ArticleAmerican journal of public health1988
Monitoring the diffusion of a technology: coronary artery bypass surgery in Ontario.
Article in American journal of public health, 1988. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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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.
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.
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Who cites it
9 citing papers in PubMed.
- The effect of AIDS Clinical Trials Group Protocol 5164 on the time from Pneumocystis jirovecii pneumonia diagnosis to antiretroviral initiation in routine clinical practice: a case study of diffusion, dissemination, and implementation.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2011Article
- Direct costs of coronary artery bypass grafting in patients aged 65 years or more and those under age 65.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1999Article
- Correlation of quality of life with clinical symptoms and signs at the time of glaucoma diagnosis.Transactions of the American Ophthalmological Society · 1998Article
- Trends in coronary artery bypass grafting in Ontario from 1981 to 1989.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1993Article
- Coronary artery bypass grafting in Canada: What is its rate of use? Which rate is right?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1992Article
- Recent trends in acute care hospital utilization in Ontario for diseases of the circulatory system.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1991Article
- Placing patients in the queue for coronary revascularization: evidence for practice variations from an expert panel process.American journal of public health · 1990Article
- Containing Ontario's hospital costs under universal insurance in the 1980s: what was the record?CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1990Article
- The indomitable spirit.American journal of public health · 1988Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Technology assessment involves not only examining technologies before they are released but also their diffusion into practice once they have been released. In this study we show how basic analysis of a large administrative data set, combined with a review of evidence on effectiveness, can be used as the first step in technology assessment. We analyze the use of coronary artery bypass surgery (CABS) in the province of Ontario, Canada. The annual number of procedures increased 52 per cent over a seven-year period between 1979 and 1985. Large increases in CABS rates in the over-65 population accounted for more than half of this increase in procedures. Increased rates of surgery in the over-65 population are unlikely to be caused by increased prevalence of coronary artery disease and may be the result of a change in clinical attitude toward the use of CABS. This change is discussed in the context of the evidence on the effectiveness and cost-effectiveness of CABS. We conclude that there is a need to carefully monitor and evaluate the use of technologies especially in the elderly.
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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.