Evaluating waiting time effect on health outcomes at admission: a prospective randomized study on patients with osteoarthritis of the knee joint

Hirvonen, Johanna; Blom, Marja; Tuominen, Ulla; Seitsalo, Seppo; Lehto, Matti; Paavolainen, Pekka; Hietaniemi, Kalevi; Rissanen, Pekka; Sintonen, Harri

doi:10.1111/j.1365-2753.2006.00745.x

Cited by 22 publications

(23 citation statements)

References 26 publications

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“…Two strands of literature shall be distinguished in the discussion of waiting times and outcomes. The first strand focuses on physical health conditions with most studies in the area of nonurgent surgical procedures such as hip and knee replacement (Braybrooke et al, 2007;Hamilton & Bramley-Harker, 1999;Hamilton, Hamilton, & Mayo, 1996;Hirvonen et al, 2007;Hirvonen et al, 2009;Ho, Hamilton, & Roos, 2000;Nikolova, Harrison, & Sutton, 2016;Quintana et al, 2011;Tuominen et al, 2009Tuominen et al, , 2010, or more urgent surgical procedures such as organ transplantation (Meier-Kriesche et al, 2000;Rauchfuss et al, 2013), and coronary artery bypass surgery (Manji, Jacobsohn, Grocott, & Menkis, 2013;Moscelli, Siciliani, & Tonei, 2016;Sari et al, 2007). Fewer studies investigate the relationship of waiting time with nonsurgical treatments such as rehabilitation (Collins, Suskin, Aggarwal, & Grace, 2015;Pedersen, Bogh, & Lauritsen, 2017), radiotherapy (Gupta, King, Korzeniowski, Wallace, & Mackillop, 2016;Noel et al, 2012;Seidlitz et al, 2015), or HIV treatment (Su et al, 2016).…”

Section: Related Literaturementioning

confidence: 99%

The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England

2018

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Recently, new emphasis was put on reducing waiting times in mental health services as there is an ongoing concern that longer waiting time for treatment leads to poorer health outcomes. However, little is known about delays within the mental health service system and its impact on patients. We explore the impact of waiting times on patient outcomes in the context of early intervention in psychosis (EIP) services in England from April 2012 to March 2015. We use the Mental Health Services Data Set and the routine outcome measure the Health of the Nation Outcome Scale. In a generalised linear regression model, we control for baseline outcomes, previous service use, and treatment intensity to account for possible endogeneity in waiting time. We find that longer waiting time is significantly associated with a deterioration in patient outcomes 12 months after acceptance for treatment for patients that are still in EIP care. Effects are strongest for waiting times longer than 3 months, and effect sizes are small to moderate. Patients with shorter treatment periods are not affected. The results suggest that policies should aim to reduce excessively long waits in order to improve outcomes for patients waiting for treatment for psychosis.

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Section: Related Literaturementioning

confidence: 99%

The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England

2018

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“…One further potential explanation is the outcome measures used to estimate the impact on health. The randomised controlled trials used generic health-related quality-of-life measures (Tuominen, et al, 2010;Hurst, et al, 2000;Hirvonen, et al, 2007) whereas observational studies have used more disease-specific measures of function (Noseworthy, et al, 2005;Hajat, et al, 2002), which may be more sensitive to specific symptoms.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

2015

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Reducing waiting times has been a major focus of the English National Health Service for many years, but little is known about the impact on health outcomes. The collection of data on patient-reported outcome measures for all patients undergoing four large-volume procedures facilitates analysis of the impact of waiting times on patient outcomes. The availability of patient-reported outcome measures before and after surgery allows us to estimate the impact of waiting times on the effectiveness of treatment, controlling for pre-surgery health and the endogeneity of waiting times caused by prioritisation with respect to pre-intervention health. We find that waiting time has a negative and statistically significant impact on the health gain from hip and knee replacement surgery and no impact on the effectiveness of varicose vein and hernia surgery. The magnitude of this effect at patient level is small, 0.1% of the outcome measure range for each additional week of waiting. However, the value of this effect is substantially larger than existing estimates of the disutility experienced during the waiting period. The health losses associated with an additional week of waiting for annual populations of hip and knee replacement patients are worth £11.1m and £11.5m, respectively. Copyright © 2015 John Wiley & Sons, Ltd.

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“…Patients with OA experience increasing pain and progressive loss of physical function, walking, and stair climbing [4–8]. Earlier studies have established that arthritis causes difficulties in participating in daily activities, which in turn affect quality of life [9–12]. Physiotherapy and pharmacological treatment (paracetamol and nonsteroidal anti‐inflammatory drugs) are used to reduce the symptoms, namely joint pain, stiffness, and swelling.…”

Section: Introductionmentioning

confidence: 99%

Is Longer Waiting Time for Total Knee Replacement Associated with Health Outcomes and Medication Costs? Randomized Clinical Trial

Tuominen¹,

Sintonen²,

Hirvonen³

et al. 2010

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Evaluating waiting time effect on health outcomes at admission: a prospective randomized study on patients with osteoarthritis of the knee joint

Abstract: Our study showed that longer WT did not result in worse pre-operative HRQoL.

Cited by 22 publications

References 26 publications

The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England

The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England

The Impact of Waiting Time on Health Gains from Surgery: Evidence from a National Patient‐reported Outcome Dataset

Is Longer Waiting Time for Total Knee Replacement Associated with Health Outcomes and Medication Costs? Randomized Clinical Trial

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