Evidence map›Paper›PMID 41585611›Full record

ReviewCureus2026

Beyond the Knife: Evolution, Innovation, Challenges, Global Gaps, and the Future of Acute Care Surgery.

Olurotimi J Badero, Olutomiwa Omokore, Ibrahim O Quadri, Samuel O Ogunnoiki, Perelade Kingdom, Ogbuiyi-Chima C Ifeanyichukwu, Temiloluwa Olayinka, Precious M Samuel-Ogunnoiki, Emmanuel S Meribole, Olaitan O Adeyoola and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Cureus, 2026. 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. Review
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

14 authors.

Olurotimi J BaderoInterventional Cardiology, Iwosan Lagoon Hospital, Lagos, NGA.
Olutomiwa OmokoreInternal Medicine, Babcock University Teaching Hospital, Ilishan-Remo, NGA.
Ibrahim O QuadriSurgery, Babcock University, Ilishan-Remo, NGA.
Samuel O OgunnoikiInternal Medicine, Benjamin S. Carson College of Health and Medical Sciences, Ilishan-Remo, NGA.
Perelade KingdomSurgery, Benjamin S. Carson College of Health and Medical Sciences, Ilishan-Remo, NGA.
Ogbuiyi-Chima C IfeanyichukwuMedicine and Surgery, Babcock University Teaching Hospital, Ilishan-Remo, NGA.
Temiloluwa OlayinkaSurgery, General Hospital, Lagos, NGA.
Precious M Samuel-OgunnoikiInternal Medicine, Benjamin S. Carson College of Health and Medical Sciences, Ilishan-Remo, NGA.
Emmanuel S MeriboleMedicine and Surgery, Babcock University Teaching Hospital, Ilishan-Remo, NGA.
Olaitan O AdeyoolaMedicine, Babcock University, Ilishan-Remo, NGA.
Nkechi Chima-OgbuiyiNursing, Herzing University, Milwaukee, USA.
Bamikole OsibowaleCardiology, Carribean Tristate Heart Institute, Port of Spain, TTO.
Mariam O BuariMedicine, Babcock University Teaching Hospital, Ilishan-Remo, NGA.
Julliete UmehSurgery, Igbinedion University, Okada, NGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute care surgery (ACS) is an integrated specialty encompassing trauma, emergency general surgery, and surgical critical care, aimed at delivering comprehensive, timely management of surgical emergencies. This narrative review examines the evolution of ACS from a procedure-focused model to a comprehensive perioperative care specialty. It analyzes significant innovations, including the use of artificial intelligence (AI) for sepsis prediction and complication risk stratification, the emerging role of robotic surgery, the incorporation of telemedicine, and the implementation of Enhanced Recovery After Surgery (ERAS) protocols. The review also identifies critical systemic challenges, including surgeon burnout, ethical dilemmas in end-of-life care, and chronic underfunding. Furthermore, it highlights substantial global disparities in the implementation of ACS models, with well-established systems in North America and fragmented or absent services in low-resource settings. This synthesis concludes that the future of ACS hinges on adopting technological advancements, addressing workforce sustainability, and developing policies to ensure equitable, high-quality emergency surgical care worldwide.

Indexed as

acute care surgerycritical care innovationethical challengesglobal disparitiesmultidisciplinary integration

Identifiers

PMID41585611
PMCPMC12831558

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.