Consequences of the Prolonged Waiting Time for Patients Candidates for Heart Surgery

Haddad, Nagib; Bittar, Olímpio J. Nogueira V.; Pereira, Ana Augusta Maria; Silva, Maria Barbosa da; Amato, Vivian Lener; Farsky, Pedro Sílvio; Ramos, Ana; Sampaio, Marcelo Hamilton; Almeida, Tarcisio; Armaganijan, Dikran; Sousa, J. Eduardo

doi:10.1590/s0066-782x2002000500003

Cited by 15 publications

(8 citation statements)

References 6 publications

(6 reference statements)

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“…[75] In Brazil, the mean waiting time for coronary artery bypass graft surgery was 23 months with a 6% annual mortality rate on the waiting list; for heart valve surgery, the wait time was reported at 32 months with a 13% annual mortality. [76] Surgical missions funded by international charities cannot meet the overwhelming demand in LMICs for those with surgical CVD, and are also not sustainable long-term solutions. Instead, building local capacity (physical, technical, and human) is critically important.…”

Section: Access To Imaging and Clinical Services In Low- And Middle-imentioning

confidence: 99%

Bioimaging and Subclinical Cardiovascular Disease in Low- and Middle-Income Countries

Vedanthan

Choi

Baber

et al. 2014

J. of Cardiovasc. Trans. Res.

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Cardiovascular disease (CVD) is the leading cause of mortality worldwide and also exerts a significant economic burden, especially in low- and middle-income countries (LMICs). Detection of subclinical CVD, before an individual experiences a major event, may therefore offer the potential to prevent or delay morbidity and mortality, if combined with an appropriate care response. In this review, we discuss imaging technologies that can be used to detect subclinical atherosclerotic CVD (carotid ultrasound, coronary artery calcification) and non-atherosclerotic CVD (echocardiography). We review these imaging modalities, including aspects such as rationale, relevance, feasibility, utilization, and access in LMICs. The potential gains in detecting subclinical CVD may be substantial in LMICs, if earlier detection leads to earlier engagement with the health care system to prevent or delay cardiac events, morbidity, and premature mortality. Thus, dedicated studies examining the feasibility, utility, and cost-effectiveness of detecting subclinical CVD in LMICs are warranted.

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Section: Access To Imaging and Clinical Services In Low- And Middle-imentioning

confidence: 99%

Bioimaging and Subclinical Cardiovascular Disease in Low- and Middle-Income Countries

Vedanthan

Choi

Baber

et al. 2014

J. of Cardiovasc. Trans. Res.

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“…A study conducted in São Paulo evaluated the consequences of prolonged waiting among cardiac surgery candidates. [ 6 ] Waiting was associated with anxiety, continued loss of organic function, and difficulties in family, professional, and social relationships. Additionally, the sample exhibited a decrease in the initial desire to perform surgery and an increase in the perception of uselessness of the procedure.…”

Section: Introductionmentioning

confidence: 99%

Pent-up demand for surgery in the Manaus metropolitan region

Ferreira

Galvão²,

Silva³

2017

Medicine

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Waiting lines in healthcare reflect an imbalance between the availability and the demand for medical services. This study aimed to analyze the prevalence and factors associated with the pent-up demand for surgical procedures in the Manaus metropolitan region.We performed a population-based cross-sectional study in 2015. Pent-up demand was based on self-report by the participants; those who reported waiting were contacted by phone to clarify the nature and reasons for the experienced delay.We interviewed 4001 adults in their households. The pent-up demand for surgical procedures in the Manaus metropolitan region was 14% (95% confidence interval: 13-15%). The surgical specialties with the highest demand included orthopedics (18.1%), gynecology (17.0%), ophthalmology (12.4%), neurosurgery (10.8%), and general surgery (10.2%). The main reason for not accessing services was their lack of availability in the public health system, leading some patients to pay for procedures in private facilities. The populations most affected by pent-up demand included elderly individuals, women, and housewives.Pent-up demand for surgical procedures is a common problem in the Manaus metropolitan region and thus requires coordinated actions to optimize access to and capacity of the healthcare system.

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“…Waiting times for patient treatment continue to present challenges for clinicians and decision makers in a variety of health care systems. There are a number of publications in the medical literature describing morbidity and mortality associated with waiting for coronary angiography/angioplasty and cardiac surgery . These data have supported strategies to reduce waiting times and efforts to prioritize patients according to clinical urgency.…”

Section: Introductionmentioning

confidence: 99%

“…There are a number of publications in the medical literature describing morbidity and mortality associated with waiting for coronary angiography/angioplasty [1][2][3] surgery. [4][5][6][7][8][9][10] These data have supported strategies to reduce waiting times and efforts to prioritize patients according to clinical urgency.…”

Section: Introductionmentioning

confidence: 99%

Adverse Psychological Effects and Costs Associated with Waiting for Radiofrequency Ablation

Barclay

Gibson

Lewis

et al. 2013

Pacing Clinical Electrophis

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Consequences of the Prolonged Waiting Time for Patients Candidates for Heart Surgery

Abstract: Mortality was high, and even higher among the patients with valvular heart diseases, with negative psychological and social repercussions.

Cited by 15 publications

References 6 publications

Bioimaging and Subclinical Cardiovascular Disease in Low- and Middle-Income Countries

Bioimaging and Subclinical Cardiovascular Disease in Low- and Middle-Income Countries

Pent-up demand for surgery in the Manaus metropolitan region

Adverse Psychological Effects and Costs Associated with Waiting for Radiofrequency Ablation

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