Evidence map›Paper›PMID 10617517›Full record

ArticleBMJ (Clinical research ed.)2000

Effect of socioeconomic deprivation on waiting time for cardiac surgery: retrospective cohort study.

J P Pell, A C Pell, J Norrie, I Ford, S M Cobbe

Abstract read
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Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

39 citing papers in PubMed.

  1. Trial
  2. Article
  3. Impact of Socioeconomic Factors on Time to Surgery for Distal Radius Fractures.Plastic and reconstructive surgery. Global open · 2024
    Article
  4. Article
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  12. Equity in specialist waiting times by socioeconomic groups: evidence from Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2014
    Article
  13. Observational
  14. Inequalities in waiting times by socioeconomic status.Israel journal of health policy research · 2014
    Article
  15. Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

J P PellDepartment of Cardiology, Glasgow Royal Infirmary, Glasgow G31 2ER. jill.pell@glasgow-hb.scot.nhs.uk
A C Pell
J Norrie
I Ford
S M Cobbe

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether the priority given to patients referred for cardiac surgery is associated with socioeconomic status.

designRetrospective study with multivariate logistic regression analysis of the association between deprivation and classification of urgency with allowance for age, sex, and type of operation. Multivariate linear regression analysis was used to determine association between deprivation and waiting time within each category of urgency, with allowance for age, sex, and type of operation.

settingNHS waiting lists in Scotland.

participants26 642 patients waiting for cardiac surgery, 1 January 1986 to 31 December 1997.

main outcome measuresDeprivation as measured by Carstairs deprivation category. Time spent on NHS waiting list.

resultsPatients who were most deprived tended to be younger and were more likely to be female. Patients in deprivation categories 6 and 7 (most deprived) waited about three weeks longer for surgery than those in category 1 (mean difference 24 days, 95% confidence interval 15 to 32). Deprived patients had an odds ratio of 0.5 (0.46 to 0.61) for having their operations classified as urgent compared with the least deprived, after allowance for age, sex, and type of operation. When urgent and routine cases were considered separately, there was no significant difference in waiting times between the most and least deprived categories.

conclusionsSocioeconomically deprived patients are thought to be more likely to develop coronary heart disease but are less likely to be investigated and offered surgery once it has developed. Such patients may be further disadvantaged by having to wait longer for surgery because of being given lower priority.

Indexed as

Waiting ListsAdolescentAdultAgedChildChild, PreschoolCohort StudiesFemaleHeart DiseasesHumansInfantInfant, NewbornMaleMiddle AgedMultivariate AnalysisPovertyEmpirical ApproachHealth Care and Public Health

Identifiers

PMID10617517
PMCPMC27247

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.