Evidence map›Paper›PMID 34786665›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022

Quality of Care for Gallstone Pancreatitis-the Impact of the Acute Care Surgery Model and Hospital-Level Operative Resources.

Patrick B Murphy, Wendelyn M Oslock, Angela M Ingraham, Kevin B Ricci, Victor K Heh, Heena P Santry

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 5 institutions in 1 country.

Patrick B MurphyDivision of Trauma and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, 8701 Watertown Plank Road, WI, 53226, Milwaukee, USA. pmurphy@mcw.edu.
Wendelyn M OslockDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Angela M IngrahamDepartment of Surgery, University of Wisconsin, 600 Highland Avenue, Madison, WI, USA.
Kevin B RicciDepartment of Surgery, Johns Hopkins University, Baltimore, MD, USA.
Victor K HehConsulting Studio, NBBJ, LLC, Columbus, OH, USA.
Heena P SantryConsulting Studio, NBBJ, LLC, Columbus, OH, USA.
Kettering Medical Center · USHighland Community College - Illinois · USJohns Hopkins University · USMedical College of Wisconsin · USUniversity of Alabama at Birmingham · US

Funding

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
AHRQ HHS R01 HS022694
6 · The paper itself

Abstract

backgroundIndex cholecystectomy is the standard of care for gallstone pancreatitis. Hospital-level operative resources and implementation of an acute care surgery (ACS) model may impact the ability to perform index cholecystectomy. We aimed to determine the influence of structure and process measures related to operating room access on achieving index cholecystectomy for gallstone pancreatitis.

methodsIn 2015, we surveyed 2811 US hospitals on ACS practices, including infrastructure for operative access. A total of 1690 hospitals (60%) responded. We anonymously linked survey data to 2015 State Inpatient Databases from 17 states using American Hospital Association identifiers. We identified patients ≥ 18 years who were admitted with gallstone pancreatitis. Patients transferred from another facility were excluded. Univariate and multivariable regression analyses, clustered by hospital and adjusted for patient factors, were performed to examine multiple structure and process variables related to achieving an index cholecystectomy rate of ≥ 75% (high performers).

resultsOver the study period, 5656 patients were admitted with gallstone pancreatitis and 70% had an index cholecystectomy. High-performing hospitals achieved an index cholecystectomy rate of 84.1% compared to 58.5% at low-performing hospitals. On multivariable regression analysis, only teaching vs. non-teaching hospital (OR 2.91, 95% CI 1.11-7.70) and access to dedicated, daytime operative resources (i.e., block time) vs. no/little access (OR 1.93, 95% CI 1.11-3.37) were associated with high-performing hospitals.

conclusionsAccess to dedicated, daytime operative resources is associated with high quality of care for gallstone pancreatitis. Health systems should consider the addition of dedicated, daytime operative resources for acute care surgery service lines to improve patient care.

Indexed as

GallstonesPancreatitisCholecystectomyHospitalsHumansQuality of Health CareAcute care surgeryGallstone pancreatitisHealth services research

Identifiers

PMID34786665
OpenAlexW3211655221

What OpenQuestion holds

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Read underepoch 390

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.