ArticlePloS one2020
An examination of difficulties accessing surgical care in Canada from 2005-2014: Results from the Canadian Community Health Survey.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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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
6 citing papers in PubMed.
- International Variation in Preoperative SNOT-22 Scores: A Scoping Review and Exploratory Analysis.International forum of allergy & rhinology · 2026Article
- Joint Efforts: A Review of Large Joint and Bursa Steroid Injections and Aspirations by Primary Care Physicians.Journal of general internal medicine · 2025Review
- Access to Total Knee Arthroplasty for Military Insured Patients.Arthroplasty today · 2023Article
- Innovating for Value-Based Surgical Care in Canada: A Post-Pandemic Necessity.Healthcare policy = Politiques de sante · 2023Article
- Qualitatively exploring the intersection of health and housing needs in Canadian crowdfunding campaigns.BMC public health · 2022Article
- Difficulties accessing health care services during the COVID-19 pandemic in Canada: examining the intersectionality between immigrant status and visible minority status.International journal for equity in health · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDifficulties accessing surgical care (e.g., related to wait times, cancellations, cost, receiving a diagnosis) are understudied in Canada. Using population-based data, we studied difficulty accessing non-emergency surgical care, including (1) the incidence and annual changes in incidence, (2) types of difficulties, and (3) associated factors (e.g., sociodemographics, surgery characteristics).
methodsCross-sectional data from the Canadian Community Health Survey annual components were analyzed from 2005-2014. Weighted frequencies established the annual incidence of difficulty accessing surgical care, and total incidence of types of difficulties. Chi-square analyses, independent samples t-tests, and a multivariable logistic regression examined sociodemographic and surgery-related characteristics associated with difficulty accessing surgical care.
resultsAmong individuals who required past-year non-emergency surgery between 2005-2014 (weighted n = 3,052,072), 15.6% experienced difficulty accessing surgical care. The most common difficulty was "waited too long for surgery" (58.5%). There were significant differences in the incidence of difficulty according to year (Χ2 = 83.50, p < .001) from 2005-2014. The incidence of difficulty accessing surgery varied according to sex (Χ2 = 4.02, p < .05), surgery type (Χ2 = 96.09, p < .001), party responsible for cancellation/postponement (Χ2 range: 4.36-19.01, p < .05), and waiting time (t = 10.59, p < .001). In particular, males, orthopedic surgery, and surgery cancelled by the surgeon or hospital had the highest rates of difficulty.
conclusionResults provide insight into the difficulties experienced by patients accessing elective surgery, and the associated factors. These results may inform targeted healthcare interventions and resource reallocation to reduce these occurrences.
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