Evidence map›Paper›PMID 34824152›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Ontario wait times for delayed surgical treatment of traumatic peripheral nerve injury.

Moaath Saggaf, Christine B Novak, Heather L Baltzer, Dimitri J Anastakis

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Epidemiology of peripheral nerve and brachial plexus injuries in a trauma population.Canadian journal of surgery. Journal canadien de chirurgie
    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

4 authors.

Moaath SaggafFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Saggaf, Novak, Baltzer, Anastakis); the Hand Program, Toronto Western Hospital, University Health Network, Toronto, Ont. (Saggaf, Baltzer, Anastakis); the Institute of Medical Science, University of Toronto, Toronto, Ont. (Saggaf, Anastakis); the Division of Plastic and Reconstructive Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia (Saggaf); and the Krembil Research Institute, University Health Network, Toronto, Ont. (Anastakis).
Christine B NovakFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Saggaf, Novak, Baltzer, Anastakis); the Hand Program, Toronto Western Hospital, University Health Network, Toronto, Ont. (Saggaf, Baltzer, Anastakis); the Institute of Medical Science, University of Toronto, Toronto, Ont. (Saggaf, Anastakis); the Division of Plastic and Reconstructive Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia (Saggaf); and the Krembil Research Institute, University Health Network, Toronto, Ont. (Anastakis).
Heather L BaltzerFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Saggaf, Novak, Baltzer, Anastakis); the Hand Program, Toronto Western Hospital, University Health Network, Toronto, Ont. (Saggaf, Baltzer, Anastakis); the Institute of Medical Science, University of Toronto, Toronto, Ont. (Saggaf, Anastakis); the Division of Plastic and Reconstructive Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia (Saggaf); and the Krembil Research Institute, University Health Network, Toronto, Ont. (Anastakis).
Dimitri J AnastakisFrom the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ont. (Saggaf, Novak, Baltzer, Anastakis); the Hand Program, Toronto Western Hospital, University Health Network, Toronto, Ont. (Saggaf, Baltzer, Anastakis); the Institute of Medical Science, University of Toronto, Toronto, Ont. (Saggaf, Anastakis); the Division of Plastic and Reconstructive Surgery, Department of Surgery, King Abdulaziz University, Jeddah, Saudi Arabia (Saggaf); and the Krembil Research Institute, University Health Network, Toronto, Ont. (Anastakis) dimitri.anastakis@utoronto.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo better understand the occurrence and operative treatment of peripheral nerve injury (PNI) and the potential need for additional resources, it is essential to define the frequency and distribution of peripheral nerve procedures being performed. The objective of this study was to evaluate Ontario's wait times for delayed surgical treatment of traumatic PNI.

methodsWe retrieved data on wait times for peripheral nerve surgery from the Ontario Ministry of Health and Long-Term Care Wait Time Information System. We reviewed the wait times for delayed surgical treatment of traumatic PNI among adult patients (age ≥ 18 yr) from April 2009 to March 2018. Data collected included total cases, mean and median wait times, and demographic characteristics.

resultsOver the study period, 7313 delayed traumatic PNI operations were reported, with variability in the case volume distribution across Local Health Integration Networks (LHINs). The highest volume of procedures (2788) was performed in the Toronto Central LHIN, and the lowest volume (< 6) in the Waterloo Wellington and North Simcoe Muskoka LHINs. The population incidence of traumatic PNI requiring surgery was 5.1/10 000. The mean and median wait times from surgical decision to surgical repair were 45 and 27 days, respectively. Both the longest and shortest wait times occurred in LHINs with low case volumes. The provincial target wait time was met in 93% of cases, but women waited significantly longer than men (

conclusionThe provincial distribution of traumatic PNI surgery was variable, and the highest volumes were in the LHINs with large populations. The provincial wait time strategy for traumatic PNI surgery is effective, but women waited longer than men. Precise reporting from all hospitals is necessary to accurately capture and understand the delivery of care after traumatic PNI.

Indexed as

Appointments and SchedulesWaiting ListsAdultFemaleGeneral SurgeryHealth Services AccessibilityHealth Services Needs and DemandHumansMaleMiddle AgedOntarioPeripheral Nerve InjuriesReferral and ConsultationSurgeonsSurgical Procedures, OperativeTime Factors

Identifiers

PMID34824152
PMCPMC8628844

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.