Evidence map›Paper›PMID 33744775›Full record

ArticleThe Journal of surgical research2021

Patient Perceptions on Barriers and Facilitators to Accessing Low-acuity Surgery During COVID-19 Pandemic.

Christopher L Johnson, Hope Schwartz, Anya Greenberg, Sophia Hernandez, Ogonna N Nnamani Silva, Laura E Wong, Deborah B Martins, Jeanette M Broering, Sandhya B Kumar, Tasce Bongiovanni and 2 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of surgical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Using the Perspectives of Advanced Practice Providers to Design Strategies to Increase Engagement of Surgical Patients in Advance Care Planning.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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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

12 authors at 2 institutions in 1 country.

Christopher L JohnsonSchool of Medicine, University of California San Francisco (UCSF), San Francisco, California.
Hope SchwartzSchool of Medicine, University of California San Francisco (UCSF), San Francisco, California.
Anya GreenbergSchool of Medicine, University of California San Francisco (UCSF), San Francisco, California.
Sophia HernandezSchool of Medicine, University of California San Francisco (UCSF), San Francisco, California.
Ogonna N Nnamani SilvaSchool of Medicine, University of California San Francisco (UCSF), San Francisco, California.
Laura E WongDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California.
Deborah B MartinsDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California.
Jeanette M BroeringDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California.
Sandhya B KumarDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California; Department of Surgery, Zuckerberg San Francisco General Hospital (ZSFGH), San Francisco, California.
Tasce BongiovanniDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California; Department of Surgery, Zuckerberg San Francisco General Hospital (ZSFGH), San Francisco, California.
Elizabeth C WickDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California.
Sanziana A RomanDepartment of Surgery, University of California San Francisco (UCSF), San Francisco, California. Electronic address: Sanziana.Roman@ucsf.edu.
University of California, San Francisco · USSan Francisco General Hospital · US

Funding

Leveraging Advanced Informatics to Automate Data Collection of Healthcare Associated Infections (HAI) and Other Surgical Performance MeasuresR01HS024532 · AHRQ · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WICK, ELIZABETH C · 2016 to 2019
$1.9M
AHRQ HHS R01 HS024532
6 · The paper itself

Abstract

backgroundThe onset of the COVID-19 pandemic led to the postponement of low-acuity surgical procedures in an effort to conserve resources and ensure patient safety. This study aimed to characterize patient-reported concerns about undergoing surgical procedures during the pandemic.

methodsWe administered a cross-sectional survey to patients who had their general and plastic surgical procedures postponed at the onset of the pandemic, asking about barriers to accessing surgical care. Questions addressed dependent care, transportation, employment and insurance status, as well as perceptions of and concerns about COVID-19. Mixed methods and inductive thematic analyses were conducted.

resultsOne hundred thirty-five patients were interviewed. We identified the following patient concerns: contracting COVID-19 in the hospital (46%), being alone during hospitalization (40%), facing financial stressors (29%), organizing transportation (28%), experiencing changes to health insurance coverage (25%), and arranging care for dependents (18%). Nonwhite participants were 5 and 2.5 times more likely to have concerns about childcare and transportation, respectively. Perceptions of decreased hospital safety and the consequences of possible COVID-19 infection led to delay in rescheduling. Education about safety measures and communication about scheduling partially mitigated concerns about COVID-19. However, uncertainty about timeline for rescheduling and resolution of the pandemic contributed to ongoing concerns.

conclusionsProviding effective surgical care during this unprecedented time requires both awareness of societal shifts impacting surgical patients and system-level change to address new barriers to care. Eliciting patients' perspectives, adapting processes to address potential barriers, and effectively educating patients about institutional measures to minimize in-hospital transmission of COVID-19 should be integrated into surgical care.

Indexed as

Appointments and SchedulesFearAdultCOVID-19Cross-Sectional StudiesElective Surgical ProceduresFemaleHealth Services AccessibilityHumansInfection ControlInfectious Disease Transmission, Professional-to-PatientMaleMiddle AgedPandemicsPatient Education as TopicSurgery Department, HospitalCOVID-19Delayed proceduresPatient experiencePatient perceptionsSurgery

Identifiers

PMID33744775
PMCPMC7867400
OpenAlexW3129174882

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.