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Table 1 Hazard Ratio for Mortality Within Two Years of Listing According-Patient Characteristics

From: Prolonged wait time is associated with increased mortality for Chilean waiting list patients with non-prioritized conditions

 

Overallb N = 987,497

Atacamaa N = 264,756

Valparaiso-San Antonioa N = 457,928

Osornoa N = 264,813

N (%)

HR (95% CI)

N (%)

HR (95% CI)

N (%)

HR (95% CI)

N (%)

HR (95% CI)

2-Year Mortality Rate

33,546 (3.40)

 

7334 (2.77)

 

18,408 (4.02)

 

7804 (2.95)

 

Age (15–45 comparator)

 0–3

68,028 (7)

0.76 (0.69–0.84)c

18,405 (7)

0.77 (0.6–0.99)e

34,224 (7)

0.78 (0.69–0.87)c

15,399 (6)

0.31 (0.21–0.45)c

 4–7

53,865 (5)

0.16 (0.12–0.2)c

14,893 (6)

0.21 (0.13–0.34)c

24,158 (5)

0.15 (0.11–0.21)c

14,814 (6)

0.09 (0.04–0.19)c

 8–11

43,053 (4)

0.1 (0.07–0.14)c

12,793 (5)

0.08 (0.04–0.19)c

19,580 (4)

0.11 (0.07–0.16)c

10,680 (4)

0.05 (0.02–0.16)c

 12–14

35,723 (4)

0.18 (0.14–0.24)c

10,178 (4)

0.22 (0.12–0.39)c

16,895 (4)

0.16 (0.11–0.23)c

8650 (3)

0.17 (0.09–0.35)c

 15–45

293,892 (30)

 

84,265 (32)

 

125,589 (27)

 

84,038 (32)

 

 46–55

146,814 (15)

2.88 (2.72–3.05)c

39,404 (15)

2.94 (2.59–3.34)c

66,267 (14)

2.79 (2.58–3.01)c

41,143 (16)

2.93 (2.6–3.31)c

 56–65

139,099 (14)

5.47 (5.19–5.76)c

35,391 (13)

6.49 (5.8–7.27)c

67,223 (15)

4.88 (4.55–5.24)c

36,485 (14)

5.77 (5.17–6.43)c

 66–75

122,319 (12)

9.11 (8.66–9.57)c

29,264 (11)

12.22 (10.96–13.61)c

61,731 (13)

7.58 (7.08–8.1)c

31,324 (12)

10.15 (9.14–11.26)c

 76–85

70,835 (7)

16.11 (15.32–16.94)c

17,130 (6)

20.14 (18.06–22.46)c

35,495 (8)

13.63 (12.74–14.59)c

18,210 (7)

18.13 (16.34–20.12)c

 85+

13,869 (1)

31.77 (30.01–33.63)c

3033 (1)

43.11 (38.1–48.79)c

6766 (1)

27.18 (25.15–29.37)c

4070 (2)

32.16 (28.63–36.12)c

Sex (Female comparator)

 Female

613,499 (62)

 

166,045 (63)

 

282,601 (62)

 

164,853 (62)

 

 Male

373,998 (38)

1.65 (1.61–1.69)c

98,711 (37)

1.75 (1.67–1.84)c

175,327 (38)

1.66 (1.61–1.71)c

99,960 (38)

1.51 (1.44–1.58)c

Residence (Other comparator)

 Rural

20,271 (2)

 

16,267 (6)

 

1854 (< 1)

 

2150 (1)

 

 Other

320,563 (32)

1.72 (1.56–1.89)c

36,555 (14)

1.98 (1.77–2.23)c

36,258 (8)

1.5 (1.21–1.84)c

247,750 (94)

1.44 (0.91–2.26)

 Urban

646,663 (65)

1.19 (1.09–1.31)c

211,934 (80)

1.13 (1.02–1.26)e

419,816 (92)

1.2 (0.98–1.47)

14,913 (6)

0.85 (0.52–1.39)

Health Service (Atacama comparator)

 Atacama

264,756 (27)

Std Dev = 0.02

 

Not applicable

 

Not Applicable

 

Not Applicable

 Osorno

457,928 (46)

   

 Valparaiso-San Antonio

264,813 (27)

   

Health Insurance (Public comparator)

 Public

979,666 (99)

 

263,420 (99)

 

453,985 (99)

 

262,261 (99)

 

 Other (Private, Military)

7831 (1)

0.85 (0.73–0.99)e

1336 (1)

0.75 (0.5–1.12)

3943 (1)

0.73 (0.58–0.92)d

2552 (1)

1.15 (0.91–1.47)

Specialty (Internal Medicine comparator)

 Internal Medicine

46,767 (5)

 

19,054 (7)

 

20,829 (5)

 

