dc.contributor.author | Sheehan, KJ | |
dc.contributor.author | Sobolev, B | |
dc.contributor.author | Guy, P | |
dc.contributor.author | Kim, JD | |
dc.contributor.author | Kuramoto, L | |
dc.contributor.author | Beaupre, L | |
dc.contributor.author | Levy, AR | |
dc.contributor.author | Morin, SN | |
dc.contributor.author | Sutherland, JM | |
dc.contributor.author | Harvey, EJ | |
dc.contributor.author | Canadian Collaborative Study on Hip Fractures | |
dc.date.accessioned | 2024-04-17T07:46:07Z | |
dc.date.available | 2020-10-01 | |
dc.date.available | 2024-04-17T07:46:07Z | |
dc.date.issued | 2020-10-10 | |
dc.identifier.citation | heehan, K.J., Sobolev, B., Guy, P. et al. Variation in surgical demand and time to hip fracture repair: a Canadian database study. BMC Health Serv Res 20, 935 (2020). https://doi.org/10.1186/s12913-020-05791-5 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/96178 | |
dc.description.abstract | BACKGROUND: Competing demands for operative resources may affect time to hip fracture surgery. We sought to determine the time to hip fracture surgery by variation in demand in Canadian hospitals. METHODS: We obtained discharge abstracts of 151,952 patients aged 65 years or older who underwent surgery for a hip fracture between January, 2004 and December, 2012 in nine Canadian provinces. We compared median time to surgery (in days) when demand could be met within a two-day benchmark and when demand required more days, i.e. clearance time, to provide surgery, overall and stratified by presence of medical reasons for delay. RESULTS: For persons admitted when demand corresponded to a 2-day clearance time, 68% of patients underwent surgery within the 2-day benchmark. When demand corresponded to a clearance time of one week, 51% of patients underwent surgery within 2 days. Compared to demand that could be served within the two-day benchmark, adjusted median time to surgery was 5.1% (95% confidence interval [CI] 4.1-6.1), 12.2% (95% CI 10.3-14.2), and 22.0% (95% CI 17.7-26.2) longer, when demand required 4, 6, and 7 or more days to clear the backlog, respectively. After adjustment, delays in median time to surgery were similar for those with and without medical reasons for delay. CONCLUSION: Increases in demand for operative resources were associated with dose-response increases in the time needed for half of hip fracture patients to undergo surgery. Such delays may be mitigated through better anticipation of day-to-day supply and demand and increased response capability. | en_US |
dc.format.extent | 935 - ? | |
dc.language | eng | |
dc.publisher | BMC | en_US |
dc.relation.ispartof | BMC Health Serv Res | |
dc.rights | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | |
dc.subject | Demand | en_US |
dc.subject | Hip fracture | en_US |
dc.subject | Surgical delay | en_US |
dc.subject | Time to surgery | en_US |
dc.subject | Variation | en_US |
dc.subject | Aged | en_US |
dc.subject | Aged, 80 and over | en_US |
dc.subject | Benchmarking | en_US |
dc.subject | Canada | en_US |
dc.subject | Databases, Factual | en_US |
dc.subject | Female | en_US |
dc.subject | Hip Fractures | en_US |
dc.subject | Hospitalization | en_US |
dc.subject | Humans | en_US |
dc.subject | Male | en_US |
dc.subject | Patient Discharge | en_US |
dc.subject | Surgical Procedures, Operative | en_US |
dc.subject | Time-to-Treatment | en_US |
dc.title | Variation in surgical demand and time to hip fracture repair: a Canadian database study. | en_US |
dc.type | Article | en_US |
dc.rights.holder | © The Author(s). | |
dc.identifier.doi | 10.1186/s12913-020-05791-5 | |
pubs.author-url | https://www.ncbi.nlm.nih.gov/pubmed/33036609 | en_US |
pubs.issue | 1 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published online | en_US |
pubs.volume | 20 | en_US |
dcterms.dateAccepted | 2020-10-01 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |