Evidence map›Paper›PMID 18397519›Full record

ArticleBMC health services research2008

Prioritisation of patients on waiting lists for hip and knee arthroplasties and cataract surgery: Instruments validation.

Alejandro Allepuz, Mireia Espallargues, Montse Moharra, Mercè Comas, Joan M V Pons, Research Group on Support Instruments - IRYSS Network

Abstract readMulticenter StudyValidation Study
In one paragraph

Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Assessing the construct validity and responsiveness of Preference-Based Measures (PBMs) in cataract surgery patients.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Unmet needs and waiting list prioritization for knee arthroplasty.Clinical orthopaedics and related research · 2010
    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.

Alejandro AllepuzQuality in Health Care Area, Catalan Agency for Health Technology Assessment and Research, Carrer de Roc Boronat, 81-95 (segona planta) 08005, Barcelona, Spain. aallepuz@aatrm.catsalut.net
Mireia Espallargues
Montse Moharra
Mercè Comas
Joan M V Pons
Research Group on Support Instruments - IRYSS Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrioritisation instruments were developed for patients on waiting list for hip and knee arthroplasties (AI) and cataract surgery (CI). The aim of the study was to assess their convergent and discriminant validity and inter-observer reliability.

methodsMulticentre validation study which included orthopaedic surgeons and ophthalmologists from 10 hospitals. Participating doctors were asked to include all eligible patients placed in the waiting list for the procedures under study during the medical visit. Doctors assessed patients' priority through a visual analogue scale (VAS) and administered the prioritisation instrument. Information on socio-demographic data and health-related quality of life (HRQOL) (HUI3, EQ-5D, WOMAC and VF-14) was obtained through a telephone interview with patients. The correlation coefficients between the prioritisation instrument score and VAS and HRQOL were calculated. For the reliability study a self-administered questionnaire, which included hypothetic patients' scenarios, was sent via postal mail to the doctors. The priority of these scenarios was assessed through the prioritisation instrument. The intraclass correlation coefficient (ICC) between doctors was calculated.

resultsCorrelations with VAS were strong for the AI (0.64, CI95%: 0.59-0.68) and for the CI (0.65, CI95%: 0.62-0.69), and moderate between the WOMAC and the AI (0.39, CI95%: 0.33-0.45) and the VF-14 and the CI (0.38, IC95%: 0.33-0.43). The results of the discriminant analysis were in general as expected. Inter-observer reliability was 0.79 (CI95%: 0.64-0.94) for the AI, and 0.79 (CI95%: 0.63-0.95) for the CI.

conclusionThe results show acceptable validity and reliability of the prioritisation instruments in establishing priority for surgery.

Indexed as

Arthroplasty, Replacement, HipArthroplasty, Replacement, KneeCataract ExtractionHealth Care RationingWaiting ListsAgedAged, 80 and overFemaleHealth Care SurveysHumansMaleMiddle AgedOphthalmologyOrthopedicsPatient SelectionProcess Assessment, Health Care

Identifiers

PMID18397519
PMCPMC2373288

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.