Evidence map›Paper›PMID 39106552›Full record

ArticleAmerican journal of surgery2024

Disparities in outpatient rural cholecystectomy outcomes.

Erin C Howell, Rie Sakai-Bizmark, Krystal Karunungan, Yongju Pak, Ramsey Ugarte, Shannon Richardson, Daniel A DeUgarte, Steven L Lee

Abstract readComparative Study
PubMed Full text at PMC Publisher
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 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

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

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

8 authors.

Erin C HowellDepartment of Surgery, Harbor-UCLA Medical Center, Torrance, CA, 90502, USA; Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM, 87106, USA. Electronic address: echowell@salud.unm.edu.
Rie Sakai-BizmarkThe Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, 90502, USA; Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA, 90502, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA. Electronic address: rsakaibizmark@lundquist.org.
Krystal KarununganDavid Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA. Electronic address: krystalkarunungan@gmail.com.
Yongju PakThe Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center, Torrance, CA, 90502, USA. Electronic address: ypak@lundquist.org.
Ramsey UgarteDepartment of Surgery, Harbor-UCLA Medical Center, Torrance, CA, 90502, USA. Electronic address: RUgarte@dhs.lacounty.gov.
Shannon RichardsonDavid Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA. Electronic address: scrichardson@mednet.ucla.edu.
Daniel A DeUgarteDepartment of Surgery, Harbor-UCLA Medical Center, Torrance, CA, 90502, USA; David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA; Division of Pediatric Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA. Electronic address: ddeugarte@mednet.ucla.edu.
Steven L LeeDivision of Pediatric Surgery, University of Washington School of Medicine and Seattle Children's Hospital, Seattle, WA, USA. Electronic address: Steven.Lee@seattlechildrens.org.

Funding

Newborn Screening for Critical Congenital Heart Disease in U.S.: Assessment of implementation obstacles and application of cost-effectiveness to gauge if action needed for improved implementationK01HL141697 · NHLBI · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI SAKAI-BIZMARK, RIE · 2018 to 2022
$688k
NHLBI NIH HHS K01 HL141697
6 · The paper itself

Abstract

backgroundPrevious studies showed comparable outcomes for common in-patient general surgery operations, but it is unknown if this extends to outpatient operations. Our aim was to compare outpatient cholecystectomy outcomes between rural and urban hospitals.

methodsA retrospective cohort analysis was done using the Nationwide Ambulatory Surgery Sample for patients 20-years-and-older undergoing cholecystectomy between 2016 and 2018 ​at rural and urban hospitals. Survey-weighted multivariable regression analysis was performed with primary outcomes including use-of-laparoscopy, complications, and patient discharge disposition.

resultsThe most common indication for operation was cholecystitis in both hospital settings. On multivariable analysis, rural hospitals were associated with higher transfers to short-term hospitals (adjusted odds ratio [aOR] 2.40, 95%CI 1.61-3.58, p ​< ​0.01) and complications (aOR 1.39, 95%CI 1.11-1.75, p ​< ​0.01). No difference was detected with laparoscopy (aOR 1.93, 95%CI 0.73-5.13, p ​= ​0.19), routine discharge (aOR 1.50, 95%C I0.91-2.45, p ​= ​0.11), or mortality (aOR 3.23, 95%CI 0.10-100.0, p ​= ​0.51).

conclusionsPatients cared for at rural hospitals were more likely to be transferred to short-term hospitals and have higher complications. No differences were detected in laparoscopy, routine discharge or mortality.

Indexed as

CholecystectomyHospitals, RuralAdultAgedAmbulatory Surgical ProceduresFemaleHealthcare DisparitiesHospitals, UrbanHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUnited StatesYoung AdultElectiveLaparoscopic cholecystectomyOutcomesRural

Identifiers

PMID39106552
PMCPMC11681941

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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.