Pro-con debate on regionalization of emergency general surgery: controversy or common sense?
Heena Santry, Lillian S Kao, Shahid Shafi, Lawrence Lottenberg, Marie Crandall
Author Information
Heena Santry: Department of Surgery and Center for Surgical Health Assessment, Research and Policy, Ohio State University, Columbus, Ohio, USA.
Lillian S Kao: Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
Shahid Shafi: Department of Surgery, Baylor Health Care System, Dallas, Texas, USA.
Lawrence Lottenberg: Department of Surgery, Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
Marie Crandall: Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA. ORCID
中文译文
English
More than three million patients every year develop emergency general surgical (EGS) conditions and this number is rising. EGS diseases range from straightforward to potentially life-threatening, and if severe or complex may require extensive resources. Given the looming surgeon shortage and concerns about access to care, regionalization of EGS care, in a manner similar to trauma care, has been proposed. We present a unique pro-con debate highlighting the salient arguments for and against regionalization of EGS care in the USA.
Am J Surg. 2018 Oct;216(4):787-792
[PMID: 30166049 ]
J Trauma. 1999 Sep;47(3 Suppl):S8-14
[PMID: 10496604 ]
Syst Rev. 2016 Nov 29;5(1):204
[PMID: 27899141 ]
J Am Coll Surg. 2018 Jan;226(1):91-99
[PMID: 29111416 ]
Int J Surg. 2015 Sep;21:112-4
[PMID: 26166738 ]
J Gastrointest Surg. 2016 Apr;20(4):708-14
[PMID: 26582598 ]
Acad Emerg Med. 2010 Dec;17(12):1374-82
[PMID: 21091822 ]
Crit Care Med. 2014 Apr;42(4):910-7
[PMID: 24335442 ]
JAMA. 2003 Nov 26;290(20):2703-8
[PMID: 14645312 ]
Arch Surg. 2010 Jan;145(1):72-8
[PMID: 20083757 ]
J Trauma Acute Care Surg. 2013 May;74(5):1195-205
[PMID: 23609267 ]
Jt Comm J Qual Patient Saf. 2019 Jan;45(1):14-23
[PMID: 30093364 ]
Br J Surg. 2015 Jan;102(1):57-66
[PMID: 25384994 ]
J Trauma Acute Care Surg. 2015 Mar;78(3):482-90; discussion 490-1
[PMID: 25710417 ]
J Trauma Acute Care Surg. 2015 Feb;78(2):306-11
[PMID: 25757115 ]
Surgery. 2018 Feb;163(2):243-250
[PMID: 29050886 ]
Scand J Surg. 2010;99(2):68-72
[PMID: 20679039 ]
Surg Obes Relat Dis. 2013 Sep-Oct;9(5):617-22
[PMID: 23312757 ]
N Engl J Med. 2006 Jan 26;354(4):366-78
[PMID: 16436768 ]
N Engl J Med. 2006 Sep 28;355(13):1300-3
[PMID: 17005946 ]
J Trauma. 2010 Sep;69(3):640-3; discussion 643-4
[PMID: 20838135 ]
Arch Surg. 2012 Jul;147(7):591-8
[PMID: 22430094 ]
J Trauma. 1999 Sep;47(3 Suppl):S25-33
[PMID: 10496607 ]
Acad Emerg Med. 2010 Dec;17(12):1286-96
[PMID: 21122010 ]
J Trauma Acute Care Surg. 2018 Aug;85(2):348-353
[PMID: 29664889 ]
Surgery. 2007 Mar;141(3):324-6
[PMID: 17349842 ]
Am J Cardiol. 2017 May 15;119(10):1532-1541
[PMID: 28372804 ]
J Am Coll Surg. 2005 Dec;201(6):925-32
[PMID: 16310697 ]
J Am Heart Assoc. 2015 Oct 14;4(10):e001877
[PMID: 26467999 ]
Am J Emerg Med. 2017 Sep;35(9):1234-1239
[PMID: 28431874 ]
Ann Surg. 2010 Apr;251(4):708-16
[PMID: 19898231 ]
J Am Coll Surg. 2012 Apr;214(4):531-5; discussion 536-8
[PMID: 22397976 ]
J Am Coll Surg. 2009 Oct;209(4):421-4
[PMID: 19801314 ]
Can J Surg. 2013 Oct;56(5):318-24
[PMID: 24067516 ]
