Cited by 178Health disparities and outcomesHealthcare Policy and ManagementGlobal Health and Surgery

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Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map

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de Jager, Elzerie, Levine, Adele A., Udyavar, Rhea N., Burstin, Helen R., Bhulani, Nizar, Hoyt, David B., Ko, Clifford Y., Weissman, Joel S., Britt, L. D., Haider, Adil H., Maggard-Gibbons, Melinda A.·2019·Journal of the American College of Surgeons

DOI 10.1016/j.jamcollsurg.2018.12.028PMC PMC6391739

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Abstract

[Extract] Healthcare disparities in quality represent one of the greatest challenges in achieving uniformly high-quality care. Research reporting disparities in surgical outcomes are abundant. The cornerstone of delivering high-quality healthcare is ensuring optimal access for all patients. A relative lack of access to surgical services might be a contributing factor to disparities in surgical outcomes. Access is "the timely use of personal health services to achieve the best possible outcomes." Use of services, the process of entering and staying in the system, and the actual quality of care received are all involved. Disparities in access arise when the system disproportionately underperforms for a specific group of patients relative to the historically advantaged population.8, 9 Surgery, because of its time sensitive, often high-acuity nature, is greatly dependent on access.

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The Impact of Insurance, Race, and Ethnicity on Age at Surgical Intervention among Children with Nonsyndromic Craniosynostosis
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Racial disparities in the type of postmastectomy reconstruction chosen
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Race and Breast Cancer Reconstruction: Is There a Health Care Disparity?
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Massachusetts Health Care Reform and Reduced Racial Disparities in Minimally Invasive Surgery
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Association of Hospital and Physician Characteristics and Care Processes With Racial Disparities in Procedural Outcomes Among Contemporary Patients Undergoing Coronary Artery Bypass Grafting Surgery
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Health disparities and impact on outcomes in children with primary central nervous system solid tumors
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Racial and insurance disparities in the receipt of transplant among patients with hepatocellular carcinoma
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Disparate use of minimally invasive surgery in benign surgical conditions
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An evaluation of gender and racial disparity in the decision to treat surgically arterial disease
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Are patients of low socioeconomic status receiving suboptimal management for pancreatic adenocarcinoma?
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Race, Socioeconomic Status, and the Use of Bariatric Surgery in Michigan
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AAA Repair: Sociodemographic Disparities in Management and Outcomes
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Race/ethnicity and socio-economic differences in breast cancer surgery outcomes
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Racial/Ethnic and Socioeconomic Differences in Colorectal and Breast Cancer Treatment Quality
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Racial and Socioeconomic Disparities in Access to Mechanical Revascularization Procedures for Acute Ischemic Stroke
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Variation in Contralateral Prophylactic Mastectomy Rates According to Racial Groups in Young Women with Breast Cancer, 1998 to 2011: A Report from the National Cancer Data Base
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Surgery Wait Times and Specialty Services for Insured and Uninsured Breast Cancer Patients: Does Hospital Safety Net Status Matter?
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Racial and Ethnic Disparities in Outcomes and Appropriateness of Carotid Endarterectomy
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The Relationship Between Geographic Access to Plastic Surgeons and Breast Reconstruction Rates Among Women Undergoing Mastectomy for Cancer
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Disparities in the Utilization of High-Volume Hospitals for Total Knee Replacement
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Variations in Referral Patterns to High-Volume Centers for Pancreatic Cancer
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Racial Disparities in Treatment of High-Grade Endometrial Cancer in the Medicare Population
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Differences in treatments and outcomes for idiopathic scoliosis patients treated in the United States from 1998 to 2007: impact of socioeconomic variables and ethnicity
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Health Insurance Expansion and Treatment of Pancreatic Cancer: Does Increased Access Lead to Improved Care?
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Disparities in Reconstruction Rates after Mastectomy for Ductal Carcinoma in Situ (DCIS): Patterns of Care and Factors Associated with the Use of Breast Reconstruction for DCIS Compared with Invasive Cancer
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Racial/Ethnic Disparities in Amputation and Revascularization: A Nationwide Inpatient Sample Study
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Outcomes After Acute Ischemic Stroke in the United States: Does Residential ZIP Code Matter?
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Effects of socioeconomic status on children with well-differentiated thyroid cancer
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Impact of Expanded Insurance Coverage on Racial Disparities in Vascular Disease
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Perforation in Adults with Acute Appendicitis Linked to Insurance Status, Not Ethnicity
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Early Results of Massachusetts Healthcare Reform on Racial, Ethnic, and Socioeconomic Disparities in Cardiovascular Care
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Role of patient factors, preferences, and distrust in health care and access to liver transplantation and organ donation
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Racial and ethnic differences in treatment and survival among adults with primary extremity soft‐tissue sarcoma
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Black and White Women in Maryland Receive Different Treatment for Cervical Cancer
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Joint replacement surgeries among medicare beneficiaries in rural compared with urban areas
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Race and socioeconomic disparities in national stoma reversal rates
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The rate of joint replacement in osteoarthritis depends on the patient’s socioeconomic status
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Examination of Racial Disparities in the Receipt of Minimally Invasive Surgery Among a National Cohort of Adult Patients Undergoing Colorectal Surgery
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Racial disparities in ovarian cancer surgical care: A population-based analysis
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Understanding the Racial Disparity in the Receipt of Endovascular Abdominal Aortic Aneurysm Repair
