Postoperative Outcomes in the Plain Community Population of Western Wisconsin.

Humans Wisconsin / epidemiology Postoperative Complications / epidemiology Retrospective Studies Morbidity Medically Underserved Area
health disparities minority population plain community postoperative outcomes preventive care surgical complications

Journal

The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522

Informations de publication

Date de publication:
Jun 2023
Historique:
medline: 28 7 2023
pubmed: 15 5 2022
entrez: 14 5 2022
Statut: ppublish

Résumé

Residents of plain communities constitute an underserved minority population that is not reliably captured in contemporary surgical outcomes research. We hypothesized that plain communities (PC) patients would have higher postoperative complication rates than a general surgical population. A retrospective review of 30-day postoperative outcomes for PC patients compared to a majority (non-PC) matched patient population from September 2014 to March 2020 was performed. The primary outcome measure was any complication within 30 days of surgery. 270 PC patients were matched with 493 non-PC patients. The 30-day complication rate was higher for the PC group (6.3% vs 3.7%, P = .09), though not statistically significant. There was significantly lower utilization of preventive care services, and postoperative follow-up among PC patients. Although our regional PC surgical patient population utilized preventive and postoperative health care services less than the non-PC population, there was no statistically significant difference in overall 30-day postoperative morbidity or mortality.

Sections du résumé

BACKGROUND BACKGROUND
Residents of plain communities constitute an underserved minority population that is not reliably captured in contemporary surgical outcomes research. We hypothesized that plain communities (PC) patients would have higher postoperative complication rates than a general surgical population.
METHODS METHODS
A retrospective review of 30-day postoperative outcomes for PC patients compared to a majority (non-PC) matched patient population from September 2014 to March 2020 was performed. The primary outcome measure was any complication within 30 days of surgery.
RESULTS RESULTS
270 PC patients were matched with 493 non-PC patients. The 30-day complication rate was higher for the PC group (6.3% vs 3.7%, P = .09), though not statistically significant. There was significantly lower utilization of preventive care services, and postoperative follow-up among PC patients.
DISCUSSION CONCLUSIONS
Although our regional PC surgical patient population utilized preventive and postoperative health care services less than the non-PC population, there was no statistically significant difference in overall 30-day postoperative morbidity or mortality.

Identifiants

DOI: 10.1177/00031348221101486 PMID: 35567279
pubmed: 35567279
doi: 10.1177/00031348221101486
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2200-2206

Auteurs

Rachel L Seiler (RL)

Departments of Medical Education, Gundersen Health System, La Crosse, WI, USA.

Kara J Kallies (KJ)

Medical Research, Gundersen Health System, La Crosse, WI, USA.

Andrew J Borgert (AJ)

Medical Research, Gundersen Health System, La Crosse, WI, USA.

Scott R Reetz (SR)

University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.

Benjamin T Jarman (BT)

Department of Surgery, Gundersen Health System, La Crosse, WI, USA.

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Classifications MeSH

questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Postoperative Outcomes in the Plain Community...
questionsmedicales.fr › Régions géographiques › Amériques › Amérique du Nord › États-Unis › États du Centre-Ouest des États-Unis › Wisconsin › Postoperative Outcomes in the Plain Community...
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Complications postopératoires › Postoperative Outcomes in the Plain Community...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Postoperative Outcomes in the Plain Community...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Collecte de données › Registre civil › Morbidité › Postoperative Outcomes in the Plain Community...
questionsmedicales.fr › Qualité, accès, évaluation des soins de santé › Prestations des soins de santé › Besoins et demandes de services de santé › Zone médicalement sous-équipée › Postoperative Outcomes in the Plain Community...