Evidence map›Paper›PMID 17524004›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2007

A bird can't fly on one wing: patient views on waiting for hip and knee replacement surgery.

Barbara L Conner-Spady, Geoffrey H Johnston, Claudia Sanmartin, John J McGurran, Tom W Noseworthy, Saskatchewan Surgical Care Network/Western Canada Waiting List Project Research and Evaluation Working Group Committee

Open access · bronzeAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  11. Factors and consequences of waiting times for total hip arthroplasty.Clinical orthopaedics and related research · 2011
    Article
  12. What do we know about Canadian involvement in medical tourism?: a scoping review.Open medicine : a peer-reviewed, independent, open-access journal · 2011
    Article
  13. Article
  14. Waiting for surgery from the patient perspective.Psychology research and behavior management · 2009
    Article
  15. Willingness of patients to change surgeons for a shorter waiting time for joint arthroplasty.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Barbara L Conner-SpadyDepartment of Community Health Sciences, University of Calgary, and Western Canada Waiting List Project, Calgary, Alberta, Canada.
Geoffrey H Johnston
Claudia Sanmartin
John J McGurran
Tom W Noseworthy
Saskatchewan Surgical Care Network/Western Canada Waiting List Project Research and Evaluation Working Group Committee
University of Calgary · CAStatistics Canada · CAUniversity of Saskatchewan · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo obtain patients' perspectives on acceptable waiting times for hip or knee replacement surgery.

methodsA questionnaire with both open- and close-ended items was mailed to 432 consecutive patients who had hip or knee replacement surgery 3-12 months previously in Saskatchewan, Canada. A content analysis was used to analyse the text data from the open-ended questions.

resultsThe sample of 303 (response rate 70%) was 59% female with a mean age of 70 years (SD 11). The median waiting time from the decision date to surgery was 17 weeks. Individuals who rated their waiting time very acceptable (48%) had a median waiting time of 13 weeks compared with a median waiting time of 22 weeks for those who rated it unacceptable (23%). The two most common determinants of acceptability were patient expectations and pain and its impact on patient quality of life. The median maximum acceptable waiting time was 13 weeks and median ideal waiting time, 8.6 weeks. Seventy-nine per cent felt that those in greater need (higher severity) should go before them on the waiting list. Patient ratings of maximum acceptable waiting time were based on: pain and loss of mobility, time needed to prepare for surgery, and severity at the time of seeing the surgeon. In consideration of changing their surgeon to one with a shorter waiting list, 68% would not.

conclusionsPatient views on waiting times are not only related to quality of life issues, but also to prior expectations and notions of fairness and priority. Understanding patient views on waiting for surgery has implications for better management of waiting times and experiences for joint replacement.

Indexed as

Patient SatisfactionWaiting ListsAgedAged, 80 and overArthroplasty, Replacement, HipArthroplasty, Replacement, KneeFemaleHumansMaleMiddle AgedPerceptionQuality of LifeSaskatchewanSurveys and QuestionnairesTime

Identifiers

PMID17524004
PMCPMC5060392
OpenAlexW2118572384

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.