Evidence map›Paper›PMID 35802800›Full record

ArticleThe Australian journal of rural health2022

Documenting surgical triage in rural surgical networks: Formalising existing structures.

Alana Robinson, Jude Kornelsen

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

2 authors.

Alana RobinsonMelbourne Medical School, University of Melbourne, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0001-9412-0588
Jude KornelsenCentre for Rural Health Research, Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.

Funding

B.C.'s Joint Standing Committee on Rural Issuethe Rural Surgical and Obstetrical Networks (RSON)
6 · The paper itself

Abstract

objectiveIt is essential that the embedded process of rural case selection be highlighted and documented to provide reassurance of rigour across rural surgical services supported by generalist surgeons, general practitioners with enhanced surgical skills and general practitioner anaesthetists. This enables feedback and improves the triage and case selection process to ensure the highest quality outcomes. Therefore, this research aims to explore participants' rational criteria for decision making around rural case selection.

designParticipants participated in a series of semi-structured in-depth interviews which were coded and underwent thematic analysis.

settingSix community hospitals in British Columbia, Canada.

participantsGeneral practitioners with enhanced surgical skills, general practitioner anaesthetists, local maternity care providers, and specialists.

resultsBased on participant accounts, rural surgical and obstetrical decision-making processes for local patient selection or regional referral had five major components: (1) Clinical Factors, (2) Physician Factors, (3) Patient Factors, (4) Consensus Between Providers and (5) the Availability of Local Resources.

conclusionDecision-making processes around rural surgical and obstetrical patient selection are complex and require comprehensive understanding of local capacity and resources. Current policies and guidelines fail to consider the varying capacities of each rural site and should be hospital specific.

Indexed as

Maternal Health ServicesRural Health ServicesBritish ColumbiaFemaleHumansPregnancyRural PopulationTriagegeneral practitioner anaesthetistsgeneral practitioners with enhanced surgical skillsobstetrical decision-making processesrural case selectionrural healthsurgical decision-making processes

Identifiers

PMID35802800
PMCPMC9795974

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LicenceCC BY-NC-ND
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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.