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Competitive surgical outcomes observed at critical access hospitals

Key clinical point: Common surgical procedures can be performed at smaller hospitals safety and cost-effectively for appropriate patients.

Major finding: Thirty-day mortality rates were similar among patients at critical access and non–critical access hospitals (5.4% vs. 5.6%).

Data source: A cross-sectional, retrospective review of 1,631,904 Medicare beneficiary admissions for appendectomy, cholecystectomy, colectomy, or hernia repair.

Disclosures: Dr. Ibrahim has received funding from the Robert Wood Johnson Foundation and the U.S. Department of Veterans Affairs; coauthor Dr. Dennis Dimick has a financial interest in ArborMetrix Inc. and has received funds from the Agency for Healthcare Research and Quality and the National Institutes of Health, as well as honoraria from Stanford University, Emory University, and the University of Texas.


 

FROM JAMA

References

Dr. Ibrahim has received funding from the Robert Wood Johnson Foundation and the U.S. Department of Veterans Affairs. Dr. Justin Dimick has a financial interest in ArborMetrix Inc. and has received funds from the Agency for Healthcare Research and Quality and the National Institutes of Health, as well as honoraria from Stanford University, Emory University, and the University of Texas.

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