Evidence map›Paper›PMID 9006478›Full record

ArticleBMJ (Clinical research ed.)1997

The New Zealand priority criteria project. Part 2: Coronary artery bypass graft surgery.

D C Hadorn, A C Holmes

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 1997. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Waiting for surgery from the patient perspective.Psychology research and behavior management · 2009
    Article
  7. Article
  8. Article
  9. Article
  10. The Chaoulli challenge: getting a grip on waiting lists.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2005
    Article
  11. Article
  12. The risks of waiting for cardiac catheterization: a prospective study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2002
    Article
  13. Article
  14. Waiting for medical services in Canada: lots of heat, but little light.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2000
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Insider view of rationing down under.BMJ (Clinical research ed.) · 1998
    Article
  20. Rationing and the health authority.BMJ (Clinical research ed.) · 1998
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

D C HadornMinistry of Health, Wellington, New Zealand.
A C Holmes

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Priority criteria developed during a national project were used to conduct an audit of all 662 patients on waiting lists for coronary artery bypass surgery in New Zealand during spring 1996. Based on the observed distribution of priority scores, the cost of providing surgery to all patients down to various levels of priority was estimated. Descriptions incorporating life expectancy and quality of life implications of surgery were developed of the kinds of patients who would or would not receive surgery at each of several possible funding levels. Cardiologists and cardiac surgeons agreed that a threshold of 25 points was a reasonable clinical goal but to work with a threshold of 35, which can be sustained with current levels of funding. All agree that the gap between these clinically preferred and currently afforded thresholds is a subject for wider societal dialogue and decision. The ability to measure the size of the gap between clinical desirability and financial sustainability provides a new transparency to the problem of healthcare resource allocation.

Indexed as

Health PrioritiesWaiting ListsAttitude of Health PersonnelCoronary Artery BypassHealth Care CostsHumansMedical AuditNew ZealandPatient SelectionPilot ProjectsState Medicine

Identifiers

PMID9006478
PMCPMC2125624

What OpenQuestion holds

Textmetadata
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.