Evidence map›Paper›PMID 33009902›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Patterns of complex emergency general surgery in Canada.

Kelly N Vogt, Laura Allen, Patrick B Murphy, Rardi van Heest, Fady Saleh, Sandy Widder, Sam Minor, Paul T Engels, Emilie Joos, Rahima Nenshi and 6 more

Open access · diamondAbstract readMulticenter Study
PubMed Full text at PMC
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Failure to rescue in emergency general surgery in Canada.Canadian journal of surgery. Journal canadien de chirurgie
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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

16 authors at 8 institutions in 1 country.

Kelly N VogtFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Laura AllenFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Patrick B MurphyFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Rardi van HeestFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Fady SalehFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Sandy WidderFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Sam MinorFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Paul T EngelsFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Emilie JoosFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Rahima NenshiFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Michael T MeschinoFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Charlotte LaaneFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Ayush LacoulFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Neil G ParryFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Chad G BallFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
S Morad HameedFrom the Division of General Surgery, Department of Surgery, Schulich School of Medicine & Dentistry, University of Western Ontario, London, Ont. (Vogt, Allen, Murphy, Parry); the Division of General Surgery, Department of Surgery, William Osler Health System, Brampton, Ont. (Van Heest, Saleh); the Division of General Surgery, Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Divisions of General Surgery and Critical Care Medicine, Queen Elizabeth II Health Sciences Centre, Dalhousie University, Halifax, N.S. (Minor, Lacoul); the Department of Surgery Hamilton General Hospital, McMaster University, Hamilton, Ont. (Engels, Nenshi, Meschino); the Division of Trauma and Acute Care Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, B.C. (Joos, Laane, Hameed); and the Divisions of Surgery and Oncology, University of Calgary, Calgary, Alta. (Ball).
Queen Elizabeth II Health Sciences Centre · CAWestern University · CAHamilton General Hospital · CAWilliam Osler Health System · CADalhousie University · CAUniversity of Alberta · CAUniversity of British Columbia · CAVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost of the literature on emergency general surgery (EGS) has investigated appendiceal and biliary disease; however, EGS surgeons manage many other complex conditions. This study aimed to describe the operative burden of these conditions throughout Canada.

methodsThis multicentre retrospective cohort study evaluated EGS patients at 7 centres across Canada in 2014. Adult patients (aged ≥ 18 yr) undergoing nonelective operative interventions for nonbiliary, nonappendiceal diseases were included. Data collected included information on patients' demographic characteristics, diagnosis, procedure details, complications and hospital length of stay. Logistic regression was used to identify predictors of morbidity and mortality.

resultsA total of 2595 patients were included, with a median age of 60 years (interquartile range 46-73 yr). The most common principal diagnoses were small bowel obstruction (16%), hernia (15%), malignancy (11%) and perianal disease (9%). The most commonly performed procedures were bowel resection (30%), hernia repair (15%), adhesiolysis (11%) and débridement of skin and soft tissue infections (10%). A total of 47% of cases were completed overnight (between 5 pm and 8 am). The overall inhospital mortality rate was 8%. Thirty-three percent of patients had a complication, with independent predictors including increasing age (

conclusionThis study characterizes the epidemiology of nonbiliary, nonappendiceal EGS operative interventions across Canada. Canadian surgeons are performing a large volume of EGS, and conditions treated by EGS services are associated with a substantial risk of morbidity and mortality. Results of this study will be used to guide future research efforts and set benchmarks for quality improvement.

Indexed as

AgedBenchmarkingCanadaEmergency Service, HospitalEmergency TreatmentFemaleGeneral SurgeryHospital MortalityHumansMaleMiddle AgedPostoperative ComplicationsPractice Patterns, Physicians'Quality ImprovementRetrospective StudiesSurgical Procedures, Operative

Identifiers

PMID33009902
PMCPMC7608705
OpenAlexW3090575769

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.