6884 (3)

 

 Adult Surgery

71,148 (7)

0.67 (0.64–0.7)c

16,667 (6)

0.91 (0.83–1)e

37,534 (8)

0.55 (0.52–0.58)c

16,947 (6)

0.74 (0.66–0.82)c

 Anesthesiology

3978 (< 1)

0.38 (0.33–0.44)c

0 (< 1)

Not applicable

3365 (1)

0.34 (0.29–0.39)c

613 (< 1)

0.28 (0.17–0.47)c

 Breast Surgery

1478 (< 1)

0.55 (0.39–0.77)c

0 (< 1)

Not applicable

1478 (< 1)

0.52 (0.37–0.73)c

0 (< 1)

Not applicable

 Pulmonary

17,427 (2)

1.17 (1.1–1.24)c

3028 (1)

2.05 (1.8–2.32)c

9222 (2)

1.02 (0.94–1.1)

5177 (2)

0.96 (0.84–1.09)

 Cardiology

31,480 (3)

0.66 (0.63–0.7)c

6473 (2)

0.87 (0.77–0.98)e

16,583 (4)

0.6 (0.56–0.64)c

8424 (3)

0.59 (0.53–0.67)c

 Cardiovascular Surgery

15,197 (2)

0.63 (0.58–0.68)c

2453 (1)

1.05 (0.88–1.24)

5687 (1)

0.56 (0.51–0.62)c

7057 (3)

0.51 (0.44–0.58)c

 Dentistry

128,505 (13)

0.33 (0.31–0.36)c

17,538 (7)

0.5 (0.43–0.57)c

74,765 (16)

0.37 (0.32–0.42)c

36,202 (14)

0.22 (0.19–0.25)c

 Dermatology

28,987 (3)

0.42 (0.38–0.46)c

11,076 (4)

0.62 (0.54–0.72)c

6261 (1)

0.39 (0.34–0.46)c

11,650 (4)

0.3 (0.25–0.36)c

 Endocrinology

17,854 (2)

0.43 (0.39–0.49)c

3836 (1)

0.48 (0.36–0.65)c

9662 (2)

0.42 (0.36–0.48)c

4356 (2)

0.36 (0.28–0.47)c

 Gastroenterology

25,745 (3)

1.03 (0.98–1.09)

5057 (2)

1.3 (1.14–1.48)c

13,282 (3)

0.93 (0.86–1)e

7406 (3)

0.97 (0.86–1.1)

 Genetics

3348 (< 1)

0.64 (0.46–0.89)d

2267 (1)

0.54 (0.33–0.89)e

1081 (< 1)

1.06 (0.69–1.64)

0 (< 1)

–

 Hematology

5868 (1)

1.6 (1.49–1.73)c

0 (< 1)

Not applicable

2929 (1)

1.14 (1.02–1.27)e

2939 (1)

1.89 (1.68–2.13)c

 Infectious Disease

3304 (< 1)

0.86 (0.7–1.05)

628 (< 1)

0.61 (0.34–1.1)

2676 (1)

0.8 (0.65–0.99)e

0 (< 1)

Not applicable

 Maxillofacial Surgery

18,140 (2)

0.37 (0.31–0.43)c

3472 (1)

0.37 (0.25–0.55)c

4494 (1)

0.3 (0.22–0.41)c

10,174 (4)

0.39 (0.31–0.48)c

 Neonatology

282 (< 1)

1.61 (0.84–3.12)

0 (< 1)

Not applicable

282 (< 1)

1.32 (0.68–2.56)

42 (< 1)

0.00 (0–9.99)

 Nephrology

11,208 (1)

1.02 (0.96–1.1)

1975 (1)

1.01 (0.85–1.2)

6659 (1)

1 (0.91–1.08)

2574 (1)

0.89 (0.76–1.04)

 Neurology

47,087 (5)

0.82 (0.78–0.86)c

12,899 (5)

1.13 (1.01–1.26)e

23,795 (5)

0.72 (0.66–0.77)c

10,393 (4)

0.75 (0.67–0.85)c

 Neurosurgery

15,238 (2)

0.5 (0.46–0.55)c

2856 (1)

0.96 (0.78–1.18)

7667 (2)

0.43 (0.38–0.48)c

4715 (2)

0.43 (0.35–0.51)c

 Nutrition

1856 (< 1)

2.16 (1.81–2.57)c

0 (< 1)

Not applicable

1702 (< 1)

1.82 (1.52–2.17)c

154 (< 1)

0 (0–4.334E+ 252)

 Obstetrics & Gynecology

93,979 (10)

0.42 (0.39–0.45)c

24,228 (9)

0.47 (0.4–0.56)c

48,395 (11)

0.41 (0.38–0.45)c

21,356 (8)

