2/3 Canadians Do Not Receive Timely Surgery for Hip Fractures

MedicalResearch.com Interview with:

Daniel Pincus MD Department of Surgery Institute for Clinical Evaluative Sciences University of Toronto

Dr. Pincus

Daniel Pincus MD
Department of Surgery
Institute for Clinical Evaluative Sciences
University of Toronto

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: We chose to look at hip fractures because is the most common reason for urgent surgery complications have be tied to wait times (and in particular wait times greater than 24 hours).

MedicalResearch.com: What are the main findings?

Response: The main findings are that  2/3rds of patients do not receive surgery within the recommended time window (24 hours) and that whether they receive surgery mostly depends on which hospital they are taken to. 

MedicalResearch.com: What should readers take away from your report? What recommendations do you have for future research as a result of this work?

Response: More operating room resources are needed and physician / hospital cultural practices need to change (for example, avoiding unnecessary preoperative tests). 

Citation:

Reporting and evaluating wait times for urgent surgery for hip fracture in Ontario, Canada Daniel Pincus MD, David Wasserstein MD MPH, Bheeshma Ravi MD PhD, James P. Byrne MD, Anjie Huang MSc, J. Michael Paterson MSc, Avery B. Nathens MD PhD, Hans J. Kreder MD MPH, Richard Jenkinson MD MSc, Walter P. Wodchis PhD n Cite as: CMAJ 2018 June 11;190:E702-9. doi: 10.1503/cmaj.170830

 

 

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