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Outcomes in endocrine cancer surgery are affected by racial, economic, and healthcare system demographics
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Determinants of Racial and Ethnic Disparities in Surgical Care
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Young Hispanic Women Experience Higher In‐Hospital Mortality Following an Acute Myocardial Infarction
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Poorer limb salvage in African American men with chronic limb ischemia is due to advanced clinical stage and higher anatomic complexity at presentation
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United States Hospital Admissions for Lumbar Spinal Stenosis
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Socioeconomic Disparities in Lung Cancer Treatment and Outcomes Persist Within a Single Academic Medical Center
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Racial disparity in early graft failure after infrainguinal bypass
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RACIAL DIFFERENCES IN RATES OF AORTIC VALVE REPLACEMENT IN PATIENTS WITH SEVERE AORTIC STENOSIS
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Preemptive Deceased Donor Kidney Transplantation
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Disparities in selective referral for cancer surgeries: implications for the current healthcare delivery system
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Disentangling the effects of race and socioeconomic factors on liver transplantation rates for hepatocellular carcinoma
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Association of socioeconomics, surgical therapy, and survival of early stage hepatocellular carcinoma
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Linguistic Isolation and Access to the Active Kidney Transplant Waiting List in the United States
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Disparities in Major Joint Replacement Surgery among Adults with Medicare Supplement Insurance
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Sacramento Area Breast Cancer Epidemiology Study: Use of Postmastectomy Breast Reconstruction along the Rural-to-Urban Continuum
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Racial/ethnic differences in receipt of pelvic lymph node dissection among men with localized/regional prostate cancer
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Racial disparities in pancreatic neuroendocrine tumors survival: a SEER study
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Racial Disparities in Extremity Soft-Tissue Sarcoma Outcomes
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Disparities in trauma care: are fewer diagnostic tests conducted for uninsured patients with pelvic fracture?
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Racial Differences in Surgeons and Hospitals for Endometrial Cancer Treatment
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Disparities in the Use of Minimally Invasive Surgery for Colorectal Disease
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Factors That Influence Minority Use of High-Volume Hospitals for Colorectal Cancer Care
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Health Disparities Influence Childhood Melanoma Stage at Diagnosis and Outcome
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Laparoscopic Appendectomy in Children with Complicated Appendicitis: Ethnic Disparity Amid Changing Trend
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Racial Differences Among Patients Undergoing Laparoscopic Gastric Bypass Surgery: a Population-Based Trend Analysis from 2002 to 2008
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The impact of socioeconomic factors on outcome and hospital costs associated with femoropopliteal revascularization
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Racial Disparities in Abdominal Aortic Aneurysm Repair Among Male Medicare Beneficiaries
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Disparities in the Local Management of Breast Cancer in the US according to Health Insurance Status
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Racial and ethnic disparities in treatment and survival of pediatric sarcoma
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Uninsured status may be more predictive of outcomes among the severely injured than minority race
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Access to cochlear implant candidacy evaluations: Who isnotmaking it to the team evaluations?
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Racial and insurance based disparities in the treatment of carotid artery stenosis: a study of the Nationwide Inpatient Sample
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Ethnic disparities in traumatic brain injury care referral in a Hispanic-majority population
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Referral to Cardiac Rehabilitation After Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery, and Valve Surgery
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The association of insurance status and race with the procedural volume of traumatic brain injury patients
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Socioeconomic Factors Are Associated With Trends in Treatment of Pediatric Femoral Shaft Fractures, and Subsequent Implant Removal in New York State
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Racial disparities and patterns of ovarian cancer surgical care in California
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Opportunities to Improve Care of Hepatocellular Carcinoma in Vulnerable Patient Populations
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Receipt of National Comprehensive Cancer Network guideline‐concordant prostate cancer care among African American and Caucasian American men in North Carolina
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Racial Disparities in Changing to a High-volume Urologist Among Men With Localized Prostate Cancer
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Influence of Health Insurance Expansion on Disparities in the Treatment of Acute Cholecystitis
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Disparity in the management of Graves' disease observed at an urban county hospital: a decade-long experience
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Effect of Federal and State Policy Changes on Racial/Ethnic Variation in Immediate Postmastectomy Breast Reconstruction
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Disparities in the receipt of robot-assisted radical prostatectomy: between-hospital and within-hospital analysis using 2009–2011 California inpatient data
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Improvement of racial disparities with respect to the utilization of minimally invasive radical prostatectomy in the United States
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The Impact of Race on Advanced Chronic Venous Insufficiency
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Explaining the Paradoxical Age-based Racial Disparities in Survival After Trauma
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Outcomes in thyroid surgery are affected by racial, economic, and healthcare system demographics
Al‐Qurayshi, Z., Randolph, G. W., Srivastav, S., Aslam, R., Friedlander, P. L., & Kandil, E. H. (2016) · The Laryngoscope · doi:10.1002/lary.25871 · Cited by 31
Time to Treatment for Patients Receiving BCS in a Public and a Private University Hospital in Atlanta
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Urban/Rural Residence Moderates Effect of Race on Receipt of Surgery in Patients with Nonmetastatic Breast Cancer: A Report from the South Carolina Central Cancer Registry
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[7]In: Millman M, ed. Access to Health Care in America. Washington (DC); 1993. 25144064

