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Commentary

Revisiting the concept of urgency in surgical prioritization and addressing backlogs in elective surgery provision

Kayla Wiebe, Simon Kelley and Roxanne E. Kirsch
CMAJ August 02, 2022 194 (29) E1037-E1039; DOI: https://doi.org/10.1503/cmaj.220420
Kayla Wiebe
Graduate Department of Philosophy (Wiebe), University of Toronto; Clinical Research, Perioperative Services (Wiebe), The Hospital for Sick Children; Division of Orthopedic Surgery (Kelley), The Hospital for Sick Children; Department of Surgery (Kelley), Faculty of Medicine, University of Toronto; Departments of Bioethics and of Critical Care Medicine (Kirsch), The Hospital for Sick Children, Toronto, Ont.
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Simon Kelley
Graduate Department of Philosophy (Wiebe), University of Toronto; Clinical Research, Perioperative Services (Wiebe), The Hospital for Sick Children; Division of Orthopedic Surgery (Kelley), The Hospital for Sick Children; Department of Surgery (Kelley), Faculty of Medicine, University of Toronto; Departments of Bioethics and of Critical Care Medicine (Kirsch), The Hospital for Sick Children, Toronto, Ont.
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Roxanne E. Kirsch
Graduate Department of Philosophy (Wiebe), University of Toronto; Clinical Research, Perioperative Services (Wiebe), The Hospital for Sick Children; Division of Orthopedic Surgery (Kelley), The Hospital for Sick Children; Department of Surgery (Kelley), Faculty of Medicine, University of Toronto; Departments of Bioethics and of Critical Care Medicine (Kirsch), The Hospital for Sick Children, Toronto, Ont.
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  • RE: Surgical backlogs
    Howard Adams [MD , FRCS , ABPS]
    Posted on: 02 August 2022
  • Posted on: (2 August 2022)
    Page navigation anchor for RE: Surgical backlogs
    RE: Surgical backlogs
    • Howard Adams [MD , FRCS , ABPS], Plastic Surgeon, Canadian Society of Plastic Surgeons

    The views expressed in this article by the authors does not reflect the “true “ problems encountered by practicing surgeons . The current system places individual surgeons in an adversarial role , advocating for their patients, against other surgeons for limited access to OR time . Most surgeons are not fully booked in terms of availability, with many hospitals offering only one OR day per week . Government and hospitals, control access to OR time by limiting the availability of anaesthetists and budget restraints. Patients want more timely access to those non- urgent, quality of life procedures offered by surgical subsections. There needs to be an open discussion about free standing ambulatory surgical facilities and moving Canada to a medical care system present in every enviable nation that offers private health care options.

    Competing Interests: None declared.
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Canadian Medical Association Journal: 194 (29)
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Vol. 194, Issue 29
2 Aug 2022
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Revisiting the concept of urgency in surgical prioritization and addressing backlogs in elective surgery provision
Kayla Wiebe, Simon Kelley, Roxanne E. Kirsch
CMAJ Aug 2022, 194 (29) E1037-E1039; DOI: 10.1503/cmaj.220420

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Revisiting the concept of urgency in surgical prioritization and addressing backlogs in elective surgery provision
Kayla Wiebe, Simon Kelley, Roxanne E. Kirsch
CMAJ Aug 2022, 194 (29) E1037-E1039; DOI: 10.1503/cmaj.220420
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