Evidence map›Paper›PMID 35477678›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Socioeconomic status does not influence the presentation of patients with inguinal hernia at an urban Canadian teaching hospital.

Charlotte Laane, Leo Chen, Leah Rosenkrantz, Nadine Schuurman, Morad Hameed, Emilie Joos

Abstract read
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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.

Charlotte LaaneFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz) charlottelaane@gmail.com.
Leo ChenFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz).
Leah RosenkrantzFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz).
Nadine SchuurmanFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz).
Morad HameedFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz).
Emilie JoosFrom the Trauma Research Unit, Dept. of Surgery, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands (Laane); Department of Orthopedic Surgery, Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Laane); Vancouver General Hospital, Trauma Services, Vancouver, BC (Hameed, Joos); the Department of Surgery, University of British Columbia, Vancouver, BC (Hameed, Joos); the School of Population and Public Health, University of British Columbia, Vancouver, BC (Chen); and the Department of Geography, Simon Fraser University, Vancouver, BC (Schuurman, Rosenkrantz).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocioeconomic status (SES) has been shown to influence the outcomes of surgical pathologies in areas with unequal access to health care. The purpose of this study was to measure the effect of SES on the urgency for inguinal hernia repair in an area with purported equitable access to health care in the context of a universal health care system.

methodsWe included all adult patients who underwent surgical management of an inguinal hernia between 2012 and 2016 at 2 urban academic centres. We measured the SES using the Vancouver Area Neighbourhood Deprivation Index (VANDIX) score.

resultsWe included 2336 patients: 98 emergency surgery and 294 elective surgery cases. We matched patients without replacement on age, sex and American Society of Anesthesiology score, using optimized propensity score matching at a ratio of 1 case to 3 controls. We found no significant correlation between lower SES and emergency surgical management (

conclusionWe found no correlation between a low SES and the need for emergency inguinal hernia repair, but found an increased rate of readmission in patients from lower SES brackets. This finding should be further scrutinized through a deeper dive into the barriers to access to nonacute care settings, such as home care.

Indexed as

Hernia, InguinalAdultCanadaElective Surgical ProceduresHospitals, TeachingHumansSocial ClassUnited States

Identifiers

PMID35477678
PMCPMC9188802

What OpenQuestion holds

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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.