Evidence map›Paper›PMID 35318241›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Failure to rescue in emergency general surgery in Canada.

Samuel Minor, Laura Allen, Michael T Meschino, Rahima Nenshi, Rardi van Heest, Fady Saleh, Sandy Widder, Paul T Engels, Emilie Joos, Neil G Parry and 5 more

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Challenges and opportunities in providing high-quality surgical care in Canada.Canadian journal of surgery. Journal canadien de chirurgie
    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

15 authors.

Samuel MinorFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball) samuel_minor@hotmail.com.
Laura AllenFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Michael T MeschinoFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Rahima NenshiFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Rardi van HeestFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Fady SalehFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Sandy WidderFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Paul T EngelsFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Emilie JoosFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Neil G ParryFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Patrick B MurphyFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Chad G BallFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Morad HameedFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Kelly N VogtFrom the Department of Surgery, Dalhousie University, Halifax, NS (Minor, Meschino, Nenshi); the Department of Surgery, Western University, London, Ont. (Allen, Parry, Vogt); the Department of Surgery, William Osler Health System, Brampton, Ont. (van Heest, Saleh); the Department of Surgery, University of Alberta, Edmonton, Alta. (Widder); the Department of Surgery, McMaster University, Hamilton, Ont. (Engels); the Department of Surgery, University of British Columbia, Vancouver, BC (Joos, Hameed); the Department of Surgery, Indiana University, Indianapolis, Ind. (Murphy); and the Department of Surgery, University of Calgary, Calgary, Alta. (Ball).
Canadian Collaborative on Urgent Care Surgery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of death after a postoperative complication - known as failure to rescue (FTR) - has been proposed to be superior to traditional benchmarking outcomes, such as complication and mortality rates, as a measure of system quality. The purpose of this study was to identify the current FTR rate in emergency general surgery (EGS) centres across Canada. We hypothesized that substantial variability exists in FTR rates across centres.

methodsIn this multicentre retrospective cohort study, we performed a secondary analysis of data from a previous study designed to evaluate operative intervention for nonappendiceal, nonbiliary disease by 6 EGS services across Canada (1 in British Columbia, 1 in Alberta, 3 in Ontario and 1 in Nova Scotia). Patients underwent surgery between Jan. 1 and Dec. 31, 2014. We conducted univariate analyses to compare patients with and without complications. We performed a sensitivity analysis examining the mortality rate after serious complications (Clavien-Dindo score 3 or 4) that required a surgical intervention or specialized care (e.g., admission to intensive care unit).

resultsA total of 2595 patients were included in the study cohort. Of the 206 patients who died within 30 days, 145 (70.4%) experienced a complication before their death. Overall, the mortality rate after any surgical complication (i.e., FTR) was 16.0%. Ranking of sites by the traditional outcomes of complication and mortality rates differed from the ranking when FTR rate was included in the assessment.

conclusionThere was variability in FTR rates across EGS services in Canada, which suggests that there is opportunity for ongoing quality-improvement efforts. This study provides FTR benchmarking data for Canadian EGS services.

Indexed as

Failure to Rescue, Health CareGeneral SurgeryAlbertaHospital MortalityHumansPostoperative ComplicationsQuality ImprovementRetrospective Studies

Identifiers

PMID35318241
PMCPMC9259385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.