J Trauma Acute Care Surg. 2014 Aug;77(2):202-8
[PMID: 25058242 ]
Am J Surg. 2007 Dec;194(6):758-63; discussion 763-4
[PMID: 18005767 ]
J Rural Health. 2006 Fall;22(4):339-42
[PMID: 17010031 ]
J Trauma Acute Care Surg. 2018 Mar;84(3):433-440
[PMID: 29251701 ]
Surgery. 2008 Oct;144(4):548-54; discussion 554-6
[PMID: 18847638 ]
Ann Surg. 2016 Jan;263(1):20-7
[PMID: 26840649 ]
Am J Surg. 2018 May;215(5):927-929
[PMID: 29397897 ]
Aging Clin Exp Res. 2018 Mar;30(3):277-282
[PMID: 29411329 ]
J Trauma. 2006 Feb;60(2):371-8; discussion 378
[PMID: 16508498 ]
J Trauma Acute Care Surg. 2018 Feb;84(2):280-286
[PMID: 29194319 ]
J Trauma. 2008 Mar;64(3):599-604; discussion 604-6
[PMID: 18332798 ]
Bull Am Coll Surg. ;102(5):28-34
[PMID: 28892324 ]
Trauma Surg Acute Care Open. 2018 Apr 29;3(1):e000160
[PMID: 29766138 ]
Scand J Surg. 2010;99(2):59-60
[PMID: 20684113 ]
JAMA. 2013 Feb 27;309(8):792-9
[PMID: 23443442 ]
J Surg Res. 2016 Jun 1;203(1):231-7
[PMID: 27125867 ]
J Am Coll Surg. 2011 Mar;212(3):277-86
[PMID: 21356485 ]
J Trauma. 2011 Jan;70(1):116-9
[PMID: 21217489 ]
J Am Coll Surg. 2007 Nov;205(5):704-11
[PMID: 17964447 ]
Ann Surg. 2012 Apr;255(4):611-7
[PMID: 22367447 ]
Ann Surg. 2014 Aug;260(2):244-51
[PMID: 24368634 ]
Arch Surg. 2004 Apr;139(4):423-8
[PMID: 15078711 ]
J Surg Res. 2016 Nov;206(1):168-174
[PMID: 27916358 ]
J Trauma. 2005 Mar;58(3):614-6
[PMID: 15761359 ]
J Trauma Acute Care Surg. 2015 Jul;79(1):60-3; discussion 64
[PMID: 26091315 ]
N Engl J Med. 2003 Nov 27;349(22):2117-27
[PMID: 14645640 ]
J Trauma Acute Care Surg. 2017 Nov;83(5):837-845
[PMID: 29068873 ]
Virulence. 2014 Jan 1;5(1):4-11
[PMID: 24335434 ]
Ann Surg. 2003 Aug;238(2):170-7
[PMID: 12894008 ]
JAMA. 2007 Nov 14;298(18):2191-3
[PMID: 18000204 ]
Ann Emerg Med. 2014 May;63(5):561-571.e8
[PMID: 24342815 ]
J Am Coll Surg. 2004 Jul;199(1):96-101
[PMID: 15217636 ]
Surg Oncol Clin N Am. 2018 Oct;27(4):685-704
[PMID: 30213413 ]
Surgery. 2005 Nov;138(5):837-43
[PMID: 16291383 ]
J Trauma Acute Care Surg. 2013 Apr;74(4):1092-7
[PMID: 23511150 ]
J Trauma. 2011 Aug;71(2):442-6
[PMID: 21825946 ]
Scand J Surg. 2010;99(2):61-3
[PMID: 20679037 ]
J Trauma Acute Care Surg. 2015 Sep;79(3):444-8
[PMID: 26307879 ]
J Stroke Cerebrovasc Dis. 2013 May;22(4):383-8
[PMID: 22078781 ]
JAMA Surg. 2016 Jun 15;151(6):e160480
[PMID: 27120712 ]
Issue Brief Cent Stud Health Syst Change. 2007 Nov;(115):1-4
[PMID: 18051263 ]
J Trauma Acute Care Surg. 2012 May;72(5):1140-9
[PMID: 22673238 ]
Surgery. 2018 Nov;164(5):1109-1116
[PMID: 30174142 ]
World J Surg. 2011 Dec;35(12):2660-7
[PMID: 22002495 ]
Arch Surg. 2009 Apr;144(4):319-25; discussion 325
[PMID: 19380644 ]
Am Surg. 2011 Jul;77(7):951-9
[PMID: 21944366 ]
Ann Surg. 2010 Oct;252(4):582-90
[PMID: 20881763 ]
J Trauma Acute Care Surg. 2017 Mar;82(3):497-504
[PMID: 28030504 ]
J Surg Res. 2015 Aug;197(2):354-62
[PMID: 25891673 ]
J Am Coll Surg. 2008 Feb;206(2):212-9
[PMID: 18222372 ]
N Engl J Med. 2002 Apr 11;346(15):1128-37
[PMID: 11948273 ]
J Trauma. 2005 May;58(5):906-10
[PMID: 15920401 ]
Circ Cardiovasc Qual Outcomes. 2010 Sep;3(5):514-21
[PMID: 20807883 ]
J Trauma Acute Care Surg. 2015 Jan;78(1):60-7; discussion 67-8
[PMID: 25539204 ]
R01 HS022694/AHRQ HHS