Rural Health
Resources by Topic: Surgery
Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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Socioeconomic Factors Affecting Outcomes in Total Knee and Hip Arthroplasty: A Systematic Review on Healthcare Disparities
Examines health disparities in patient access, utilization, and outcomes related to total joint arthroplasty (TJA). Conducts a literature review of 44 studies that discuss socioeconomic factors associated with TJA disparities such as insurance type, socioeconomic status, hospital volume, and rural versus urban geographic location.
Author(s): Paul M. Alvarez, John F. McKeon, Andrew I. Spitzer, et al.
Citation: Arthroplasty, 4, 36
Date: 10/2022
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Examines health disparities in patient access, utilization, and outcomes related to total joint arthroplasty (TJA). Conducts a literature review of 44 studies that discuss socioeconomic factors associated with TJA disparities such as insurance type, socioeconomic status, hospital volume, and rural versus urban geographic location.
Author(s): Paul M. Alvarez, John F. McKeon, Andrew I. Spitzer, et al.
Citation: Arthroplasty, 4, 36
Date: 10/2022
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Minnesota Chartbook Section 8B Health Care Providers and Service Availability: Clinics, Imaging and Other Facilities
Provides information on availability of physician clinic services, diagnostic imaging services, and freestanding outpatient surgical services in Minnesota. Includes number and distribution of physicians practicing by isolated rural, small town rural, large rural city, and urban location, as well as regional data and state maps on primary care and specialty care clinics, imaging services, and outpatient surgical services.
Date: 08/2022
Sponsoring organization: Minnesota Department of Health
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Provides information on availability of physician clinic services, diagnostic imaging services, and freestanding outpatient surgical services in Minnesota. Includes number and distribution of physicians practicing by isolated rural, small town rural, large rural city, and urban location, as well as regional data and state maps on primary care and specialty care clinics, imaging services, and outpatient surgical services.
Date: 08/2022
Sponsoring organization: Minnesota Department of Health
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Association of Rurality, Race and Ethnicity, and Socioeconomic Status With the Surgical Management of Colon Cancer and Postoperative Outcomes Among Medicare Beneficiaries
Results of a study of 57,710 fee-for-service Medicare beneficiaries 65 years or older diagnosed with colon cancer between April 2016, and September 2018, with follow-up until December 2018. Features demographics and statistics with breakdowns by metropolitan, micropolitan, or small town/rural location.
Author(s): Niveditta Ramkumar, Carrie H. Colla, Qianfei Wang, et al.
Citation: JAMA Network Open, 5(8)
Date: 08/2022
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Results of a study of 57,710 fee-for-service Medicare beneficiaries 65 years or older diagnosed with colon cancer between April 2016, and September 2018, with follow-up until December 2018. Features demographics and statistics with breakdowns by metropolitan, micropolitan, or small town/rural location.
Author(s): Niveditta Ramkumar, Carrie H. Colla, Qianfei Wang, et al.
Citation: JAMA Network Open, 5(8)
Date: 08/2022
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Rural-Urban Differences in Breast Cancer Surgical Delays in Medicare Beneficiaries
Examines patients with early-stage breast cancer to evaluate biopsy-to-surgery delays by rurality of patient and surgery location. Analyzes 238,491 patients who underwent breast cancer surgery with demographic breakdowns by age, hospital type/location, race/ethnicity, area deprivation index, and patient and surgery location such as isolated small rural town, small rural town, large rural city/town, and urban.
Author(s): Ronnie J. Zipkin, Andrew Schaefer, Changzhen Wang, et al.
Citation: Annals of Surgical Oncology, 29(9), 5759-5769
Date: 05/2022
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Examines patients with early-stage breast cancer to evaluate biopsy-to-surgery delays by rurality of patient and surgery location. Analyzes 238,491 patients who underwent breast cancer surgery with demographic breakdowns by age, hospital type/location, race/ethnicity, area deprivation index, and patient and surgery location such as isolated small rural town, small rural town, large rural city/town, and urban.
Author(s): Ronnie J. Zipkin, Andrew Schaefer, Changzhen Wang, et al.
Citation: Annals of Surgical Oncology, 29(9), 5759-5769
Date: 05/2022
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Overcoming Disparities in Surgical Care among Native Americans
Discusses the disparity in access to oncologic surgical care for Native Americans. Details a pathway program at the Oregon Health & Science University aimed as increasing matriculation rates among Native Americans into medicals school.
Author(s): Thomas L. Sutton, Brett C. Sheppard
Citation: Bulletin of The American College of Surgeons
Date: 04/2022
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Discusses the disparity in access to oncologic surgical care for Native Americans. Details a pathway program at the Oregon Health & Science University aimed as increasing matriculation rates among Native Americans into medicals school.
Author(s): Thomas L. Sutton, Brett C. Sheppard
Citation: Bulletin of The American College of Surgeons
Date: 04/2022
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Geospatial Analysis of Access to Emergency Cesarean Delivery for Military and Civilian Populations in the US
Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
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Results of a study of 29 military medical treatment facilities (MTFs) and 2,363 civilian hospitals, to identify opportunities for military-civilian partnership in obstetric care and to assess whether civilian use of MTFs could improve access to emergency cesarean delivery care, particularly for women in rural areas. Features a county-level map showing coverage of population within a 30-minute travel time to a facility providing emergency cesarean delivery care, and statistics on travel time coverage to civilian hospitals and MTFs providing emergency cesarean delivery care.
Author(s): Tarsicio Uribe-Leitz, Bridget Matsas, Michael K. Dalton, et al.
Citation: JAMA Network Open, 5(1)
Date: 01/2022
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Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019
Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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A Predictive Model of Hospital Choice for Rural Residents Seeking Surgery
Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018
Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by sex, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by sex, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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