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|Title: ||A population-based study of ambulatory and surgical services provided by orthopaedic surgeons for musculoskeletal conditions|
|Authors: ||Canizares, M|
|Issue Date: ||31-Mar-2009|
|Publisher: ||BMC Health Services Research|
|Citation: ||BMC Health Services Research, 2009; 9:56|
|Abstract: ||Background: The ongoing process of population aging is associated with an increase in prevalence of
musculoskeletal conditions with a concomitant increase in the demand of orthopaedic services. Shortages
of orthopaedic services have been documented in Canada and elsewhere. This population-based study
describes the number of patients seen by orthopaedic surgeons in office and hospital settings to set the
scene for the development of strategies that could maximize the availability of orthopaedic resources.
Methods: Administrative data from the Ontario Health Insurance Plan and Canadian Institute for Health
Information hospital separation databases for the 2005/06 fiscal year were used to identify individuals
accessing orthopaedic services in Ontario, Canada. The number of patients with encounters with
orthopaedic surgeons, the number of encounters and the number of surgeries carried out by orthopaedic
surgeons were estimated according to condition groups, service location, patient's age and sex.
Results: In 2005/06, over 520,000 Ontarians (41 per 1,000 population) had over 1.3 million encounters
with orthopaedic surgeons. Of those 86% were ambulatory encounters and 14% were in hospital
encounters. The majority of ambulatory encounters were for an injury or related condition (44%) followed
by arthritis and related conditions (37%). Osteoarthritis accounted for 16% of all ambulatory encounters.
Orthopaedic surgeons carried out over 140,000 surgeries in 2005/06: joint replacement accounted for
25% of all orthopaedic surgeries, whereas closed repair accounted for 16% and reductions accounted for
21%. Half of the orthopaedic surgeries were for arthritis and related conditions.
Conclusion: The large volume of ambulatory care points to the significant contribution of orthopaedic
surgeons to the medical management of chronic musculoskeletal conditions including arthritis and injuries.
The findings highlight that surgery is only one component of the work of orthopaedic surgeons in the
management of these conditions. Policy makers and orthopaedic surgeons need to be creative in
developing strategies to accommodate the growing workload of orthopaedic surgeons without sacrificing
quality of care of patients with musculoskeletal conditions.|
|Appears in Collections:||UofT Faculty publications|
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