Prioritising the cardiac surgery waiting list: the angina patient's perspective. Issue 4 (April 1997)

• Record Type: Journal Article
• Authors: Kee, F.; McDonald, P.; Gaffney, B.
• Is Part Of: Heart. Volume 77:Issue 4(1997)
• Page Start: 330
• Page End: 332
• Publication Date: 1997-04
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.77.4.330
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : OBJECTIVE: To determine patients' views on how clinical and demographic factors should affect priorities for cardiac revascularisation. DESIGN: A descriptive survey of patients' views conducted immediately after angiography and treatment counselling. SUBJECTS: 136 patients who were awaiting coronary angioplasty in either of the two regional cardiology centres in Northern Ireland. RESULTS: About half the subjects (52%) felt that certain social factors such as having dependent relatives should be taken into account when deciding priority for surgery. A sizeable minority felt that younger subjects and non-smokers (40% and 44%, respectively) should be accorded higher priority, with older subjects and smokers being more likely to hold such views. CONCLUSIONS: While there is little evidence that demographic and lifestyle factors affect the relative efficacy of surgery, the challenge remains to devise a prioritisation guideline that can properly reflect societal values and the evidence base.