Evidence map›Paper›PMID 40708453›Full record

ArticleThe Australian journal of rural health2025

Emergency Laparotomy Risk Assessment: A Qualitative Study of General Surgeons and Trainees.

Joseph N Hewitt, Thomas J Milton, Christopher Dobbins, Markus I Trochsler

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2025. 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

4 authors.

Joseph N HewittThe University of Adelaide, Discipline of Surgery, the Queen Elizabeth Hospital, Woodville, South Australia, Australia.ORCID 0000-0003-2959-4554
Thomas J MiltonDepartment of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Christopher DobbinsDepartment of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Markus I TrochslerThe University of Adelaide, Discipline of Surgery, the Queen Elizabeth Hospital, Woodville, South Australia, Australia.

Funding

University of Adelaide
6 · The paper itself

Abstract

objectiveGeneral surgeons perform emergency laparotomies on a heterogeneous patient population. Scoring tools have been developed to quantify the risk of mortality after EL, but the uptake of these tools is poor. We aimed to characterise the attitudes of surgeons to risk assessment tools.

settingAustralia.

participantsGeneral surgeons, registrars and residents.

designSemi-structured interviews with participants, analysed using Framework Method.

resultsFifteen participants were interviewed. Barriers identified included perceived lack of utility, competing priorities, unit or hospital culture, individual surgeon attitudes, lack of funding, junior medical staff turnover, and lack of familiarity. Potential strategies for improvement identified included education, integration with electronic health records, and prompting at time of theatre booking.

conclusionOur findings will be of interest to those undertaking quality improvement work with risk assessment. This is important given recommendations for universal risk assessment but the low uptake of risk assessment in practice.

Indexed as

Attitude of Health PersonnelGeneral SurgeryLaparotomySurgeonsAdultAustraliaFemaleHumansInterviews as TopicMaleQualitative ResearchRisk Assessmentemergency laparotomygeneral surgeryrisk assessment

Identifiers

PMID40708453
PMCPMC12290497

What OpenQuestion holds

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LicenceCC BY
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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.