Room 826, Victoria Building, QEII Health Sciences Centre, 1278 Tower Road, Halifax, NS B3H-2Y9, Canada.
J Otolaryngol Head Neck Surg. 2013 Sep 11;42(1):47. doi: 10.1186/1916-0216-42-47.
Our objective is to highlight discrepancies between actual wait times and perceived appropriate wait times for various thyroid pathologies among Otolaryngology-Head and Neck Surgeons in Canada; and to identify specific diagnoses/pathologies where wait times could be improved.
A questionnaire was distributed to all practicing CSO-HNS members. Questions focused on actual wait times for initial consults and surgery within individual practices, in the setting of various thyroid pathologies. Respondents were also asked to state wait times that they felt were appropriate for each scenario. Wilcoxon signed-rank tests were performed to determine statistically significant differences between actual and appropriate wait times.
For most scenarios, the actual wait times were significantly longer than most physicians felt were appropriate; these scenarios included time to initial consult for undiagnosed nodules, time to surgery for confirmed malignancies, and time to completion thyroidectomy for surgically confirmed malignancies.
Wait times for thyroid consults and surgeries in Canada are longer than physicians feel are appropriate. The authors hope that this survey may spur a move towards a national consensus on appropriate wait times for the treatment of thyroid pathology.
我们的目的是强调加拿大耳鼻喉科头颈外科医生在各种甲状腺疾病方面的实际等待时间和感知到的适当等待时间之间的差异；并确定可以改善等待时间的具体诊断/病理。
向所有 CSO-HNS 成员发放了问卷。问题集中在各个实践中各种甲状腺疾病的初始咨询和手术的实际等待时间。受访者还被要求说明他们认为每种情况下适当的等待时间。采用 Wilcoxon 符号秩检验来确定实际等待时间和适当等待时间之间的统计学显著差异。
对于大多数情况，实际等待时间明显长于大多数医生认为的适当时间；这些情况包括未确诊结节的初始咨询时间、确诊恶性肿瘤的手术时间以及已确诊恶性肿瘤的甲状腺切除术完成时间。
加拿大甲状腺咨询和手术的等待时间长于医生认为的适当时间。作者希望这项调查可以促使人们就甲状腺病理治疗的适当等待时间达成全国共识。
