Researchers from the University of Pennsylvania, Philadelphia, find lower mortality rates following emergency general surgery (EGS) in Black and White patients when exposed to primary care prior to the surgical procedure.
The retrospective cohort study included 102,384 Medicare patients aged 66 or older who were admitted from the emergency department for EGS between July 1, 2015 and June 30, 2018. 86.3% of patients had visited a primary care physician (PCP) in the year prior to their hospitalization.
“This association between primary care utilization and postoperative outcomes may be due to improved management of medical comorbidities; however, residual confounding from factors associated with health care-seeking behavior, such as exercise or good nutrition, must also be considered,” the authors conclude. “Surgeons should consider primary care use in their initial preoperative assessment and for patients who have not seen a PCP and perform a more comprehensive evaluation of the patient’s comorbidities and surgical readiness.”Read More >>