American journal of surgery · 2026
Advancing health equity in Complex Abdominal & Pelvic Surgery: A 5-year report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Powell A C, Kang P, Farley J, Premkumar A, Patel M, Thawani N, Kallingal G, Wu P, Kalinkin O, Velazquez T, Dukes D, Lee J, McGeever K, Gagliano R
Аннотация
OBJECTIVE: To evaluate the effectiveness of a Complex Abdominal and Pelvic Surgery (CAPS) program at a tertiary referral center in Arizona in providing complex surgical care for an underserved population METHODS: Thirty-day post-operative outcomes for mortality, complications, length of stay and readmission were compared among patients with low/low-medium and medium-high/high social vulnerability index (SVI) for 120 patients who underwent surgery with the CAPS program from 2019 to 2024.
RESULTS: There were no differences in outcomes between SVI groups. The 30-day mortality rate was 2% (2 patients). Seventy-four patients (62%) had at least one complication, of which most were Grade I or II complications. The median post-surgery length of stay was 10 days and the readmission rate was 24%.
CONCLUSION: The provision of complex surgical care in a population with high social vulnerability is safe and advances equity but is resource intensive. Further research is warranted to investigate the development of similar programs.
RESULTS: There were no differences in outcomes between SVI groups. The 30-day mortality rate was 2% (2 patients). Seventy-four patients (62%) had at least one complication, of which most were Grade I or II complications. The median post-surgery length of stay was 10 days and the readmission rate was 24%.
CONCLUSION: The provision of complex surgical care in a population with high social vulnerability is safe and advances equity but is resource intensive. Further research is warranted to investigate the development of similar programs.