Evidence map›Paper›PMID 37968551›Full record

SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2023

Surgical Cancer Care in Safety-Net Hospitals: a Systematic Review.

Paul Wong, Gregory P Victorino, Javid Sadjadi, Kevin Knopf, Ajay V Maker, Lucas W Thornblade

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Safety Net Hospitals and the Quality of Surgical Care.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Review
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 at 3 institutions in 1 country.

Paul WongDepartment of Surgery, University of California, San Francisco, 1411 E 31St Street, Oakland, CA, 94602, USA.ORCID 0000-0002-5833-0331
Gregory P VictorinoDepartment of Surgery, University of California, San Francisco, 1411 E 31St Street, Oakland, CA, 94602, USA.
Javid SadjadiDepartment of Surgery, University of New Mexico, Albuquerque, NM, USA.
Kevin KnopfHighland Hospital, 1411 E 31st Street, Oakland, CA, USA.
Ajay V MakerDepartment of Surgery, University of California, San Francisco, 1411 E 31St Street, Oakland, CA, 94602, USA.
Lucas W ThornbladeDepartment of Surgery, University of California, San Francisco, 1411 E 31St Street, Oakland, CA, 94602, USA. lucas.thornblade@ucsf.edu.
University of California, San Francisco · USHighland Hospital · USUniversity of New Mexico · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTertiary medical centers in the USA provide specialized, high-volume surgical cancer care, contributing standards for quality and outcomes. For the most vulnerable populations, safety-net hospitals (SNHs) remain the predominant provider of both complex and routine healthcare needs. The objective of this study was to evaluate access to and quality of surgical oncology care within SNHs.

methodsA comprehensive and systematic review of the literature was conducted using PubMed, EMBASE, and Cochrane Library databases to identify all studies (January 2000-October 2021) reporting the delivery of surgical cancer care at SNHs in the USA (PROSPERO #CRD42021290092). These studies describe the process and/or outcomes of surgical care for gastrointestinal, hepatopancreatobiliary, or breast cancer patients seeking treatment at SNHs.

resultsOf 3753 records, 37 studies met the inclusion criteria. Surgical care for breast cancer (43%) was the most represented, followed by colorectal (30%) and hepatopancreatobiliary (16%) cancers. Financial constraints, cultural and language barriers, and limitations to insurance coverage were cited as common reasons for disparities in care within SNHs. Advanced disease at presentation was common among cancer patients seeking care at SNHs (range, 24-61% of patients). Though reports comparing cancer survival between SNHs and non-SNHs were few, results were mixed, underscoring the variability in care seen across SNHs.

conclusionsThese findings highlight barriers in care facing many cancer patients. Continued efforts should address improving both access and quality of care for SNH patients. Future models include a transition away from a two-tiered system of resourced and under-resourced hospitals toward an integrated cancer system.

Indexed as

Breast NeoplasmsSafety-net ProvidersFemaleHospitalsHumansHealth disparitiesSafety-net hospitalsSurgical cancer careSurgical oncologySystematic review

Identifiers

PMID37968551
OpenAlexW4388705770

What OpenQuestion holds

Textmetadata
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.