0.35 (0.29–0.42)c

 Oncology

6080 (1)

3.57 (3.4–3.76)c

1080 (< 1)

3.71 (3.24–4.26)c

3285 (1)

2.64 (2.47–2.83)c

1715 (1)

5.19 (4.68–5.75)c

 Ophthalmology

113,848 (12)

0.34 (0.32–0.36)c

43,852 (17)

0.5 (0.46–0.55)c

30,438 (7)

0.32 (0.29–0.34)c

39,558 (15)

0.25 (0.22–0.28)c

 Other

1063 (< 1)

1.04 (0.76–1.44)

428 (< 1)

2.2 (1.51–3.2)c

329 (< 1)

0.41 (0.2–0.82)e

306 (< 1)

1.3 (0.18–9.23)

 Otorhinolaryngology

67,646 (7)

0.43 (0.4–0.45)c

19,378 (7)

0.59 (0.53–0.65)c

28,970 (6)

0.39 (0.36–0.43)c

19,298 (7)

0.34 (0.3–0.38)c

 Pediatrics

18,177 (2)

0.41 (0.31–0.54)c

8863 (3)

0.66 (0.44–0.98)e

5519 (1)

0.28 (0.17–0.47)c

3795 (1)

0.85 (0.44–1.63)

 Physical Med & Rehabilitation

10,429 (1)

0.59 (0.53–0.65)c

0 (< 1)

Not applicable

7015 (2)

0.53 (0.48–0.6)c

3414 (1)

0.42 (0.31–0.56)c

 Plastic Surgery

1858 (< 1)

0.53 (0.43–0.67)c

426 (< 1)

0.97 (0.63–1.52)

1432 (< 1)

0.42 (0.33–0.55)c

0 (< 1)

Not applicable

 Colorectal Surgery

3114 (< 1)

0.57 (0.47–0.69)c

0 (< 1)

Not applicable

328 (< 1)

0.44 (0.27–0.72)d

2786 (1)

0.54 (0.44–0.67)c

 Psychiatry

13,135 (1)

0.74 (0.65–0.85)c

4068 (2)

1.24 (0.99–1.54).

6744 (1)

0.62 (0.51–0.74)c

2323 (1)

0.66 (0.45–0.97)e

 Rheumatology

7341 (1)

0.4 (0.35–0.47)c

0 (< 1)

Not applicable

2898 (1)

0.46 (0.38–0.55)c

4443 (2)

0.3 (0.25–0.38)c

 Sexual Transmitted Disease

1807 (< 1)

0.3 (0.17–0.53)c

420 (< 1)

0.37 (0.09–1.47)

1250 (< 1)

0.28 (0.15–0.53)c

137 (< 1)

0 (0–6.538E+ 282)

 Traumatology

107,111 (11)

0.34 (0.32–0.36)c

33,661 (13)

0.46 (0.41–0.51)c

50,156 (11)

0.3 (0.28–0.32)c

23,294 (9)

0.32 (0.28–0.36)c

 Urology

47,102 (5)

0.58 (0.55–0.61)c

19,073 (7)

0.76 (0.69–0.84)c

21,066 (5)

0.54 (0.5–0.58)c

6963 (3)

0.44 (0.39–0.51)c

Referring Medical Center (Primary comparator)

 Primary

463,119 (47)

 

10,180 (4)

 

283,745 (62)

 

169,194 (64)

 

 Secondary

3455 (< 1)

0.74 (0.52–1.04)

0 (< 1)

Not applicable

3455 (1)

0.74 (0.53–1.05)

0 (< 1)

Not applicable

 Tertiary

685,483 (69)

2.2 (2.14–2.26)c

254,576 (96)

0.59 (0.47–0.73)c

170,728 (37)

2.39 (2.31–2.47)c

260,179 (98)

1.71 (1.63–1.8)c

Accepting Medical Center (Primary comparator)

 Primary

29,622 (3)

Std Dev = 0.79

9359 (4)

 

15,629 (3)

 

4634 (2)

 

 Secondary

59,672 (6)

0 (< 1)

Not applicable

59,672 (13)

2.62 (1.94–3.53)c

0 (< 1)

Not applicable

 Tertiary

898,203 (91)

255,397 (96)

4.95 (3.42–7.16)c

382,627 (84)

3.83 (2.94–4.99)c

260,179 (98)

5.55 (2.26–13.6)c

  1. Abbreviations: N number of patients, HR hazard ratio, CI confidence interval, Std Dev standard deviation, Med medicine
  2. a Results are from Cox proportional hazard models fit by maximum likelihood
  3. b Results are from mixed-effects Cox proportional hazard models with Regional Health Service and Accepting Medical Center included as a crossed random effect
  4. c Significant at the 0.1% level, d Significant at the 1% level, e Significant at the 5% level