Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

doi:10.1136/tsaco-2019-000319

. 2019 May 19;4(1):e000319.

doi: 10.1136/tsaco-2019-000319. eCollection 2019.

Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

Heena Santry¹, Lillian S Kao², Shahid Shafi³, Lawrence Lottenberg⁴, Marie Crandall⁵

Affiliations

¹ Department of Surgery and Center for Surgical Health Assessment, Research and Policy, Ohio State University, Columbus, Ohio, USA.
² Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
³ Department of Surgery, Baylor Health Care System, Dallas, Texas, USA.
⁴ Department of Surgery, Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
⁵ Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA.

PMID: 31245623
PMCID: PMC6560666
DOI: 10.1136/tsaco-2019-000319

Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

Heena Santry et al. Trauma Surg Acute Care Open. 2019.

. 2019 May 19;4(1):e000319.

doi: 10.1136/tsaco-2019-000319. eCollection 2019.

Authors

Heena Santry¹, Lillian S Kao², Shahid Shafi³, Lawrence Lottenberg⁴, Marie Crandall⁵

Affiliations

¹ Department of Surgery and Center for Surgical Health Assessment, Research and Policy, Ohio State University, Columbus, Ohio, USA.
² Surgery, McGovern Medical School at University of Texas Health Science Center at Houston, Houston, Texas, USA.
³ Department of Surgery, Baylor Health Care System, Dallas, Texas, USA.
⁴ Department of Surgery, Charles E Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA.
⁵ Surgery, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA.

PMID: 31245623
PMCID: PMC6560666
DOI: 10.1136/tsaco-2019-000319

Erratum in

Correction: Pro-con debate on regionalization of emergency general surgery: controversy or common sense?
[No authors listed] [No authors listed] Trauma Surg Acute Care Open. 2019 Dec 2;4(1):e000319corr1. doi: 10.1136/tsaco-2019-000319corr1. eCollection 2019. Trauma Surg Acute Care Open. 2019. PMID: 31897439 Free PMC article.

Abstract

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.

Keywords: emergency general surgery; regional; resource allocation.

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Conflict of interest statement

Competing interests: None declared.

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References

1. Gale SC, Shafi S, Dombrovskiy VY, Arumugam D, Crystal JS. The public health burden of emergency general surgery in the United States: a 10-year analysis of the Nationwide Inpatient Sample-2001 to 2010. J Trauma Acute Care Surg 2014;77:202–8. 10.1097/TA.0000000000000362 - DOI - PubMed
1. Liu JH, Etzioni DA, O'Connell JB, Maggard MA, CY K. The increasing workload of general surgery. Arch Surg 2004;139:423–8. 10.1001/archsurg.139.4.423 - DOI - PubMed
1. Etzioni DA, Liu JH, Maggard MA, Ko CY. The aging population and its impact on the surgery workforce. Ann Surg 2003;238:170–7. 10.1097/01.SLA.0000081085.98792.3d - DOI - PMC - PubMed
1. Vilches-Moraga A, Fox J. Geriatricians and the older emergency general surgical patient: proactive assessment and patient centred interventions. Salford-POP-GS. Aging Clin Exp Res 2018;30:277–82. 10.1007/s40520-017-0886-5 - DOI - PMC - PubMed
1. Shafi S, Aboutanos MB, Agarwal S, Brown CVR, Crandall M, Feliciano DV, Guillamondegui O, Haider A, Inaba K, Osler TM, et al. . Emergency general surgery: definition and estimated burden of disease. J Trauma Acute Care Surg 2013;74:1092–7. 10.1097/TA.0b013e31827e1bc7 - DOI - PubMed

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[1] Gale SC, Shafi S, Dombrovskiy VY, Arumugam D, Crystal JS. The public health burden of emergency general surgery in the United States: a 10-year analysis of the Nationwide Inpatient Sample-2001 to 2010. J Trauma Acute Care Surg 2014;77:202–8. 10.1097/TA.0000000000000362 - DOI - PubMed

[2] Gale SC, Shafi S, Dombrovskiy VY, Arumugam D, Crystal JS. The public health burden of emergency general surgery in the United States: a 10-year analysis of the Nationwide Inpatient Sample-2001 to 2010. J Trauma Acute Care Surg 2014;77:202–8. 10.1097/TA.0000000000000362 - DOI - PubMed

[3] Liu JH, Etzioni DA, O'Connell JB, Maggard MA, CY K. The increasing workload of general surgery. Arch Surg 2004;139:423–8. 10.1001/archsurg.139.4.423 - DOI - PubMed

[4] Liu JH, Etzioni DA, O'Connell JB, Maggard MA, CY K. The increasing workload of general surgery. Arch Surg 2004;139:423–8. 10.1001/archsurg.139.4.423 - DOI - PubMed

[5] Etzioni DA, Liu JH, Maggard MA, Ko CY. The aging population and its impact on the surgery workforce. Ann Surg 2003;238:170–7. 10.1097/01.SLA.0000081085.98792.3d - DOI - PMC - PubMed

[6] Etzioni DA, Liu JH, Maggard MA, Ko CY. The aging population and its impact on the surgery workforce. Ann Surg 2003;238:170–7. 10.1097/01.SLA.0000081085.98792.3d - DOI - PMC - PubMed

[7] Vilches-Moraga A, Fox J. Geriatricians and the older emergency general surgical patient: proactive assessment and patient centred interventions. Salford-POP-GS. Aging Clin Exp Res 2018;30:277–82. 10.1007/s40520-017-0886-5 - DOI - PMC - PubMed

[8] Vilches-Moraga A, Fox J. Geriatricians and the older emergency general surgical patient: proactive assessment and patient centred interventions. Salford-POP-GS. Aging Clin Exp Res 2018;30:277–82. 10.1007/s40520-017-0886-5 - DOI - PMC - PubMed

[9] Shafi S, Aboutanos MB, Agarwal S, Brown CVR, Crandall M, Feliciano DV, Guillamondegui O, Haider A, Inaba K, Osler TM, et al. . Emergency general surgery: definition and estimated burden of disease. J Trauma Acute Care Surg 2013;74:1092–7. 10.1097/TA.0b013e31827e1bc7 - DOI - PubMed

[10] Shafi S, Aboutanos MB, Agarwal S, Brown CVR, Crandall M, Feliciano DV, Guillamondegui O, Haider A, Inaba K, Osler TM, et al. . Emergency general surgery: definition and estimated burden of disease. J Trauma Acute Care Surg 2013;74:1092–7. 10.1097/TA.0b013e31827e1bc7 - DOI - PubMed

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Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

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Pro-con debate on regionalization of emergency general surgery: controversy or common sense?

Authors

Affiliations

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Conflict of interest statement

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