PMID: 9524913Apr 3, 1998Paper

In the queue for total joint replacement: patients' perspectives on waiting times. Ontario Hip and Knee Replacement Project Team

Journal of Evaluation in Clinical Practice
H A Llewellyn-ThomasC D Naylor

Abstract

We assessed patients on the waiting lists of a purposive sample of orthopaedic surgeons in Ontario, Canada, to determine patients' attitudes towards time waiting for hip or knee replacement. We focused on 148 patients who did not have a definite operative date, obtaining complete information on 124 (84%). Symptom severity was assessed with the Western Ontario/McMaster Osteoarthritis Index and a disease-specific standard gamble was used to elicit patients' overall utility for their arthritic state. Next, in a trade-off task, patients considered a hypothetical choice between a 1-month wait for a surgeon who could provide a 2% risk of post-operative mortality, or a 6-month wait for joint replacement with a 1% risk of post-operative mortality. Waiting times were then shifted systematically until the patient abandoned his/her initial choice, generating a conditional maximal acceptable wait time. Patients were divided in their attitudes, with 57% initially choosing a 6-month wait with a 1% mortality risk. The overall distribution of conditional maximum acceptable wait time scores ranged from 1 to 26 months, with a median of 7 months. Utility values were independently but weakly associated with patients' tolerance of waiting times (ad...Continue Reading

Citations

May 3, 2013·Applied Health Economics and Health Policy·A Brett HauberF Reed Johnson
Nov 15, 2003·Journal of Clinical Epidemiology·Chris BlanchardSusan Webster-Bogaert
Nov 1, 2007·Healthcare Policy = Politiques De Santé·Barbara L Conner-SpadyUNKNOWN Saskatchewan Surgical Care Network/Western Canada Waiting List Project Research and Evaluation Working Group Committee
May 24, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Joseph Schaafsma
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Mar 11, 2021·Journal of Medical Ethics·Jonathan Anthony Michaels

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