Wait Times for Mohs Micrographic Surgery in Ottawa, Ontario
Bibliographic record
Abstract
Background: The Ministry of Health and Long-Term Care, in coordination with Cancer Care Ontario, records and analyzes wait times for cancer surgery in the province of Ontario. However, this strategy does not include wait times for skin cancer surgery. Purpose: The wait times and referral patterns of patients undergoing Mohs micrographic surgery at The Ottawa Hospital (TOH) were examined to better assess the adequacy of access to skin cancer treatment in Ontario. Method: The records of 101 Mohs surgeries (96 patients) consecutively performed at TOH between June 14, 2010, and October 19, 2010, were reviewed. The interval between the date the referral for Mohs surgery was first received and the date of surgery was calculated for each case. The specialty of the referring physician and the postal code of each patient treated were also recorded. Results: The average wait time between the date of referral and the date of surgery was 122.6 days or 17.5 weeks (median 124 days, 17.7 weeks). Over 75% of patients waited over 12 weeks (84 days) for cancer surgery. All Mohs surgery patients treated at TOH resided within postal districts in eastern and northern Ontario. Conclusion: The current wait time for Mohs surgery in the Ottawa region is beyond the standard for cancer treatment. Improving access to care and incorporating Mohs surgery into the Ministry of Health and Long-Term Care's Wait Time Strategy might significantly improve this. Renseignements de base: Le ministère de la Santé et des Soins de longue durée, en coordination avec Action Cancer Ontario, enregistre et analyse les délais d'attente pour les chirurgies du cancer dans la province de l'Ontario. Cependant, cette stratégie ne tient pas compte des délais d'attente pour les chirurgies du cancer de la peau. Objectif: Les délais d'attente et les modes d'aiguillage des patients subissant une chirurgie micrographique de Mohs à l'Hôpital d'Ottawa (L'HO) ont été examinés afin de mieux évaluer la pertinence de l'accès au traitement du cancer de la peau en Ontario. Méthode: Les dossiers de 101 cas de chirurgies de Mohs (96 patients) qui ont été effectuées consécutivement à L'HO du 14 juin 2010 au 19 octobre 19 2010 ont été examinés. L'intervalle entre la date à laquelle la recommandation de la chirurgie de Mohs a d'abord été reçue et la date de la chirurgie a été calculé pour chaque cas. La spécialité du médecin orienteur et le code postal de chaque patient traité ont également été enregistrés. Résultats: Le délai d'attente moyen entre la date de recommandation et la date de la chirurgie a été 122,6 jours, soit 17,5 semaines (médiane 124 jours, 17,7 semaines). Plus de 75% des patients ont attendu plus de 12 semaines (84 jours) pour une chirurgie du cancer. Tous les patients qui ont subi une chirurgie de Mohs à L'HO demeuraient dans les districts postaux dans l'est et le nord de l'Ontario. Conclusion: Le délai d'attente actuel pour la chirurgie de Mohs dans la région d'Ottawa est au-delà de la norme pour le traitement du cancer. L'amélioration de l'accès aux soins et l'intégration de la chirurgie de Mohs dans la Stratégie ontarienne de réduction des temps d'attente du ministère de la Santé et des Soins de longue durée pourraient considérablement améliorer cette situation.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".