Evidence map›Paper›PMID 37329626›Full record

ArticleThe Journal of surgical research2023

National Cohort Study of Resource Utilization in Older Adults With Emergency General Surgery Conditions.

Justin S Hatchimonji, Catherine L Mavroudis, Ari Friedman, Elinore J Kaufman, Solomiya Syvyk, Christopher J Wirtalla, Luke Keele, Patrick M Reilly, Rachel R Kelz

Abstract read
In one paragraph

Article in The Journal of surgical research, 2023. 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. An Assessment of Hospital Performance in Emergency General Surgery Using Direct and Indirect Standardization.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2026
    Article
  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

9 authors.

Justin S HatchimonjiDivision of Traumatology, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. Electronic address: justin.hatchimonji@pennmedicine.upenn.edu.
Catherine L MavroudisDepartment of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Ari FriedmanDepartment of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Elinore J KaufmanDivision of Traumatology, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Solomiya SyvykDepartment of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Christopher J WirtallaDepartment of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Luke KeeleDepartment of Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Patrick M ReillyDivision of Traumatology, Surgical Critical Care, and Emergency Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Rachel R KelzDivision of Endocrine and Oncologic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.

Funding

Using Outcomes to Guide Treatment of Surgical EmergenciesR01AG060612 · NIA · UNIVERSITY OF PENNSYLVANIA · PI KELZ, RACHEL · 2019 to 2023
$2.7M
NIA NIH HHS R01 AG060612
6 · The paper itself

Abstract

introductionPrior studies have sought to describe Emergency General Surgery (EGS) burden, but a detailed description of resource utilization for both operative and nonoperative management of EGS conditions has not been undertaken.

methodsPatient and hospital characteristics were extracted from Medicare data, 2015-2018. Operations, nonsurgical procedures, and other resources (i.e., radiology) were defined using Current Procedural Terminology codes.

resultsOne million eight hundred two thousand five hundred forty-five patients were included in the cohort. The mean age was 74.7 y and the most common diagnoses were upper gastrointestinal. The majority of hospitals were metropolitan (75.1%). Therapeutic radiology services were available in 78.4% of hospitals and operating rooms or endoscopy suites were available in 92.5% of hospitals. There was variability in resource utilization across EGS subconditions, with hepatobiliary (26.4%) and obstruction (23.9%) patients most frequently undergoing operation.

conclusionsTreatment of EGS diseases in older adults involves several interventional resources. Changes in EGS models, acute care surgery training, and interhospital care coordination may be beneficial to the treatment of EGS patients.

Indexed as

General SurgerySurgical Procedures, OperativeAgedCohort StudiesEmergenciesEmergency Service, HospitalHospitalsHumansMedicareRetrospective StudiesUnited StatesEmergency general surgeryMedicareResource utilization

Identifiers

PMID37329626
PMCPMC10330654

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.