Care fragmentation is associated with increased short-term mortality during postoperative readmissions: a systematic review and meta-analysis

YY Juo, Y Sanaiha, U Khrucharoen, BH Chang… - Surgery, 2019 - Elsevier
Background Recent trends toward regionalization of complex surgical procedures may
increase the risk for care fragmentation during readmissions. Conflicting conclusions have …

Trends in the geospatial distribution of inpatient adult surgical services across the United States

A Diaz, A Schoenbrunner, TM Pawlik - Annals of surgery, 2021 - journals.lww.com
Objective: The aim of this study was to define trends in the geographic distribution of surgical
services in the United States to assess possible geographic barriers and disparities in …

Machine learning improves prediction over logistic regression on resected colon cancer patients

G Leonard, C South, C Balentine, M Porembka… - Journal of Surgical …, 2022 - Elsevier
Introduction Despite advances, readmission and mortality rates for surgical patients with
colon cancer remain high. Prediction models using regression techniques allows for risk …

Fragmented care is prevalent among inflammatory bowel disease readmissions and is associated with worse outcomes

S Cohen-Mekelburg, R Rosenblatt, S Gold… - Official journal of the …, 2019 - journals.lww.com
OBJECTIVES: Inflammatory bowel disease (IBD) is a complex chronic disease that often
requires a multispeciality approach; thus, IBD patients are prone to care fragmentation. We …

Contributors to increased mortality associated with care fragmentation after emergency general surgery

ML McCrum, AR Cannon, CM Allen, AP Presson… - JAMA …, 2020 - jamanetwork.com
Importance Care fragmentation at time of readmission after emergency general surgery
(EGS) is associated with high mortality; however, the factors underlying this finding remain …

The hidden burden of unplanned readmission after emergency general surgery

EM Urrechaga, AC Cioci, JP Parreco… - Journal of Trauma …, 2021 - journals.lww.com
BACKGROUND There are no national studies of nonelective readmissions after emergency
general surgery (EGS) diagnoses that track nonindex hospital readmission. We sought to …

Accessing surgical care for pancreaticoduodenectomy: patient variation in travel distance and choice to bypass hospitals to reach higher volume centers

A Diaz, S Burns, AZ Paredes… - Journal of surgical …, 2019 - Wiley Online Library
Background While better outcomes at high‐volume surgical centers have driven
regionalization of complex surgical care, access to high‐volume centers often requires travel …

Social vulnerability and fragmentation of postoperative surgical care among patients undergoing hepatopancreatic surgery

DM Dalmacy, DI Tsilimigras, JM Hyer, A Paro, A Diaz… - Surgery, 2022 - Elsevier
Background Regionalization of hepatopancreatic surgery to high-volume hospitals has been
associated with fragmentation of postoperative care and, in turn, inferior outcomes after …

Clinical research using the national inpatient sample: A brief review of colorectal studies utilizing the NIS database

KA Kelley, VL Tsikitis - Clinics in Colon and Rectal Surgery, 2019 - thieme-connect.com
The National Inpatient Sample (NIS) is the largest collection of longitudinal hospital care
data in the United States and is sponsored by the Agency for Healthcare Research and …

Trends in the geospatial distribution of adult inpatient surgical cancer care across the United States

A Diaz, A Schoenbrunner, TM Pawlik - Journal of Gastrointestinal Surgery, 2020 - Elsevier
Introduction The relationship and trends of geography and travel distance to access surgical
cancer care has been poorly characterized. The objective of the study was to define the …