ArticleBMC surgery2015
Serious mental illnesses associated with receipt of surgery in retrospective analysis of patients in the Veterans Health Administration.
Article in BMC surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Psychiatric insights in thoracic surgery for adults and children: A narrative review.Turk gogus kalp damar cerrahisi dergisi · 2026Article
- Outcomes of Patients With Schizophrenia and Bipolar Disorder Undergoing Lumbar Fusion: A Retrospective National Database Study.International journal of spine surgery · 2026Article
- Serious mental illness prolongs hospital admission following lung cancer resection.Journal of thoracic disease · 2024Article
- Disparities in prehospital and emergency surgical care among patients with perforated ulcers and a history of mental illness: a nationwide cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Prescription opioid dispensing patterns among patients with schizophrenia or bipolar disorder.BMC psychiatry · 2024Observational
- Maternal chronic hypertension in women veterans.Health services research · 2024Observational
- Greater need but reduced access: a population study of planned and elective surgery rates in adult mental health service users.Epidemiology and psychiatric sciences · 2024Article
- Postsurgical morbidity and mortality favorably informs deep brain stimulation for new indications including schizophrenia and schizoaffective disorder.Frontiers in surgery · 2023Article
- Hospital nursing factors associated with decreased odds of mortality in older adult medicare surgical patients with depression.BMC geriatrics · 2022Article
- Agent Orange Exposure, Transformation From MGUS to Multiple Myeloma, and Outcomes in Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022Article
- Surgical experience for patients with serious mental illness: a qualitative study.BMC psychiatry · 2021Article
- Diagnostic tests and treatment procedures performed prior to cardiovascular death in individuals with severe mental illness.Acta psychiatrica Scandinavica · 2020Article
- Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness.BMC psychiatry · 2020Article
- Mobile Compression Reduces Bleeding-related Readmissions and Wound Complications After THA and TKA.Clinical orthopaedics and related research · 2018Article
- Multiple chronic condition profiles and survival among oldest-old male patients with hip fracture.Archives of gerontology and geriatrics · 2018Article
- Association between triglyceride levels and cardiovascular disease in patients with acute pancreatitis.PloS one · 2018Article
- A study to reduce readmissions after surgery in the Veterans Health Administration: design and methodology.BMC health services research · 2017Article
- Preventative care for patients with inflammatory bowel disease in the Veterans Health Administration.Medicine · 2016Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundThe STOPP study (Surgical Treatment Outcomes for Patients with Psychiatric Disorders) analyzed variation in rates and types of major surgery by serious mental illness status among patients treated in the Veterans Health Administration (VA). VA patients are veterans of United States military service who qualify for federal care by reason of disability, special service experiences, or poverty.
methodsSTOPP conducted a secondary data analysis of medical record extracts for seven million VA patients treated Oct 2005-Sep 2009. The retrospective study aggregated inpatient surgery events, comorbid diagnoses, demographics, and postoperative 30-day mortality.
resultsSerious mental illness -- schizophrenia, bipolar disorder, posttraumatic stress disorder, or major depressive disorder, was identified in 12 % of VA patients. Over the 4-year study period, 321,131 patients (4.5 %) underwent surgery with same-day preoperative or immediate post-operative admission including14 % with serious mental illness. Surgery patients were older (64 vs. 61 years) and more commonly African-American, unmarried, impoverished, highly disabled (24 % vs 12 % were Priority 1), obese, with psychotic disorder (4.3 % vs 2.9 %). Among surgery patients, 3.7 % died within 30 days postop. After covariate adjustment, patients with pre-existing serious mental illness were relatively less likely to receive surgery (adjusted odds ratios 0.4-0.7).
conclusionsVA patients undergoing major surgery appeared, in models controlling for comorbidity and demographics, to disproportionately exclude those with serious mental illness. While VA preferentially treats the most economically and medically disadvantaged veterans, the surgery subpopulation may be especially ill, potentially warranting increased postoperative surveillance.
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