Evidence map›Paper›PMID 42772803›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Delays in presentation, severity of illness, and adverse surgical outcomes among patients transferred from Nunavik for acute care surgery.

Jeongyoon Jenny Moon, Devangi Patel, Tiffany Paradis, Faiz Ahmad Khan, Tarek Razek, Jeremy Grushka, Nathalie Boulanger, Larry Watt, Alexandra Vivier, Greg Clark and 5 more

Abstract read
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In one paragraph

Article 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. 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

15 authors.

Jeongyoon Jenny MoonFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Devangi PatelFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Tiffany ParadisFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Faiz Ahmad KhanFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Tarek RazekFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Jeremy GrushkaFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Nathalie BoulangerFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Larry WattFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Alexandra VivierFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Greg ClarkFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Paola FataFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Dan DeckelbaumFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Kosar KhwajaFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Atif JastaniahFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier).
Evan G WongFrom McGill University, Montréal, Que. (Moon, Patel, Paradis, Ahmad Khan, Razek, Grushka, Clark, Fata, Deckelbaum, Khwaja, Jastaniah, Wong); the Nunavik Regional Board of Health and Social Services, Kuujjuaq, Que. (Boulanger); the Tulattavik Health Center, Kuujjuaq, Que. (Watt, Vivier) evan.wong@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProviding acute care surgery (ACS) to Nunavik, Quebec, is highly challenging because of health care infrastructure and access issues, with geographic distances and delays in transport translating to suboptimal care, particularly for acute surgical conditions requiring timely intervention. The main objective of this study was to identify clinical predictors of poor surgical outcomes in patients transferred from Nunavik to a tertiary care centre for operative ACS conditions.

methodsWe conducted a retrospective cohort study at the Montreal General Hospital (MGH), the main tertiary care centre providing ACS care to Nunavik. We included all adult patients who were transferred from Nunavik to the MGH and underwent a surgical intervention for an ACS condition between 2015 and 2020. The outcome of interest was the occurrence of a postoperative complication, as defined by the Clavien-Dindo classification.

resultsIn total, 177 patients were transferred from Nunavik to the MGH and underwent a surgical intervention for an ACS pathology during the study period. The mean age was 40.0 (standard deviation 16.7) years, and half the patients (

conclusionDelays in presentation and severity of illness on arrival are associated with worse postoperative outcomes for patients with ACS conditions transferred from Nunavik to an urban tertiary care centre. Identifying these predictors of poor postoperative course will help shape future quality improvement initiatives, which should focus on point-of-care resuscitation, improved transport logistics and resources, and ultimately improved access to on-site surgical care.

Indexed as

Patient TransferPostoperative ComplicationsTime-to-TreatmentAcute Care SurgeryAdultFemaleHumansMaleMiddle AgedQuebecRetrospective StudiesSeverity of Illness IndexTreatment Delay

Identifiers

PMID42772803
PMCPMC13614839

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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.