Evidence map›Paper›PMID 37126379›Full record

ArticleJournal of surgical oncology2023

Evaluation of emergency department treat-and-release encounters after major gastrointestinal surgery.

Brian C Brajcich, Julie K Johnson, Jane L Holl, Karl Y Bilimoria, Meagan S Ager, Jeanette Chung, Rachel Hae Soo Joung, Cassandra B Iroz, David D Odell, David J Bentrem and 6 more

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

16 authors.

Brian C BrajcichDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0001-9854-1961
Julie K JohnsonDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
Jane L HollDepartment of Neurology, Biological Sciences Division, The University of Chicago, Chicago, Illinois, USA.
Karl Y BilimoriaDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Meagan S AgerMathematica, Chicago, Illinois, USA.
Jeanette ChungDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Rachel Hae Soo JoungDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
Cassandra B IrozDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
David D OdellDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
David J BentremDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
Anthony D YangDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Patricia D FranklinDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Jennifer M SlotaDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.
Casey M SilverDepartment of Surgery, Northwestern Quality Improvement, Research & Education in Surgery (NQUIRES), Northwestern Medicine, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-3124-5014
Ted SkolarusDepartment of Surgery, Biological Sciences Division, The University of Chicago, Chicago, Illinois, USA.
Ryan P MerkowDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois, USA.

Funding

PA-20-072: Supplement to A Chicago Center of Excellence in Learning Health Systems Research Training (ACCELERAT)K12HS026385 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FRANKLIN, PATRICIA D, KHO, ABEL N. · 2018 to 2022
$3.4M
COllaborative Northwestern Surgical Oncology Research Training (CONSORT)T32CA247801 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ACKERMANN, RONALD T., KHAN, SEEMA AHSAN · 2020 to 2024
$1.3M
Evaluating the Implementation of a Multi-Component Quality CollaborativeR01HS024516 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BILIMORIA, KARL Y · 2016 to 2020
$1.2M
Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care DeliveryK07CA216330 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ODELL, DAVID D. · 2017 to 2021
$836k
AHRQ HHS K12 HS026385AHRQ HHS R01 HS024516NCI NIH HHS K07 CA216330NCI NIH HHS T32 CA247801
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEmergency department (ED) utilization after gastrointestinal cancer operations is poorly characterized. Our study objectives were to determine the incidence of, reasons for, and predictors of ED treat-and-release encounters after gastrointestinal cancer operations.

methodsPatients who underwent elective esophageal, hepatobiliary, gastric, pancreatic, small intestinal, or colorectal operations for cancer were identified in the 2015-2017 Healthcare Cost and Utilization Project State Inpatient and State Emergency Department Databases for New York, Maryland, and Florida. The primary outcomes were the incidence of ED treat-and-release encounters and readmissions within 30 days of discharge.

resultsAmong 51 527 patients at 406 hospitals, 4047 (7.9%) had an ED treat-and-release encounter, and 5573 (10.8%) had an ED encounter with readmission. In total, 40.7% of ED encounters were treat-and-release encounters. ED treat-and-release encounters were most frequently for pain (12.0%), device/ostomy complaints (11.7%), or wound complaints (11.4%). ED treat-and-release encounters predictors included non-Hispanic Black race/ethnicity (odds ratio [OR] 1.24, 95% confidence interval [CI] 1.12-1.37) and Medicare (OR 1.27, 95% CI 1.16-1.40) or Medicaid (OR 1.82, 95% CI 1.62-2.40) coverage.

conclusionsED treat-and-release encounters are common after major gastrointestinal operations, making up nearly half of postdischarge ED encounters. The reasons for ED treat-and-release encounters differ from those for ED encounters with readmissions.

Indexed as

Digestive System Surgical ProceduresPatient ReadmissionAftercareAgedEmergency Service, HospitalHumansMedicarePatient DischargeRetrospective StudiesUnited Statescanceremergency service, hospitalpatient readmissionsurgical oncology

Identifiers

PMID37126379
PMCPMC10330755

What OpenQuestion holds

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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.