Evidence map›Paper›PMID 40134484›Full record

ReviewAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2025

Safety Net Hospitals and the Quality of Surgical Care.

Shyamin Mehra, Ashley Yang, Maya Dornbrand-Lo, Saikiran Beesam, Alessandra Mele, Ravi J Chokshi, Kathie-Ann Joseph, Cherisse D Berry, Susan E Pories

Abstract readReview
In one paragraph

Review in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Shyamin MehraFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Ashley YangFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Maya Dornbrand-LoFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Saikiran BeesamFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Alessandra MeleDepartment of Surgery, Mount Auburn Hospital, Cambridge, MA.
Ravi J ChokshiFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Kathie-Ann JosephDepartments of Surgery and Population Health, NYU Grossman School of Medicine/NYU Langone Health, New York, NY.
Cherisse D BerryFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.
Susan E PoriesFrom the New Jersey Medical School, State University of New Jersey, Newark, NJ.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the number of safety net hospitals (SNHs) that have American College of Surgeons (ACS) accreditation for surgical programs. Background: SNHs provide healthcare to a substantial proportion of uninsured and underserved patient populations and rely heavily on public funding to sustain their operations. ACS accreditation emphasizes evidence-based care and standardization to improve patient outcomes. However, SNHs face financial and administrative barriers to ACS accreditation. Methods: We investigated the number of SNHs with ACS accreditation for specific programs by utilizing the publicly available listing of ACS-accredited programs and the listing of SNHs from the America's Essential Hospitals membership. We then performed a descriptive analysis of the number and geographic distribution of SNHs within the United States and the number of SNHs with ACS-accredited programs. Results: SNHs vary by regional disparities and demographic characteristics of respective states. Almost 20% of states are without access to SNHs. Most SNHs do not pursue ACS accreditation. Of 322 SNHs, 36% were accredited for cancer care (Commission on Cancer), 31% for trauma (Trauma Quality Improvement Program), 21% for bariatrics (Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program), 13% for breast care (National Accreditation Program for Breast Centers), and 5% for rectal cancer (National Accreditation Program for Rectal Cancer). Conclusions: ACS accreditation can benefit SNHs in improving guideline-concordant care for medically underserved patients and SNHs should be encouraged to attain ACS accreditation to improve access to and quality of care for vulnerable patient populations.

Indexed as

accreditationqualitysafety net hospitalssurgery

Identifiers

PMID40134484
PMCPMC11932591

What OpenQuestion holds

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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.