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Racial-Ethnic Disparities in Against Medical Advice Hospital Discharge After Colectomy in the USA: a Retrospective Cohort Study

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Journal of Gastrointestinal Surgery

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References

  1. Tan SY, Feng JY, Joyce C, Fisher J, Mostaghimi A. Association of hospital discharge against medical advice with readmission and in-hospital mortality. JAMA Netw Open. 2020;3(6):e206009. https://doi.org/10.1001/jamanetworkopen.2020.6009.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Brzezinski M, Gregersen M, Schuch LG, Sawatzki R, Chen JW, Gauger G et al. Discharge against medical advice in surgical patients with posttraumatic stress disorder: a case report series illustrating unique challenges. Case Rep Anesthesiol. 2017;2017:3045907. https://doi.org/10.1155/2017/3045907.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Ibrahim SA, Kwoh CK, Krishnan E. Factors associated with patients who leave acute-care hospitals against medical advice. Am J Public Health. 2007;97(12):2204-8. https://doi.org/10.2105/AJPH.2006.100164.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Onukwugha E, Saunders E, Mullins CD, Pradel FG, Zuckerman M, Weir MR. Reasons for discharges against medical advice: a qualitative study. Qual Saf Health Care. 2010;19(5):420-4. https://doi.org/10.1136/qshc.2009.036269.

    Article  PubMed  Google Scholar 

  5. Konneker S, Luketina R, Bozadzhieva S, von Lengerke T, Krezdorn N, Luketina TLH et al. Consequences and predisposing factors of self-discharge against medical advice in plastic and hand surgery. Langenbecks Arch Surg. 2022;407(1):337-41. https://doi.org/10.1007/s00423-021-02248-z.

    Article  PubMed  Google Scholar 

  6. Jindra PT, Shah MB, Shafer TJ, Van Buren CT, Siminoff LA. Systemic racism harms Black Americans’ access to kidney transplantation and full participation in organ donation. Prog Transplant. 2021;31(4):394-7. https://doi.org/10.1177/15269248211046000.

    Article  PubMed  Google Scholar 

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Acknowledgements

The American College of Surgeons (ACS) NSQIP and the hospitals participating in the ACS NSQIP were the source of the data used herein; they did not verify and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.

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M. M.: this author made substantial contributions to the conception, design, acquisition, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; approved the final manuscript; and is the author responsible for archiving the study files.

R. K.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

H. T. J.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

B. N.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

R. D.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

D. D.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

K. V.: this author made substantial contributions to the conception, design, analysis, and interpretation of study data; drafted the manuscript; provided critical revisions to the manuscript; agreed to be accountable for all aspects of the work; and approved the final manuscript.

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Correspondence to Michael Mazzeffi.

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Michael Mazzeffi received consulting fees from Hemosonics Corporation and Octapharma.

There are no other potential conflicts of interest to disclose.

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Mazzeffi, M., Keneally, R., Jackson, H.T. et al. Racial-Ethnic Disparities in Against Medical Advice Hospital Discharge After Colectomy in the USA: a Retrospective Cohort Study. J Gastrointest Surg 27, 594–597 (2023). https://doi.org/10.1007/s11605-022-05444-4

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  • DOI: https://doi.org/10.1007/s11605-022-05444-4

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