Impact of wait time on outcome for inguinal hernia repair in infants

Chen, Li Ern; Zamakhshary, Mohammed; Foglia, Robert P.; Coplen, D.E.; Langer, Jacob C.

doi:10.1007/s00383-008-2306-6

Cited by 36 publications

(26 citation statements)

References 9 publications

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“…Chen et al [9], comparing the impact of wait times for inguinal hernia repair in infants at a Canadian and an American hospital, noted much higher rates of incarceration as an index presentation in the Canadian hospital. The authors of this report surmised that these higher rates were the result of longer wait times to see a specialist because "no inherent physiologic difference" between these 2 groups of infants could be identified.…”

Section: Discussionmentioning

confidence: 98%

Incarceration rates in pediatric inguinal hernia: do not trust the coding

Gholoum

Baird

Laberge

et al. 2010

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 98%

Incarceration rates in pediatric inguinal hernia: do not trust the coding

Gholoum

Baird

Laberge

et al. 2010

Journal of Pediatric Surgery

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“…[9] Studies have shown that the risk of developing incarceration can be reduced by prompt referral as well as reduced waiting time between diagnosis of hernia and surgery. [4,5,7,10,11] A study by Zamakhshary found that waiting for surgery for more than 14 days doubled the risk of incarceration and recommended that inguinal hernias in infants and young children be repaired within 14 days of diagnosis. [7] This is not obtainable in our setting with large Patient-Doctor ratio and few operating theatre spaces causing long waiting lists.…”

Section: Discussionmentioning

confidence: 98%

Complicated childhood inguinal hernias in UITH, Ilorin

Bamigbola¹,

Nasir²,

Abdur-Rahman³

et al. 2012

Afr J Paediatr Surg

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“…11 These wait times increase the risk of children needing additional surgical procedures. 12,13 Furthermore, prompt access to surgical care can decrease rates of serious adverse outcomes 14 and prevent unnecessary emergency department visits. 14 Delays in surgical care may put the child at greater risk.…”

mentioning

confidence: 99%

“…12,13 Furthermore, prompt access to surgical care can decrease rates of serious adverse outcomes 14 and prevent unnecessary emergency department visits. 14 Delays in surgical care may put the child at greater risk. The sequelae of these delays can also have profound social and psychosocial effects on these children, especially at key stages of development, while placing immense pressure on families.…”

mentioning

confidence: 99%

Socioeconomic Status and Wait Times for Pediatric Surgery in Canada

Szynkaruk¹,

Stephens

Borschel

et al. 2014

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Socioeconomic status (SES) often influences timeliness of health care delivery, even in publicly funded systems. Children need prompt surgical care for a variety of time-sensitive developmental conditions, and children of lower SES may be especially vulnerable to delays in surgery. WHAT THIS STUDY ADDS:It is unknown whether a publicly funded system' s ability to provide timely pediatric surgical care is related to SES. In 39 327 consecutive surgical cases, we demonstrate that SES need not influence timeliness of surgical care in a publicly funded system. abstract OBJECTIVES: Even in a publicly funded health care system, access to care may be related to socioeconomic status (SES). For children, delays in surgical procedures can have profound functional, social, and psychological effects with lifelong impact. The purpose of this study was to determine whether SES was related to meeting surgical wait time access targets for children. We also assessed the effects of gender, age, and distance to hospital on meeting access targets. METHODS:Patient addresses, referral wait times, and surgical wait times were obtained for 39 287 surgical procedures between 2005 and 2011 at the Hospital for Sick Children. Using census data, we derived household income quintile, distance to hospital, and indices of social and material deprivation. These indices were correlated with the percentage of children meeting clinic referral wait time targets and receiving surgery within the Pediatric Canadian Access Targets for Surgery.RESULTS: Across all SES quintiles, 33% of children exceeded their referral wait time targets, and 28% of children exceeded their surgical wait time targets. Indices of material or social deprivation and age did not correlate with the time from referral to clinic consultation (P = .54, .40, and .58, respectively). Gender was statistically significant (P , .001), but the difference was small (odds ratio = 0.87 for girls). Distance was also statistically significant (P = .005), and these differences translate into clinically meaningful differences in meeting wait time targets. Regarding completion of surgical procedures, material deprivation, distance, and gender did not correlate with longer wait times for surgery (P = .44, .09, .59, respectively). Social deprivation was statistically significant (P = .02) but not clinically significant. Increasing patient age was significantly associated with increased proportion of out-of-window wait times (P , .001). SES did not affect the timeliness of completion of surgery even when the urgency of the surgery (priority level based on diagnosis) was considered.CONCLUSIONS: SES does not predict the timeliness of delivery for pediatric surgical services. Pediatrics 2014;134:e504-e511

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Impact of wait time on outcome for inguinal hernia repair in infants

Cited by 36 publications

References 9 publications

Incarceration rates in pediatric inguinal hernia: do not trust the coding

Incarceration rates in pediatric inguinal hernia: do not trust the coding

Complicated childhood inguinal hernias in UITH, Ilorin

Socioeconomic Status and Wait Times for Pediatric Surgery in Canada

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