ArticleAmerican journal of surgery2025
Outpatient surgical institutions in the rural United States: Trends from 2010 to 2020.
Article in American journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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4 authors.
Funding
Abstract
backgroundThe volume and proportion of surgeries occurring in outpatient settings has increased. However, the growth and distribution of outpatient surgical institutions, namely ambulatory surgery centers (ASCs) and hospital-based outpatient surgical departments (HOPDs), remains understudied in rural areas.
methodsWe used descriptive statistics and a multivariate logistic regression to assess the growth and distribution of ASCs and HOPDs in rural areas from 2010 to 2020, leveraging the Area Health Resources Files and American Community Survey.
resultsFrom 2010 to 2020, the number of ASCs in rural counties decreased by 4.9 % (410 vs. 390), and rural HOPDs decreased by 14.3 % (1400 vs. 1200). Completely rural counties were over five times likelier to lack both ASCs and HOPDs (AOR = 5.32; 95 % CI = [4.82-5.89]); p < 0.001).
conclusionsOutpatient surgical institution access in rural America declined. Policymakers should protect rural HOPDs, promote the creation of ASCs in rural communities, and incentivize surgeons to enter rural practice.
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