Kelly K D, Voaklander D, Kramer G, Johnston D W, Redfern L, Suarez-Almazor M E
Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, Univeristy of Melbourne, Shepparton, VIC, Australia.
J Arthroplasty. 2000 Oct;15(7):877-83. doi: 10.1054/arth.2000.9061.
This study was conducted to determine the impact of health status on waiting time for major joint arthroplasty in a universal publicly funded health system. Data were collected prospectively from a cohort of 553 patients waiting for total hip or total knee arthroplasty. The WOMAC and SF-36 health status instruments were administered at the time the patient was placed on the waiting list. The outcome measure was length of waiting time. Multivariate analyses found increased body mass index and decreased social function as the only determinants of waiting time. This model explained only 4% of the variance in waiting time. The association between health status and waiting time for arthroplasties appears to be small. These findings suggest that major joint arthroplasty is not prioritized on the basis of burden of illness.
本研究旨在确定在全民公共资助的卫生系统中，健康状况对主要关节置换手术等待时间的影响。前瞻性收集了553名等待全髋关节或全膝关节置换手术患者的队列数据。在患者被列入等待名单时，使用了WOMAC和SF - 36健康状况评估工具。结果指标为等待时间长度。多变量分析发现，体重指数增加和社会功能下降是等待时间的唯一决定因素。该模型仅解释了等待时间方差的4%。健康状况与关节置换手术等待时间之间的关联似乎很小。这些发现表明，主要关节置换手术并非根据疾病负担来确定优先顺序。
