ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne1993
Trends in coronary artery bypass grafting in Ontario from 1981 to 1989.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1993. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed.
- Randomized, controlled trial of an interactive videodisc decision aid for patients with ischemic heart disease.Journal of general internal medicine · 2000Trial
- Declining in-hospital mortality in patients undergoing coronary bypass surgery in the United States irrespective of presence of type 2 diabetes or congestive heart failure.Clinical cardiology · 2012Article
- Trends in coronary artery revascularisation procedures in Western Australia, 1980-2001.Heart (British Cardiac Society) · 2004Article
- Outcomes following coronary artery bypass grafting and percutaneous transluminal coronary angioplasty in the stent era: a prospective study of all 9890 consecutive patients operated on in Scotland over a two year period.Heart (British Cardiac Society) · 2001Article
- Coronary artery bypass grafting in elderly patients: the price of success.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1999Review
- 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
- A comparison of cardiovascular procedure use between the United States and Canada.Health services research · 1998Article
- Preliminary assessment of patients' opinions of queuing for coronary bypass graft surgery at one Canadian centre.Quality in health care : QHC · 1996Article
- Ethics of queuing for coronary artery bypass grafting in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1994Review
- Regionalized delivery and variable utilization of coronary artery bypass grafting in Ontario from 1981 to 1991.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1994Article
- Frailty in elderly people: an evolving concept.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1994Review
- Sex-related differences in coronary revascularization practices: the perspective from a Canadian queue management project.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 1993Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine the trends in overall and age-specific rates of coronary artery bypass grafting (CABG) in Ontario from 1981 to 1989 and to assess whether relative resource scarcity, as manifested in waiting lists, resulted in obvious age-related or sex-related changes in utilization.
designComputerized compilation of hospital discharge abstracts from the Hospital Medical Records Institute. All separations for every other year from Apr. 1, 1981, to Mar. 31, 1990, were included. Procedures rather than patients were the unit of analysis (repeat procedures were double-counted if associated with separate hospital admissions).
settingOntario acute care hospitals offering CABG. PATIENTS: People aged 20 years and over who underwent one or more CABG procedures.
resultsThe overall rate of CABG increased by 31% in the study period, plateauing only between 1983 and 1985. By 1989-90 the rate was 66.03 per 100,000. The highest annual increase in the rate was among people aged 65 to 74 years, at 17.61 procedures per 100,000, as compared with 4.64 per 100,000 among people 75 years and over. In 1989-90 those aged 65 and over represented 37% of the total caseload. The overall male:female ratio did not change significantly throughout the study period.
conclusionsSince the CABG utilization rate continues to increase in Ontario, recent waiting lists must be due to a disproportionate growth in demand. There was no convincing evidence of age-related or sex-related discrimination in allocating this limited resource. Supply-demand mismatch was driven above all by the continued increase in CABG use among elderly people.
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Identifiers
8431818PMC1490531What OpenQuestion holds
Registered trials
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