“…En Chile podemos distinguir los siguientes sistemas de prestaciones de salud: el sistema nacional de servicios de salud, las clínicas privadas, el sistema universitario con sus dos hospitales clínicos y consultorios, el de las FFAA y sus hospitales y por último, las mutuales de seguridad y sus hospitales 19 . Sabemos que los sistemas privados seleccionan por capacidad de pago y que los sistemas públicos presentan falencias de especialistas e infraestructura para atender la demanda de patologías complejas [4][5][6][7][8]20 . Esto permite plantear que al utilizar en forma complementaria los recursos de salud existentes en el país, se podrían beneficiar todos los que lo necesitan, independientemente de su condición socio económica, ya que existe capacidad no utilizada en el sector universitario y privado nacional.…”

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“…Esto permite plantear que al utilizar en forma complementaria los recursos de salud existentes en el país, se podrían beneficiar todos los que lo necesitan, independientemente de su condición socio económica, ya que existe capacidad no utilizada en el sector universitario y privado nacional. La colaboración entre los disrev Med chile 2013; 141: 861-869 tintos sistemas de prestaciones de salud puede así contribuir a reducir la inequidad en salud, meta prioritaria del gobierno de Chile, que ha mostrado avances, pero necesita progresar con mayor celeridad, al igual que en otros países 7,8,20,21 . Una vez que el paciente del sistema público fue referido a nuestro servicio para su intervención, este fue operado prontamente sin diferencia con los pacientes del sistema universitario y de seguros privados, aprovechando nuestras ventajas organizacionales y de infraestructura.…”

Section: Discussionunclassified

Influencia del sistema de salud de procedencia y otros factores en el resultado del reemplazo valvular mitral

et al. 2013

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“…It was found that 5% of patients had been waiting for at least 4 months in the United States, as opposed to 23% in Australia, 26% in New Zealand, 27% in Canada and 38% in the United Kingdom. Carroll et al (1995) found that the percentage of the respondents in need of elective coronary bypass who had been waiting for more than three months was 0% in U.S., 18.2% in Sweden, 46.7% in Canada, and 88.9% in the United Kingdom. Similarly, Coyte et al (1994) found that surveyed patients in need of knee replacement had a median waiting time of three weeks in the United States and eight weeks in Canada (Ontario).…”

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confidence: 99%

“…Table 3 summarises the information contained in three further surveys. Carroll et al (1995) focused on waiting times for cardiovascular procedures in four countries. It found that the percentage of the respondents in need of elective coronary bypass who had been waiting for more than three months was 88.9% in the United Kingdom, 46.7% in Canada, 18.2% in Sweden and 0% in the U.S. For elective coronary angiography the percentage was 22.8% in the United Kingdom, 16.1% in Canada, 15.4% in Sweden and 0% in the U.S.…”

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confidence: 99%

Explaining Waiting Times Variations for Elective Surgery Across OECD Countries

Siciliani

Hurst

2003

OECD Health Working Papers

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JT00150885 DIRECTORATE FOR EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS OECD HEALTH WORKING PAPERSThis series is designed to make available to a wider readership health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or French -with a summary in the other.Comment on the series is welcome, and should be sent to the Directorate for Employment, Labour and Social Affairs, 2, rue André-Pascal, 75775 PARIS CEDEX 16, France. Waiting times for elective surgery are a significant health policy concern in approximately half of all OECD countries. The main objectives of the OECD Waiting Times project were to: i) review policy initiatives to reduce waiting times in 12 OECD countries; and ii) to investigate the causes of variations in waiting times for non-emergency surgery across countries. The first objective was addressed in an earlier report (Hurst and Siciliani, 2003; OECD Health Working paper, n.6). 3.This report is devoted to the second objective. An interesting feature of OECD countries is that while some countries report significant waiting, others do not. Waiting times are a serious health policy issue in the 12 countries involved in this project (Australia, Canada, Denmark, Finland, Ireland, Italy, Netherlands, New Zealand, Norway, Spain, Sweden, and the United Kingdom). Waiting times are not recorded administratively in a second

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International comparison of waiting times for selected cardiovascular procedures

Cited by 11 publications

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Timing of bypass surgery in stable patients after acute myocardial infarction

Timing of bypass surgery in stable patients after acute myocardial infarction

Influencia del sistema de salud de procedencia y otros factores en el resultado del reemplazo valvular mitral

Explaining Waiting Times Variations for Elective Surgery Across OECD Countries

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