Observational studyCanadian journal of surgery. Journal canadien de chirurgie
Rural surgical and obstetric facility-level outcomes for index procedures: a retrospective cohort study (2016-2021).
Observational study in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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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
5 citing papers in PubMed.
- Determinants and outcomes of early cholecystectomy for mild gallstone pancreatitis in British Columbia, Canada.Journal of the Canadian Association of Gastroenterology · 2026Article
- Summative evaluation of the rural surgical obstetrical networks initiative: Findings from a five year retrospective qualitative study.PloS one · 2026Article
- 'I Am Not Going, So You're Doing It': Management of Pregnant People With High BMI at Rural Hospitals in British Columbia: A Mixed Methods Analysis.The Australian journal of rural health · 2025Article
- Examining Changes in Compassion Satisfaction, Burnout, Secondary Traumatic Stress and Work-Related Quality-of-Life of Rural Surgical and Obstetrical Nurses in British Columbia During the COVID-19 Pandemic.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2025Article
- Quality indicators for rural surgical and obstetrical care: A modified Delphi consensus study.PloS one · 2025Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMany rural communities have lost local access to procedural care, and although rural surgical services have endured in some regions, questions regarding quality and safety of care have persisted. Using retrospective observational data, we sought to compare adverse outcomes of the most common surgical procedures performed at rural facilities in British Columbia and outcomes by provider specialty. Our objective was to show whether the efficacy of surgical care at rural facilities is comparable to that of larger referral facilities and whether family physicians with enhanced surgical skills (FPESS) have outcomes comparable to those of specialists at referral facilities for low-morbidity patients.
methodsWe included patients who had a colonoscopy, hernia repair, appendectomy, or cesarean delivery at 1 of 7 rural hospitals in BC that participated in the Rural Surgical and Obstetrics Networks of BC and corresponding referral facilities between 2016 and 2021. To control for differences in the acuity of patients between facility types, we risk stratified data by patient comorbidity level, in addition to adjusting for other demographic differences using multivariable Firth logistic regression analysis. We also compared the outcomes of FPESS with those of regional specialists for low-acuity patients in a similar manner. We calculated adjusted odds ratios (ORs), used tests of noninferiority to obtain
resultsMost surgical procedures at rural hospitals were performed by FPESS (
conclusionOur findings provide evidence in favour of the efficacy of rural procedural care at BC facilities, and although these results are not inherently generalizable to other populations, we believe they illustrate the potential for high-quality rural care for low-acuity procedures in similar settings. These findings are an important step toward documenting rural-specific outcomes and creating attendant benchmarks for rural practice.
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