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Racial and ethnic disparities in interhospital transfer for complex emergency general surgical disease across the United States
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Authors: de Jager, E., Levine, A. A., Udyavar, R. N., Burstin, H. R., Bhulani, N., Hoyt, D. B., Ko, C. Y., Weissman, J. S., Britt, L. D., Haider, A. H., & Maggard-Gibbons, M. A.
Affiliations: Brigham and Women's Hospital (US)
Council of Medical Specialty Societies (US)
American College of Surgeons (US)
University of California, Los Angeles (US)
Eastern Virginia Medical School (US)
Corresponding author: Maggard-Gibbons, Melinda A.
ORCID: Levine, Adele A.
Burstin, Helen R.
Ko, Clifford Y.
Weissman, Joel S.
Britt, L. D.
Haider, Adil H.
Venue: Journal of the American College of Surgeons
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2019-03
Volume: 228
Issue: 3
Pages: 276-298
ISSN: 1072-7515 (ISSN-L)
DOI: 10.1016/j.jamcollsurg.2018.12.028
PMC: PMC6391739
OpenAlex: W2916916949
Cited by: 178
References: 242
Citations by year: 2026: 24 · 2025: 27 · 2024: 34 · 2023: 21 · 2022: 33 · 2021: 21 · 2020: 13 · 2019: 5
FWCI: 3.83
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of the American College of Surgeons (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
ResearchOnline at James Cook University (James Cook University) (submittedVersion)
eCommons - AKU (Aga Khan University) (submittedVersion)
eScholarship (California Digital Library) (submittedVersion, cc-by)
Funders: National Institute on Minority Health and Health Disparities (5RO1MD011695-02)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
Keywords: surgical access, health care disparities, surgical outcomes, quality of care, underserved populations, conceptual model, evidence map
MeSH terms: Health Services Accessibility, Humans, Surgical Procedures, Operative, United States, Healthcare Disparities

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Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map

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