Prioritising the cardiac surgery waiting list: the angina patient's perspective

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 awaitin...

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Bibliographic Details
Published in:Heart (British Cardiac Society) 1997-04, Vol.77 (4), p.330-332
Main Authors: Kee, F., McDonald, P., Gaffney, B.
Format: Article
Language:English
Subjects:
Age Factors
Angina Pectoris - psychology
Angina Pectoris - therapy
Angioplasty, Balloon, Coronary
Attitude
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Northern Ireland
Patient Selection
Smoking
Waiting Lists
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Summary: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.
ISSN:1355-6037
1468-201X
DOI:10.1136/hrt.77.4.330