Canadian journal of surgery. Journal canadien de chirurgie
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Health Canada states that waiting list information and management systems in Canada are woefully inadequate, especially for elective surgical procedures. Understanding the reasons for waiting is paramount to achieving fairness and equity. The objective of this study was to examine the impact of demographic and clinical factors and surgeon volume on waiting times for laparoscopic cholecystectomy (LC). ⋯ There is significant variability in specific waiting times for LC, which appears to be associated with surgeon volume. Better prioritization of patients undergoing nonemergent LC is required to improve patient care.
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There are limited data on hardware removal after femoral fracture healing. We determined the incidence of intramedullary nail (IMN) removal after midshaft femoral fractures. We also studied demographic factors influencing IMN removal. ⋯ All hardware was removed for pain or irritation. These results suggest that litigants require hardware removal more often than nonlitigants. A larger study is needed to identify specific criteria for hardware removal and to determine whether secondary gains affect the incidence of femoral removal.