ArticleClinical orthopaedics and related research2010
Unmet needs and waiting list prioritization for knee arthroplasty.
Article in Clinical orthopaedics and related research, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of patient prioritization tools in non-emergency healthcare services.Systematic reviews · 2020Pooled it
- Both younger and elderly patients in pain are willing to undergo knee replacement despite the COVID-19 pandemic: a study on surgical waiting lists.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- The SCQ-SCORE: initial validation of a new scoring system for elective stone surgery prioritization in the COVID-19 era.Central European journal of urology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a high volume of unmet needs for knee arthroplasty in the population despite the increase in surgery rates. Given the long waiting times to have a knee arthroplasty, some governments have proposed prioritization systems for patients on waiting lists based on their level of need. QUESTIONS/PURPOSES: We therefore estimated the needs and demand of knee arthroplasty in four regions of Spain during a 5-year period.
methodsWe developed a discrete event simulation model to reproduce the process of knee arthroplasty. The prioritization system was compared with the usual waiting list management strategy (by waiting time only).
resultsUnder the prioritization system, patients saved an average of 4.5 months (95% confidence interval, 4.4-4.6 months) adjusted by level of need. The proportion of patients who experienced excessive waiting times was small and was associated with low levels of priority. The 5-year projection of the volume of unmet needs for knee arthroplasty remained stable; however, although the volume of need for the first knee arthroplasty decreased by 12%, the volume of need for an arthroplasty in the contralateral knee increased by 50%.
conclusionsThe data suggested the prioritization system was more beneficial than assigning surgery by waiting time only. The 5-year projection of the volume of unmet needs for knee arthroplasty remained stable, despite the increase in the need for contralateral knee arthroplasty. LEVEL OF EVIDENCE: Level II, economic and decision analyses. See Guidelines for Authors for a complete description of levels of evidence.
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