FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3162196819> ?p ?o ?g. }

• W3162196819 endingPage "e216836" @default.
• W3162196819 startingPage "e216836" @default.
• W3162196819 abstract "Real-world surgical practice often lags behind the best scientific evidence. For example, although optimizing comorbidities such as smoking and morbid obesity before ventral and incisional hernia repair improves outcomes, as many as 25% of these patients have a high-risk characteristic at the time of surgery. Implementation strategies may effectively increase use of evidence-based practice.To describe current trends in preoperative optimization among patients undergoing ventral hernia repair, identify barriers to optimization, develop interventions to address these barriers, and then pilot these interventions.This quality improvement study used a retrospective medical record review to identify hospital-level trends in preoperative optimization among patients undergoing ventral and incisional hernia repair. Semistructured interviews with 21 practicing surgeons were conducted to elicit barriers to optimizing high-risk patients before surgery. Next, a task force of experts was convened to develop pragmatic interventions to increase surgeon use of preoperative optimization. Finally, these interventions were piloted at 2 sites to assess acceptability and feasibility. This study was performed from January 1, 2014, to December 31, 2019.The main outcome was rate of referrals for preoperative patient optimization at the 2 pilot sites.Among 23 000 patients undergoing ventral hernia repair, the mean (SD) age was 53.9 (14.3) years, and 12 315 (53.5%) were men. Of these, 8786 patients (38.2%) had at least 1 high-risk characteristic at the time of surgery, including 7683 with 1, 1079 with 2, and 24 with 3. At the hospital level, the mean proportion of patients with at least 1 of 3 high-risk characteristics at the time of surgery was 38.2% (95% CI, 38.1%-38.3%). This proportion varied widely from 21.5% (95% CI, 17.6%-25.5%) to 52.8% (95% CI, 43.9%-61.8%) across hospitals. Interviews with surgeons identified 3 major barriers to improving this practice: lost financial opportunity by not offering a patient an operation, lack of surgeon awareness of available resources for optimization, and organizational barriers. A task force therefore developed 3 interventions: a financial incentive to optimize high-risk patients, an educational intervention to make surgeons aware of available optimization resources, and on-site facilitation. These strategies were piloted at 2 sites where preoperative risk optimization referrals increased 860%.This study demonstrates a stepwise process of identifying a practice gap, eliciting barriers that contribute to this gap, using expert consensus and local resources to develop strategies to address these barriers, and piloting these strategies. This implementation strategy can be adopted to diverse settings given that it relies on developing and implementing strategies based on local practice patterns." @default.
• W3162196819 created "2021-05-24" @default.
• W3162196819 creator A5003356867 @default.
• W3162196819 creator A5012173435 @default.
• W3162196819 creator A5062446153 @default.
• W3162196819 creator A5063361131 @default.
• W3162196819 creator A5065945106 @default.
• W3162196819 creator A5069321101 @default.
• W3162196819 creator A5084049587 @default.
• W3162196819 creator A5086230046 @default.
• W3162196819 date "2021-05-12" @default.
• W3162196819 modified "2023-10-01" @default.
• W3162196819 title "Development and Implementation of Preoperative Optimization for High-Risk Patients With Abdominal Wall Hernia" @default.
• W3162196819 cites W1963493926 @default.
• W3162196819 cites W1994985759 @default.
• W3162196819 cites W1997523078 @default.
• W3162196819 cites W2007090438 @default.
• W3162196819 cites W2010049072 @default.
• W3162196819 cites W2027608039 @default.
• W3162196819 cites W2046133119 @default.
• W3162196819 cites W2080361588 @default.
• W3162196819 cites W2086471599 @default.
• W3162196819 cites W2096806650 @default.
• W3162196819 cites W2131149153 @default.
• W3162196819 cites W2142149055 @default.
• W3162196819 cites W2155682623 @default.
• W3162196819 cites W2166145010 @default.
• W3162196819 cites W2169434152 @default.
