{"title":"Les déformations des doigts dans la maladie de Parkinson.","authors":"Akio Kikuchi","doi":"10.1503/cmaj.241215-f","DOIUrl":"10.1503/cmaj.241215-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E545-E546"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Martin Sellier Silva, Irnes Zeljkovic, Lena Palaniyappan
{"title":"Crise de santé mentale chez les étudiantes et étudiants.","authors":"Martin Sellier Silva, Irnes Zeljkovic, Lena Palaniyappan","doi":"10.1503/cmaj.241439-f","DOIUrl":"10.1503/cmaj.241439-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E547-E548"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unilateral facial flushing and hyperhidrosis in a 50-year-old woman.","authors":"Mao-Lin Li, Kun-Yi Li, Lan Wen","doi":"10.1503/cmaj.250097","DOIUrl":"10.1503/cmaj.250097","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E536-E537"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"May 2025 obituaries.","authors":"","doi":"10.1503/cmaj.250711","DOIUrl":"https://doi.org/10.1503/cmaj.250711","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E540-E542"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pardis Seyedi, Dionne Aleman, Nancy N Baxter, Chaim M Bell, Merve Bodur, Andrew Calzavara, Robert Campbell, Michael Carter, Pieter de Jager, Scott D Emerson, Jonathan Irish, Danielle Martin, Samantha Lee, Jonathan Persitz, Marcy Saxe-Braithwaite, Julie Takata, Olivia Varkul, Suting Yang, Claudia Zanchetta, David R Urbach
Background: Long wait times for scheduled surgery are a major problem in Canadian health systems. We sought to determine the extent to which single-entry referral models (next available consultation), team-based care models (next available surgery regardless of consulting surgeon), or both could affect wait times for consultations and surgery.
Methods: We performed a discrete-event simulation study of wait times for consultations and surgeries for knee and hip joint replacement in Ontario's 5 postal regions using prospectively collected data on surgical wait times. We simulated the effects of coordinated referral models on the wait time for consultation (wait 1) and surgery (wait 2).
Results: Coordinated models led to larger reductions in high-outlier wait times (as reflected by the 90th percentile and the percentage of patients exceeding wait-time targets) than on median wait times when compared with the status quo. Single-entry referral models largely influenced wait 1, and team-based models of care affected only wait 2. Fully integrated models incorporating both single-entry referral and team-based care largely prevented patients from exceeding both wait-1 and wait-2 targets; the percentage of patients exceeding wait-1 targets in these models was 0% in all regions, and the percentage exceeding wait-2 targets was 0% except for Ontario West (2.0%, from 35.7% at baseline), East (1.1%, from 22.7% at baseline), and North (1.0%, from 25.1% at baseline).
Interpretation: Coordinated referral and practice models improve access to scheduled surgery in Canadian health systems. Implementation of these models could largely eliminate prolonged wait times for joint replacement surgery in Ontario.
{"title":"Effect of single-entry referral models and team-based care on wait times for hip and knee joint replacement in Ontario: a simulation study.","authors":"Pardis Seyedi, Dionne Aleman, Nancy N Baxter, Chaim M Bell, Merve Bodur, Andrew Calzavara, Robert Campbell, Michael Carter, Pieter de Jager, Scott D Emerson, Jonathan Irish, Danielle Martin, Samantha Lee, Jonathan Persitz, Marcy Saxe-Braithwaite, Julie Takata, Olivia Varkul, Suting Yang, Claudia Zanchetta, David R Urbach","doi":"10.1503/cmaj.241755","DOIUrl":"10.1503/cmaj.241755","url":null,"abstract":"<p><strong>Background: </strong>Long wait times for scheduled surgery are a major problem in Canadian health systems. We sought to determine the extent to which single-entry referral models (next available consultation), team-based care models (next available surgery regardless of consulting surgeon), or both could affect wait times for consultations and surgery.</p><p><strong>Methods: </strong>We performed a discrete-event simulation study of wait times for consultations and surgeries for knee and hip joint replacement in Ontario's 5 postal regions using prospectively collected data on surgical wait times. We simulated the effects of coordinated referral models on the wait time for consultation (wait 1) and surgery (wait 2).</p><p><strong>Results: </strong>Coordinated models led to larger reductions in high-outlier wait times (as reflected by the 90th percentile and the percentage of patients exceeding wait-time targets) than on median wait times when compared with the status quo. Single-entry referral models largely influenced wait 1, and team-based models of care affected only wait 2. Fully integrated models incorporating both single-entry referral and team-based care largely prevented patients from exceeding both wait-1 and wait-2 targets; the percentage of patients exceeding wait-1 targets in these models was 0% in all regions, and the percentage exceeding wait-2 targets was 0% except for Ontario West (2.0%, from 35.7% at baseline), East (1.1%, from 22.7% at baseline), and North (1.0%, from 25.1% at baseline).</p><p><strong>Interpretation: </strong>Coordinated referral and practice models improve access to scheduled surgery in Canadian health systems. Implementation of these models could largely eliminate prolonged wait times for joint replacement surgery in Ontario.</p>","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E524-E531"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinician entrepreneurs should be supported to address Canada's health care challenges.","authors":"Kumanan Wilson, Dante Morra","doi":"10.1503/cmaj.250235","DOIUrl":"10.1503/cmaj.250235","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E538-E539"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mallet finger in a 19-year-old athlete.","authors":"Stephanie Kim, Joo Hyung Yoon, Stahs Pripotnev","doi":"10.1503/cmaj.250150","DOIUrl":"10.1503/cmaj.250150","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E532-E533"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benoit Lafleur, Manuel Montero-Odasso, Shirley Huang
{"title":"Chutes chez les personnes âgées.","authors":"Benoit Lafleur, Manuel Montero-Odasso, Shirley Huang","doi":"10.1503/cmaj.241702-f","DOIUrl":"10.1503/cmaj.241702-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E543-E544"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Victor Leung, Junine Toy, Peter Phillips, Julio S G Montaner
{"title":"Doxycycline postexposure prophylaxis to prevent bacterial sexually transmitted infections.","authors":"Victor Leung, Junine Toy, Peter Phillips, Julio S G Montaner","doi":"10.1503/cmaj.250128","DOIUrl":"10.1503/cmaj.250128","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 19","pages":"E534-E535"},"PeriodicalIF":9.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12109089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Courir dans la tempête.","authors":"Emily Groot","doi":"10.1503/cmaj.241116-f","DOIUrl":"10.1503/cmaj.241116-f","url":null,"abstract":"","PeriodicalId":9609,"journal":{"name":"Canadian Medical Association journal","volume":"197 18","pages":"E522-E523"},"PeriodicalIF":9.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12077327/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143985044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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