Evidence map›Paper›PMID 28625448›Full record

Observational studyJournal of clinical anesthesia2017

The effect of race on postsurgical ambulatory medical follow-up among United States Veterans.

Robert B Schonberger, Feng Dai, Cynthia Brandt, Matthew M Burg

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of clinical anesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Outcomes After Traumatic Brain Injury Surgery: Investigating Racial Disparities.Journal of racial and ethnic health disparities · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Robert B SchonbergerDepartment of Anesthesiology, Yale School of Medicine, 333 Cedar St, TMP-3, New Haven, CT 06520. Electronic address: robert.schonberger@yale.edu.
Feng DaiDepartment of Anesthesiology, Yale School of Medicine, 333 Cedar St, TMP-3, New Haven, CT 06520; Yale Center for Analytical Sciences, Yale School of Public Health, New Haven, CT 06520. Electronic address: feng.dai@yale.edu.
Cynthia BrandtDepartment of Anesthesiology, Yale School of Medicine, 333 Cedar St, TMP-3, New Haven, CT 06520; Department of Emergency Medicine, Yale School of Medicine, New Haven, CT 06516; VA Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT 06516. Electronic address: cynthia.brandt@yale.edu.
Matthew M BurgDepartment of Anesthesiology, Yale School of Medicine, 333 Cedar St, TMP-3, New Haven, CT 06520; Department of Internal Medicine, Yale School of Medicine, New Haven, CT 06520. Electronic address: matthew.burg@yale.edu.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Integrating Perioperative Care into the Treatment of HypertensionK23HL116641 · NHLBI · YALE UNIVERSITY · PI SCHONBERGER, ROBERT · 2013 to 2017
$761k
NCATS NIH HHS UL1 TR001863NCRR NIH HHS UL1 RR024139NHLBI NIH HHS K23 HL116641
6 · The paper itself

Abstract

STUDY

objectiveTo investigate the association between self-identified black or African American race and the presence of ambulatory internal medicine follow-up in the year after surgery. Our hypothesis was that among US Veterans who presented for surgery, black or African American race would be associated with a decreased likelihood to receive ambulatory internal medicine follow-up in the year after surgery.

designRetrospective observational.

settingAll US Veterans Affairs hospitals. PATIENTS: A total of 236,200 Veterans undergoing surgery between 2006 and 2011 who were discharged within 10 days of surgery and survived the full 1-year exposure period.

interventionsNone. MEASUREMENTS: Attendance at an internal medicine follow-up appointment within 1 year after surgery. MAIN

resultsAfter controlling for year of surgery, age, age ≥65 years, sex, Hispanic ethnicity, and number of inpatient days, black or African American patients were 11% more likely to lack internal medicine follow-up after surgery (adjusted odds ratio, 1.11; 95% confidence interval, 1.06-1.16). When accounting for geographic region, this difference remained significant at the Bonferoni-corrected P < .007 level only in the Midwest United States where black or African American patients were 28% more likely to lack medical follow-up in the year after surgery (odds ratio, 1.28; 95% confidence interval, 1.16-1.42; P < .0001).

conclusionsThe disparity in ambulatory medical follow-up following surgery among black or African American vs nonblack or non-African American Veterans in the Midwest region deserves further study and may lead to important quality improvement initiatives aimed specifically at this population.

Indexed as

AdultAgedAmbulatory CareBlack or African AmericanComorbidityContinuity of Patient CareFemaleFollow-Up StudiesHealthcare DisparitiesHumansLong-Term CareMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesSurgical Procedures, Operative

Identifiers

PMID28625448
PMCPMC5490668
OpenAlexW2622928320

What OpenQuestion holds

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Registered trials

None linked

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.