This cohort study evaluates the differences in access to and outcomes of 9-1-1 emergency medical services’ response to injuries in rural and urban populations.
Aboagye et al examine the disparities that may exist in colorectal cancer screening and treatment by comparing the distribution of providers of these services in rural and urban counties in the United States.
This study describes the broad spectrum of nonvascular surgery cases that require intraoperative vascular surgery assistance.
To determine whether Medicare beneficiaries in rural areas were less likely to undergo a variety of surgical procedures compared with their urban counterparts.
Cross-sectional study of Medicare beneficiaries.
Any incidence of the surgical procedures studied.
Compared with urban Medicare beneficiaries, rural Medicare beneficiaries were more likely to undergo a broad array of surgical procedures: 35% more likely for carotid endarterectomy (odds ratio [OR] = 1.35; 95% confidence interval [CI], 1.33-1.38), 32% for lumbar spine fusion (OR = 1.32; 95% CI, 1.29-1.35), 30% for knee replacement surgery (OR = 1.30; 95% CI, 1.28-1.31), 28% for abdominal aortic aneurysm repair (OR = 1.28; 95% CI, 1.24-1.31), 22% for prostatectomy (OR = 1.22; 95% CI, 1.19-1.24), 19% for hip replacement surgery (OR = 1.19; 95% CI, 1.17-1.21), 18% for aortic valve replacement (OR = 1.18; 95% CI, 1.14-1.21), 16% for open reduction and internal fixation of the femur (OR = 1.16; 95% CI, 1.14-1.18), and 15% for appendectomy (OR = 1.15; 95% CI, 1.11-1.19). To determine whether these differences could be explained by known confounding variables, we then used logistic regression to adjust for age, sex, race/ethnicity, median household income, average house value, mean poverty ratio, and state of residence. Rural beneficiaries were still more likely to undergo all of these surgical procedures.
Medicare beneficiaries living in rural areas were more likely to undergo a broad array of surgical procedures compared with those living in urban areas. While allaying some concern about rural access to surgical procedures, the uniformity of these results raises concern that people living in rural areas may have an overall poorer quality of health.
This study determines whether differences in the use of vena cava filters in hospitals in Kentucky can be explained by observable factors rather than potential reimbursement upcoding.
This decision analytic study models different techniques for reducing the cost of complex surgery performed at safety-net hospitals.
This nationwide survey study identifies the number of trauma hospitals operating in Syria and delineates their capacities.
This multicenter cohort study of a trauma system in Canada reports the development of a quality indicator for in-hospital complications that can be used to evaluate the quality of acute injury care.
This case series discusses the inpatient resources, including imaging, nursing overtime, and blood bank needs, that were used to treat 63 individuals injured in the Asiana Airlines flight 214 crash.
This review of Pediatric Surgery Board recertification case log data describes the demographic characteristics and operative experiences of practicing pediatric surgeons.
This cohort study compares the incidence of venous thromboembolism after trauma in patients whose enoxaparin dose was adjusted vs not adjusted using anti–factor Xa trough levels.
This observational study assesses the effect of patient and hospital factors on mortality and readmission rates after surgical procedures and costs of surgery at safety-net hospitals.