Evidence map›Paper›PMID 41677786›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

A Qualitative Study on the Role of Single-Entry Models in Managing Surgical Backlogs in Pediatric Otolaryngology Part 2: Investigating Perceptions of Patients and Their Caregivers.

Justin Shapiro, Chloe Pulver, Veronica Grad, Leah Kanee, Olivia Sanders, Maya Zaidman, Sahar Hoveyda, Arieh Leving, Agnieszka Dzioba, Brian Rotenberg and 8 more

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In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

18 authors.

Justin ShapiroDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-6559-9515
Chloe PulverSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0009-0009-4640-440X
Veronica GradSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0009-0006-1628-2817
Leah KaneeSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Olivia SandersSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Maya ZaidmanSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Sahar HoveydaSchulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Arieh LevingWestern University, London, ON, Canada.
Agnieszka DziobaDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0002-7609-5988
Brian RotenbergDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
David R UrbachInstitute of Health Policy, Management, and Evaluation, University of Toronto, ON, Canada.
Marie Elise GrahamDivision of Otolaryngology-Head and Neck Surgery, Dalhousie University and IWK Health Center, Halifax, ON, Canada.ORCID 0000-0001-7159-2953
Janet ChungInstitute of Health Policy, Management, and Evaluation, University of Toronto, ON, Canada.
Josee ParadisDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Murad HuseinDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Peng YouDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0001-6573-5735
Yvonne ChanDepartment of Otolaryngology-Head and Neck Surgery, University of Toronto, ON, Canada.
Julie E StrychowskyDepartment of Otolaryngology-Head and Neck Surgery, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.ORCID 0000-0001-5460-3155

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ImportanceSingle-entry models (SEMs) may decrease wait times as they place patients in a common queue to see the first available physician. Accordingly, SEMs are a potential strategy for managing wait times in pediatric otolaryngology. No study has assessed SEMs in pediatric otolaryngology or evaluated the perspectives of patients and caregivers.ObjectiveTo evaluate the views of patients and their caregivers on the role of SEMs in managing surgical backlogs for high-volume procedures and to capture information regarding their suggestions for optimal SEM design and implementation.DesignA qualitative study using semi-structured interviews (according to COREQ and SRQR guidelines).SettingAcademic and community pediatric otolaryngology settings across Ontario, Canada.ParticipantsEight patients, along with their caregivers, were recruited through purposive sampling. Eligibility criteria included Ontario residents who are fluent in English and were scheduled for, or already had, a routine pediatric otolaryngology procedure.Intervention or ExposuresThis study investigated the perceptions of pediatric otolaryngology patients and their caregivers on the concept of implementing SEMs for pediatric otolaryngology.Main Outcome MeasuresPediatric otolaryngology patients and their caregivers' perceptions of SEMs as a method of managing wait times in pediatric otolaryngology.ResultsAcross the patient and caregiver stakeholder group, four thematic domains were established: (1) challenges of long wait times, (2) current perceptions and hesitations of SEM, (3) enablers and patient buy-in, and (4) additional wait time reduction strategies.ConclusionsPatients and caregivers agreed that implementing an SEM would effectively decrease wait times for routine procedures in pediatric otolaryngology. They felt that it would likely promote patient equity and accessibility and improve patient healthcare experiences.RelevanceEmphasizing communication, transparency, patient autonomy, and funding will be imperative to patient and caregiver satisfaction and SEM longevity.

Indexed as

CaregiversOtolaryngologyWaiting ListsAdultChildChild, PreschoolFemaleHumansMaleOntarioPediatricsQualitative Researchpatient-centered carepatient experiencesingle-entry modelssurgical backlog

Identifiers

PMID41677786
PMCPMC12901854

What OpenQuestion holds

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LicenceCC BY-NC
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.