Prioritisation of patients on waiting lists for hip and knee arthroplasties and cataract surgery: Instruments validation.

Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Arthroplasty, Replacement, Hip* ; Arthroplasty, Replacement, Knee* ; Cataract Extraction* ; Health Care Rationing*/methods ; Waiting Lists*; Process Assessment, Health Care/*classification; Aged ; Aged, 80 and over ; Female ; Health Care Surveys ; Humans ; Male ; Middle Aged ; Ophthalmology ; Orthopedics ; Patient Selection ; Process Assessment, Health Care/standards ; Quality of Life ; Reproducibility of Results ; Socioeconomic Factors ; Spain

Background: Prioritisation instruments were developed for patients on waiting list for hip and knee arthroplasties (AI) and cataract surgery (CI). The aim of the study was to assess their convergent and discriminant validity and inter-observer reliability.
Methods: Multicentre validation study which included orthopaedic surgeons and ophthalmologists from 10 hospitals. Participating doctors were asked to include all eligible patients placed in the waiting list for the procedures under study during the medical visit. Doctors assessed patients' priority through a visual analogue scale (VAS) and administered the prioritisation instrument. Information on socio-demographic data and health-related quality of life (HRQOL) (HUI3, EQ-5D, WOMAC and VF-14) was obtained through a telephone interview with patients. The correlation coefficients between the prioritisation instrument score and VAS and HRQOL were calculated. For the reliability study a self-administered questionnaire, which included hypothetic patients' scenarios, was sent via postal mail to the doctors. The priority of these scenarios was assessed through the prioritisation instrument. The intraclass correlation coefficient (ICC) between doctors was calculated.
Results: Correlations with VAS were strong for the AI (0.64, CI95%: 0.59-0.68) and for the CI (0.65, CI95%: 0.62-0.69), and moderate between the WOMAC and the AI (0.39, CI95%: 0.33-0.45) and the VF-14 and the CI (0.38, IC95%: 0.33-0.43). The results of the discriminant analysis were in general as expected. Inter-observer reliability was 0.79 (CI95%: 0.64-0.94) for the AI, and 0.79 (CI95%: 0.63-0.95) for the CI.
Conclusion: The results show acceptable validity and reliability of the prioritisation instruments in establishing priority for surgery.

CMAJ. 2002 Nov 12;167(10):1115-21. (PMID: 12427702)
Med Decis Making. 2008 Jul-Aug;28(4):554-66. (PMID: 18364455)
Health Policy. 2002 Dec;62(3):329-41. (PMID: 12385854)
Int J Qual Health Care. 1999 Feb;11(1):47-57. (PMID: 10411289)
Can J Surg. 2003 Aug;46(4):290-6. (PMID: 12930107)
Can J Surg. 2002 Aug;45(4):269-76. (PMID: 12174981)
Gac Sanit. 2006 Sep-Oct;20(5):342-51. (PMID: 17040642)
Int J Technol Assess Health Care. 2003 Winter;19(1):91-105. (PMID: 12701942)
BMJ. 2000 Jun 3;320(7248):1530-3. (PMID: 10834905)
J Eval Clin Pract. 2007 Jun;13(3):429-34. (PMID: 17518810)
BMC Health Serv Res. 2006 Mar 02;6:24. (PMID: 16512893)
Ophthalmic Epidemiol. 2005 Apr;12(2):81-90. (PMID: 16019691)
J Eval Clin Pract. 2004 Feb;10(1):3-9. (PMID: 14731146)
J Health Serv Res Policy. 2002 Jul;7 Suppl 1:S14-22. (PMID: 12175430)
ANZ J Surg. 2003 Aug;73(8):633-42. (PMID: 12887536)
Soc Sci Med. 2007 May;64(9):1863-75. (PMID: 17324491)
Int J Technol Assess Health Care. 2004 Fall;20(4):509-15. (PMID: 15609803)
Qual Life Res. 2002 May;11(3):193-205. (PMID: 12074258)
J Eval Clin Pract. 1997 Feb;3(1):59-68. (PMID: 9238608)
J Health Serv Res Policy. 2000 Apr;5(2):83-8. (PMID: 10947552)
Ann R Coll Surg Engl. 2000 Jun;82(6 Suppl):186-8. (PMID: 10911758)
N Z Med J. 2005 May 20;118(1215):U1463. (PMID: 15915186)
Med Clin (Barc). 2003 Feb 1;120(3):89-96. (PMID: 12605729)
ANZ J Surg. 2005 Jul;75(7):587-92. (PMID: 15972053)
BMJ. 1997 Jan 11;314(7074):131-4. (PMID: 9006477)
J Eval Clin Pract. 2003 Feb;9(1):23-31. (PMID: 12558699)
Ophthalmology. 1997 May;104(5):799-807. (PMID: 9160026)
Hosp Q. 2002 Spring;5(3):28-32. (PMID: 12055863)
Med Clin (Barc). 1999;112 Suppl 1:79-85. (PMID: 10618804)

Investigator: T Hermosilla; R López; F Pradas; JM Abad; J Moliner; A Arévalo; A Narváez; F Aguiar; J Trujillo; V De la Varga; E Perea Milla; J Modrego; JA Molina; M Zazo; E Albalat; F Faus; J Barrio; A Cardona; A Danet; E Aguayo; E Delgado; M García; J Martínez; JD Martínez; JM Palomares; N Godoy; S Medialdea; E Bernal; P Serrano Aguilar; P Juez; F Vilurbina; M Pons; R Viladot; A Pasarín; JM Valls; Ballesta E; J García-Arumí; E Cáceres; X Castells; M Castilla; M Marín; C Mestres; F Montserrat; J Tuñí

Date Created: 20080410 Date Completed: 20080516 Latest Revision: 20211020

20240628

PMC2373288

10.1186/1472-6963-8-76

18397519