Monday, December 15, 2008
The Cochrane Collaboration (International Consumer video)
The Cochrane Collaboration:
"A nine-minute video featuring members of the Cochrane Consumer Network describing how they work together and contribute to improve health care in communities around the world."
Cancer Surgery in Ontario, Chapter 7, Surgery for Ovarian Cancer
Cancer Surgery in Ontario, Chapter 7, Surgery for Ovarian Cancer.pdf (application/pdf Object)
Key Findings:
• Nearly three quarters (73 percent) of women
diagnosed with ovarian cancer in 2003/04 received
surgery within a year of diagnosis.
• Almost all procedures (96 percent) were done in an
inpatient hospital setting.
• Some Local Health Integration Networks (LHINs)
appeared to serve as referral centres for women with
ovarian cancer. For example, 223 surgical procedures
for the disease were done in facilities located in the
Toronto Central LHIN during the study period.
However, only 56 of these (25 percent) were for
patients who resided in the Toronto Central LHIN at
the time they were diagnosed.
• The most common surgical procedure performed
on women with ovarian cancer was unilateral or
bilateral salpingo-oophorectomy (USO/BSO) with
omentectomy; this was undergone by 58 percent
of women in the study cohort. Other procedures
included USO/BSO alone (27 percent) and USO/BSO
with pelvic or para-aortic lymph node excision
(8.1 percent). (blogger's comment: not standard of care)
• While gynecologic oncologists comprised just 6.5
percent of surgeons who performed surgery for
ovarian cancer in Ontario during the study period,
these sub-specialists did 49 percent of all procedures.
• Six out of 10 surgeries for ovarian cancer (60 percent)
were done in academic (teaching) hospitals.
Cancer surgery in Ontario
Cancer surgery in Ontario
Cancer surgery in Ontario
 | Urbach D, Simunovic M, Schultz S. December 2008
This atlas gives Ontario health service providers, policy makers, and the public new information on patterns of surgical care for Ontarians with cancer including regional distribution of services, types of providers and their scope of practice. This research was undertaken to support ongoing improvements in quality and accessibility of care for Ontarians being treated for cancer with a special focus on cancer related surgery. See Backgrounder, See Media Advisory
Hard copies of the Atlas will be available on Tuesday, December 2, 2008. |
Overview [2.62 MB PDF]
Chapter 1: Introduction [2.38 MB PDF]
Chapter 2: Surgery for Breast Cancer [3.79 MB PDF]
Chapter 3: Surgery for Prostate Cancer [3.25 MB PDF]
Chapter 4: Surgery for Colorectal Cancer [4.22 MB PDF]
Chapter 5: Surgery for Lung Cancer [3.45 MB PDF]
Chapter 6: Surgery for Uterine Cancer [3.03 MB PDF]
Chapter 7: Surgery for Ovarian Cancer [3.00 MB PDF]
Chapter 8: Surgery for Cervical Cancer [3.79 MB PDF]
Chapter 9: Surgery for Vulvar Cancer [2.37 MB PDF]
Chapter 10: Reflections and Recommendations [2.05 MB PDF]
Technical Appendix (abbreviated version) [2.38 MB PDF]
2008 Office of the Auditor General of Ontario report
ar_en08.pdf (application/pdf Object)
Wait times reported on the Ministry’s website
combined in-patient and out-patient wait
times, even though in-patients generally
received their scan within a day. At one hospital,
for example, the Ministry-reported wait
time for a CT was 13 days, but out-patients
actually waited about 30 days.
Elsewhere:
"....Wait times (MRI) are from five to six months...."
Central East LHIN report (2008)
http://www.centraleastlhin.on.ca/uploadedFiles/Home_Page/Board_of_Directors/Board_Meeting_Submenu/CEO_Report(1).pdf
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