Evidence map›Paper›PMID 37805304›Full record

ArticleAmerican journal of surgery2024

Quality of breast surgery care at a comprehensive cancer center and its rural affiliate hospital.

Elissa M Dykes, Kelsey B Montgomery, Gregory D Kennedy, Helen Krontiras, Kristy K Broman

Abstract read
In one paragraph

Article in American journal of surgery, 2024. 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
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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

5 authors.

Elissa M DykesUniversity of Alabama at Birmingham Heersink School of Medicine, Birmingham, AL, USA. Electronic address: emdykes@uab.edu.
Kelsey B MontgomeryDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Gregory D KennedyDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Helen KrontirasDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Kristy K BromanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; Institute for Cancer Outcomes and Survivorship, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: kristybroman@uabmc.edu.

Funding

UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
UAB Center for Clinical and Translational Science (CCTS)KL2TR001419 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2015 to 2018
$2.5M
Leveraging Health Systems to Increase Implementation of Evidence-Based Surgical Cancer CareK08CA283001 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI BROMAN, KRISTY KUMMEROW · 2023 to 2025
$592k
AHRQ HHS T32 HS013852NCATS NIH HHS KL2 TR001419NCI NIH HHS K08 CA283001
6 · The paper itself

Abstract

backgroundCancer centers are increasingly affiliating with rural hospitals to perform surgery. Perioperative and oncologic outcomes for cancer center surgeons operating at rural hospitals are understudied.

methodsFor patients with non-metastatic breast cancer from a rural catchment area who had oncologic surgery at an NCI-designated comprehensive cancer center (CC) or its rural affiliate (RA) from 2017 to 2022, we compared perioperative outcomes (composite of surgical site infection, seroma requiring drainage, and reoperation for margins) and receipt of guideline-concordant care (if patient received all applicable treatments) using descriptive statistics and chi-squared tests.

resultsAmong 168 patients, 99 had surgery at RA, 60 CC. RA patients were older, higher stage, and more often had lumpectomy. There were no differences in perioperative outcomes (CC 10%, RA 14%, p ​= ​0.445) or guideline concordant care (RA 76%, CC 78%, p ​= ​0.846).

conclusionsCancer center surgeons operating at a rural affiliate had comparable perioperative outcomes and guideline-concordant care.

Indexed as

Breast NeoplasmsHospitals, RuralFemaleHumansMastectomyMastectomy, SegmentalReoperationBreast cancerPerioperative outcomesQuality of careRural hospitalsSurgery

Identifiers

PMID37805304
PMCPMC10842465

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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.