Making Upper Extremity Microvascular Trauma Care Available 24/7/365 in the US: The First Report out of the National Hand Trauma Center Network

Azoury, Saïd C.; Zapolsky, Ivan; Wink, Jason D.; Gittings, Daniel J.; Ben‐Amotz, Oded; Mirrer, Joshua; Mendenhall, Shaun D.; Steinberger, Zvi; Levin, Scott

doi:10.1016/j.jamcollsurg.2020.08.454

Cited by 2 publications

(3 citation statements)

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“…This quality improvement project has improved patient care and health care access in the United States. 51…”

Section: Discussionmentioning

confidence: 99%

“…Compared with the available National Inpatient Sample of Healthcare Cost and Utilization Project (NIS-HCUP) data, most of the national upper extremity replantation surgeries occurred through the NHTCN since its implementation, compared with one-third prior to the trial period. 51 The NHTCN provides a dependable referral system through which upper extremity trauma care can be coordinated while allowing for accurate up-to-date tracking of epidemiologic data. This quality improvement project has improved patient care and health care access in the United States.…”

Section: Mechanisms To Improve Accessmentioning

confidence: 99%

“…This quality improvement project has improved patient care and health care access in the United States. 51 Safety net hospitals are another alternative that would likely increase the health care network for underprivileged and uninsured patient populations. 10…”

Section: Mechanisms To Improve Accessmentioning

confidence: 99%

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Access to Reconstructive Hand Surgery in the United States—Investigating the Obstacles: A Scoping Review

Kohan

Mangan

Patel

2022

Hand (New York, N,Y.)

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Background: Mechanisms that affect access to surgical hand care appear to be complex and multifaceted. This scoping review aims to investigate the available literature describing such mechanisms and provide direction for future investigation. Methods: The methodological framework outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews was used to guide this review. In November 2021, MEDLINE and EMBASE databases were searched. A narrative summary of the characteristics and key findings of each paper is used to present the data to facilitate the integration of diverse evidence. Results: Of 471 initial studies, 49 were included in our final analysis. Of these, 33% were cohort studies; 27% reported that underinsured patients are less likely to get an appointment with a hand specialist or to receive treatment. Overburdened emergency departments accounted for the second-most reported reason (16%) for diminished access to surgical hand care. Elective procedure financial incentives, poor emergency surgical hand coverage, distance to treatment, race, and policy were also notably reported across the literature. Conclusions: This study describes the vast mechanisms that hinder access to surgical hand care and highlights their complexity. Possible solutions and policy changes that may help improve access have been described.

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“…This quality improvement project has improved patient care and health care access in the United States. 51…”

Section: Discussionmentioning

confidence: 99%

Section: Mechanisms To Improve Accessmentioning

confidence: 99%

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Access to Reconstructive Hand Surgery in the United States—Investigating the Obstacles: A Scoping Review

Kohan

Mangan

Patel

2022

Hand (New York, N,Y.)

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Predictive characteristics of limb salvage versus amputation in lower extremity trauma: A review of the National Trauma Data Bank

McLaughlin¹,

McLaughlin²,

Candela³

et al. 2022

Orthoplastic Surgery

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Making Upper Extremity Microvascular Trauma Care Available 24/7/365 in the US: The First Report out of the National Hand Trauma Center Network

Cited by 2 publications

References 0 publications

Access to Reconstructive Hand Surgery in the United States—Investigating the Obstacles: A Scoping Review

Access to Reconstructive Hand Surgery in the United States—Investigating the Obstacles: A Scoping Review

Predictive characteristics of limb salvage versus amputation in lower extremity trauma: A review of the National Trauma Data Bank

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