ArticleSurgery2014
A qualitative analysis of acute care surgery in the United States: it's more than just "a competent surgeon with a sharp knife and a willing attitude".
Article in Surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Surgeon views regarding the adoption of a novel surgical innovation into clinical practice: systematic review.BJS open · 2024Pooled it
- Acute Care Surgery Models Worldwide: A Systematic Review.World journal of surgery · 2020Pooled it
- Evaluation of an Automated Software Method Versus a Delphi Process to Translate Emergency General Surgery ICD Diagnosis Codes: Lost in Translation.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Status quo of operative training in emergency surgery in Germany - results of a survey.Langenbeck's archives of surgery · 2024Article
- Quality of Care for Gallstone Pancreatitis-the Impact of the Acute Care Surgery Model and Hospital-Level Operative Resources.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Re-examining "Never Letting the Sun Rise or Set on a Bowel Obstruction" in the Era of Acute Care Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Identifying the fundamental structures and processes of care contributing to emergency general surgery quality using a mixed-methods Donabedian approach.BMC medical research methodology · 2020Article
- Women surgeons and the emergence of acute care surgery programs.American journal of surgery · 2019Article
- The association between self-declared acute care surgery services and operating room access: Results from a national survey.The journal of trauma and acute care surgery · 2019Article
- The Impact of an Acute Care Surgery Model on General Surgery Service Productivity.Perioperative care and operating room management · 2018Article
- A day in the life of emergency general surgery in Canada: a multicentre observational study.Canadian journal of surgery. Journal canadien de chirurgie · 2018Observational
- Geographic Diffusion and Implementation of Acute Care Surgery: An Uneven Solution to the National Emergency General Surgery Crisis.JAMA surgery · 2018Article
- WSES worldwide emergency general surgery formation and evaluation project.World journal of emergency surgery : WJES · 2018Article
- Development of an emergency general surgery process improvement program.Patient safety in surgery · 2018Article
- Surgical rescue: The next pillar of acute care surgery.The journal of trauma and acute care surgery · 2017Article
- Specialization in acute care surgery in low-income and middle-income countries.Trauma surgery & acute care open · 2017Article
- Diagnosis of Acute Appendicitis Using Clinical Alvarado Scoring System and Computed Tomography (CT) Criteria in Patients Attending Gujarat Adani Institute of Medical Science - A Retrospective Study.Polish journal of radiology · 2017Article
- Innovation or rebranding, acute care surgery diffusion will continue.The Journal of surgical research · 2015Article
- The impact of acute care surgery on appendicitis outcomes: Results from a national sample of university-affiliated hospitals.The journal of trauma and acute care surgery · 2015Article
- Variations in the implementation of acute care surgery: results from a national survey of university-affiliated hospitals.The journal of trauma and acute care surgery · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundSince acute care surgery (ACS) was conceptualized a decade ago, the specialty has been adopted widely; however, little is known about the structure and function of ACS teams.
methodsWe conducted 18 open-ended interviews with ACS leaders (representing geographic [New England, Northeast, Mid-Atlantic, South, West, Midwest] and practice [Public/Charity, Community, University] diversity). Two independent reviewers analyzed transcribed interviews using an inductive approach (NVivo qualitative analysis software).
resultsAll respondents described ACS as a specialty treating "time-sensitive surgical disease" including trauma, emergency general surgery (EGS), and surgical critical care (SCC); 11 of 18 combined trauma and EGS into a single clinical team; 9 of 18 included elective general surgery. Emergency orthopedics, emergency neurosurgery, and surgical subspecialty triage were rare (1/18 each). Eight of 18 ACS teams had scheduled EGS operating room time. All had a core group of trauma and SCC surgeons; 13 of 18 shared EGS due to volume, human resources, or competition for revenue. Only 12 of 18 had formal signout rounds; only 2 of 18 had prospective EGS data registries. Streamlined access to EGS, evidence-based protocols, and improved education were considered strengths of ACS. ACS was described as the "last great surgical service" reinvigorated to provide "timely," cost-effective EGS by experts in "resuscitation and critical care" and to attract "young, talented, eager surgeons" to trauma/SCC; however, there was concern that ACS might become the "wastebasket for everything that happens at inconvenient times."
conclusionDespite rapid adoption of ACS, its implementation varies widely. Standardization of scope of practice, continuity of care, and registry development may improve EGS outcomes and allow the specialty to thrive.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.