Evidence map›Paper›PMID 39089935›Full record

ArticleSurgery2024

Vulnerable populations and the emergency ventral hernia: A retrospective cohort study.

Ariel Wolf, Charlotte Heron, India Bonner, Adam Dyas, Denise Garofalo, Catherine G Velopulos, Quintin W O Myers

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

1 citing paper in PubMed.

  1. 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

7 authors.

Ariel WolfDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO. Electronic address: Ariel.wolf@CUAnschutz.edu.
Charlotte HeronDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
India BonnerDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Adam DyasDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Denise GarofaloDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Catherine G VelopulosDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.
Quintin W O MyersDepartment of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO.

Funding

Modifiable factors in emergent presentation of potentially elective general surgical disease for patients who are insured or insurance-eligibleR01MD015122 · NIMHD · UNIVERSITY OF COLORADO DENVER · PI VELOPULOS, CATHERINE GARRISON · 2021 to 2025
$1.6M
NIMHD NIH HHS R01 MD015122
6 · The paper itself

Abstract

introductionVentral hernias can be repaired electively; however, many circumstances require emergency repair. The association between sociodemographic status and rate of emergency repair are unclear and the Social Vulnerability Index may be a useful tool to better understanding this association. The purpose of this study was to investigate the association between Social Vulnerability Index and emergency ventral hernia repair.

methodsThis was a retrospective cohort study using the National Surgical Quality Improvement Program (2012-2018) data for patients at a level 1 trauma center. We included patients who had an open ventral hernia repair. Social Vulnerability Index was based on residential address at the time of surgery. We conducted univariate and bivariate statistics, including χ

resultsOur sample had 1,017 patients. Patients who underwent emergency operations were older (P = .025) and had higher Social Vulnerability Index (P = .029). Patients in the high Social Vulnerability Index group were 1.5 times more likely to receive emergency surgery (P = .047). Emergency repair was also associated with increased frequency of nonhome discharge (9% vs 2%, P = .001) and higher mean work relative value unit (15.4 vs 11.9, P < .001).

conclusionPatients requiring emergency ventral hernia repair have significantly higher Social Vulnerability Index than those undergoing elective repair. This vulnerable population also has increased cost associated with the repair and higher rates of nonhome discharge. This work provides a foundation for efforts to reach patients in high Social Vulnerability Index environments at an earlier stage to achieve earlier elective repair.

Indexed as

Hernia, VentralHerniorrhaphyVulnerable PopulationsAdultAgedEmergenciesFemaleHumansMaleMiddle AgedRetrospective Studies

Identifiers

PMID39089935
PMCPMC11665595

What OpenQuestion holds

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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.