Evidence map›Paper›PMID 34485983›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2021

Gaps in Emergency General Surgery Coverage in the United States.

Angela M Ingraham, Scott M Chaffee, M Didem Ayturk, Victor K Heh, Catarina I Kiefe, Heena P Santry

Abstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2021. 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. 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 · 2025
    Article
  4. Article
  5. Article
  6. Defining the Canadian rural general surgeon.Canadian journal of surgery. Journal canadien de chirurgie
    Review
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

6 authors.

Angela M IngrahamDepartment of Surgery, University of Wisconsin, 600 Highland Avenue, Madison, WI.
Scott M ChaffeeDepartment of Surgery, The Ohio State University, 395 W 12 Avenue, Columbus, OH.
M Didem AyturkDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA.
Victor K HehDepartment of Surgery, The Ohio State University, 395 W 12 Avenue, Columbus, OH.
Catarina I KiefeDepartment of Population and Quantitative Health Sciences, University of Massachusetts Medical School, 368 Plantation Street, Worcester, MA.
Heena P SantryDepartment of Surgery, The Ohio State University, 395 W 12 Avenue, Columbus, OH.

Funding

University of Wisconsin Institute for Clinical and Translational ResearchUL1TR002373 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI ELIZABETH S BURNSIDE, Allan R. Brasier · 2017 to 2026
$75.9M
Evaluating opioids and suicide prevention in health care settings through the System of SafetyR01MH112138 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BOUDREAUX, EDWIN D, KIEFE, CATARINA I. · 2016 to 2020
$6.4M
A New Specialty Responding To National Needs: Does Acute Care Surgery Deliver?R01HS022694 · AHRQ · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SANTRY, HEENA PRAVIN · 2014 to 2014
$1.2M
A Critical Assessment of and Opportunities for Improvement in the Interhospital Transfer of Emergency General Surgery patientsK08HS025224 · AHRQ · UNIVERSITY OF WISCONSIN-MADISON · PI INGRAHAM, ANGELA M · 2018 to 2022
$788k
AHRQ HHS K08 HS025224AHRQ HHS R01 HS022694NCATS NIH HHS UL1 TR002373NIMH NIH HHS R01 MH112138
6 · The paper itself

Abstract

introductionDespite three million adults in the United States (US) being admitted annually for emergency general surgery (EGS) conditions, which disproportionately affect vulnerable populations, we lack an understanding of the barriers to round-the-clock EGS care. Our objective was to measure gaps in round-the-clock EGS care.

methodsFrom August 2015 to December 2015, we surveyed all US-based, adult acute care general hospitals that have an emergency room and ≥1 operating room and provide EGS care, utilizing paper and electronic methods. Surgeons or chief medical officers were queried regarding EGS practices.

resultsOf 2,811 hospitals, 1,634 (58.1%) responded; 279 (17.1%) were unable to always provide round-the-clock EGS care. Rural location, smaller bed size, and non-teaching status were associated with lack of round-the-clock care. Inconsistent surgeon coverage was the primary reason for lacking round-the-clock EGS care (n=162; 58.1%). However, lack of a tiered system for booking emergency cases, no anesthesia availability overnight, and no stipend for EGS call were also associated with the inability to provide round-the-clock EGS care. DISCUSSION: We found significant gaps in access to EGS care, often attributable to workforce deficiencies.

Identifiers

PMID34485983
PMCPMC8409136

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Registered trials

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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.