• W3162196819 cites W2262671496 @default.
• W3162196819 cites W2272871813 @default.
• W3162196819 cites W2306592406 @default.
• W3162196819 cites W2334781872 @default.
• W3162196819 cites W2465726211 @default.
• W3162196819 cites W2468056376 @default.
• W3162196819 cites W2513672002 @default.
• W3162196819 cites W2538650832 @default.
• W3162196819 cites W2585502948 @default.
• W3162196819 cites W2609857936 @default.
• W3162196819 cites W2612436188 @default.
• W3162196819 cites W2626724361 @default.
• W3162196819 cites W2674995983 @default.
• W3162196819 cites W2754550507 @default.
• W3162196819 cites W2789965421 @default.
• W3162196819 cites W2794080960 @default.
• W3162196819 cites W2814567803 @default.
• W3162196819 cites W2896729951 @default.
• W3162196819 cites W2968846297 @default.
• W3162196819 cites W2974301925 @default.
• W3162196819 cites W2989861942 @default.
• W3162196819 cites W2993892253 @default.
• W3162196819 cites W3003458784 @default.
• W3162196819 cites W3034483133 @default.
• W3162196819 cites W3084865097 @default.
• W3162196819 cites W2607739397 @default.
• W3162196819 cites W3013924002 @default.
• W3162196819 doi "https://doi.org/10.1001/jamanetworkopen.2021.6836" @default.
• W3162196819 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/8116983" @default.
• W3162196819 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33978723" @default.
• W3162196819 hasPublicationYear "2021" @default.
• W3162196819 type Work @default.
• W3162196819 sameAs 3162196819 @default.
• W3162196819 citedByCount "20" @default.
• W3162196819 countsByYear W31621968192021 @default.
• W3162196819 countsByYear W31621968192022 @default.
• W3162196819 countsByYear W31621968192023 @default.
• W3162196819 crossrefType "journal-article" @default.
• W3162196819 hasAuthorship W3162196819A5003356867 @default.
• W3162196819 hasAuthorship W3162196819A5012173435 @default.
• W3162196819 hasAuthorship W3162196819A5062446153 @default.
• W3162196819 hasAuthorship W3162196819A5063361131 @default.
• W3162196819 hasAuthorship W3162196819A5065945106 @default.
• W3162196819 hasAuthorship W3162196819A5069321101 @default.
• W3162196819 hasAuthorship W3162196819A5084049587 @default.
• W3162196819 hasAuthorship W3162196819A5086230046 @default.
• W3162196819 hasBestOaLocation W31621968191 @default.
• W3162196819 hasConcept C141071460 @default.
• W3162196819 hasConcept C159110408 @default.
• W3162196819 hasConcept C27415008 @default.
• W3162196819 hasConcept C2776724281 @default.
• W3162196819 hasConcept C2777140462 @default.
• W3162196819 hasConcept C2779096551 @default.
• W3162196819 hasConcept C2780120127 @default.
• W3162196819 hasConcept C2993086010 @default.
• W3162196819 hasConcept C61434518 @default.
• W3162196819 hasConcept C71924100 @default.
• W3162196819 hasConceptScore W3162196819C141071460 @default.
• W3162196819 hasConceptScore W3162196819C159110408 @default.
• W3162196819 hasConceptScore W3162196819C27415008 @default.
• W3162196819 hasConceptScore W3162196819C2776724281 @default.
• W3162196819 hasConceptScore W3162196819C2777140462 @default.
• W3162196819 hasConceptScore W3162196819C2779096551 @default.
• W3162196819 hasConceptScore W3162196819C2780120127 @default.
• W3162196819 hasConceptScore W3162196819C2993086010 @default.
• W3162196819 hasConceptScore W3162196819C61434518 @default.
• W3162196819 hasConceptScore W3162196819C71924100 @default.
• W3162196819 hasIssue "5" @default.
• W3162196819 hasLocation W31621968191 @default.
• W3162196819 hasLocation W31621968192 @default.

• next