Evidence map›Paper›PMID 41916654›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

The growing burden of spine surgical wait times: a retrospective cohort study of longitudinal trends and impact on perioperative outcomes.

Jessica C W Wang, John Street, Tamir Ailon, Michael Bond, Raphaële Charest-Morin, Nicolas Dea, Marcel Dvorak, Charles Fisher, Brian K Kwon, Scott Paquette and 1 more

Abstract read
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. 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

11 authors.

Jessica C W WangFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC cwjess@student.ubc.ca.
John StreetFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Tamir AilonFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Michael BondFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Raphaële Charest-MorinFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Nicolas DeaFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Marcel DvorakFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Charles FisherFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Brian K KwonFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Scott PaquetteFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.
Charlotte DandurandFrom the Combined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical delays are common in public health care systems such as Canada's. Trends in wait times for elective spine surgery and their impact on outcomes remain uncharacterized.

methodsWe performed a single-centre analysis of elective spine surgery data between 2009 and 2020. We assessed wait times between referral and initial consultation (T1), consultation and surgical booking (interval wait time; Ti), and booking and surgery (T2) in terms of trends and impact on perioperative outcomes (adverse events and hospital length of stay [LOS]).

resultsIn total, 2041 patients were included. Over the study period, total wait time (T1+Ti+T2) increased 5.6% annually (

conclusionTotal wait times (T1+Ti+T2) for elective spine surgery significantly increased between 2009 and 2020. Ti showed the largest increase over the study period and was associated with a significant increase in adverse events. Future studies should investigate the impact of various efforts implemented and whether this translates to improved surgical outcomes and resource management.

Indexed as

Elective Surgical ProceduresSpinal DiseasesSpineTime-to-TreatmentWaiting ListsAdultAgedCanadaFemaleHumansLength of StayMaleMiddle AgedReferral and ConsultationRetrospective StudiesTime Factors

Identifiers

PMID41916654
PMCPMC13053091

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Registered trials

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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.