Unplanned surgery: Social determinants of health and system integration

In a database review of over 1.1 million Medicare beneficiaries, Valubuena et al.1 demonstrate that non-white patients underwent more unplanned surgeries for incisional hernia, colectomy and abdominal aortic aneurysm. The American College of Surgeons National Quality Improvement Program (ACS-NSQIP)...

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Bibliographic Details
Published inThe American journal of surgery Vol. 225; no. 4; pp. 600 - 601
Main Author Zenilman, Michael E.
Format Journal Article
LanguageEnglish
Published New York Elsevier Inc 01.04.2023
Elsevier Limited
Subjects
Aneurysms
Aorta
Aortic aneurysms
Conflicts of interest
Government programs
Health care access
Hernia
Hospitals
Medicaid
Medicare
Patients
Quality control
Socioeconomic factors
Socioeconomics
Surgery
Uninsured people
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Summary:In a database review of over 1.1 million Medicare beneficiaries, Valubuena et al.1 demonstrate that non-white patients underwent more unplanned surgeries for incisional hernia, colectomy and abdominal aortic aneurysm. The American College of Surgeons National Quality Improvement Program (ACS-NSQIP) recently added “Primary Payor Status” to their demographic dataset, which can be translated into the socioeconomic status. System integration should help with parking spaces and functional elevators, but the critical benefit is to invest resources towards better outcomes for our patients.Declaration of competing interest Dr Zenilman reports no conflicts of interest with this paper submission.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2022.10.038