Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research
Objective:. This study, examining literature up to December 2023, aims to comprehensively assess surgical care for incarcerated individuals, identifying crucial knowledge gaps for informing future health services research and interventions. Background:. The US prison system detains around 2 million...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-06-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000434 |
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| author | Totadri Dhimal, MD Paula Cupertino, PhD Aqsa Ghaffar, BS Yue Li, PhD Xueya Cai, PhD Cristopher Soto, BS Megha Ramaswamy, PhD, MPH Bruce W. Herdman, PhD Fergal J. Fleming, MD, MPH Anthony Loria, MD, MSCI |
| author_facet | Totadri Dhimal, MD Paula Cupertino, PhD Aqsa Ghaffar, BS Yue Li, PhD Xueya Cai, PhD Cristopher Soto, BS Megha Ramaswamy, PhD, MPH Bruce W. Herdman, PhD Fergal J. Fleming, MD, MPH Anthony Loria, MD, MSCI |
| author_sort | Totadri Dhimal, MD |
| collection | DOAJ |
| description | Objective:. This study, examining literature up to December 2023, aims to comprehensively assess surgical care for incarcerated individuals, identifying crucial knowledge gaps for informing future health services research and interventions.
Background:. The US prison system detains around 2 million individuals, mainly young, indigent males from ethnic and racial minorities. The constitutional right to healthcare does not protect this population from unique health challenges and disparities. The scarcity of literature on surgical care necessitates a systematic review to stimulate research, improve care quality, and address health issues within this marginalized community.
Methods:. A systematic review, pre-registered with the International Prospective Register of Systematic Reviews (CRD42023454782), involved searches in PubMed, Embase, and Web of Science. Original research on surgical care for incarcerated individuals was included, excluding case reports/series (<10 patients), abstracts, and studies involving prisoners of war, plastic surgeries for recidivism reduction, transplants using organs from incarcerated individuals, and nonconsensual surgical sterilization.
Results:. Out of 8209 studies screened, 118 met inclusion criteria, with 17 studies from 16 distinct cohorts reporting on surgical care. Predominantly focusing on orthopedic surgeries, supplemented by studies in emergency general, burns, ophthalmology, and kidney transplantation, the review identified delayed hospital presentations, a high incidence of complex cases, and low postoperative follow-up rates. Notable complications, such as nonfusion and postarthroplasty infections, were more prevalent in incarcerated individuals compared with nonincarcerated individuals. Trauma-related mortality rates were similar, despite lower intraabdominal injuries following penetrating abdominal injuries in incarcerated patients.
Conclusion:. While some evidence suggests inferior surgical care in incarcerated patients, the limited quality of available studies underscores the urgency of addressing knowledge gaps through future research. This is crucial for patients, clinicians, and policymakers aiming to enhance care quality for a population at risk of surgical complications during incarceration and postrelease. |
| format | Article |
| id | doaj-art-9cb0d01805f84213bccc5287c82cc7a9 |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-9cb0d01805f84213bccc5287c82cc7a92025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e43410.1097/AS9.0000000000000434202406000-00027Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future ResearchTotadri Dhimal, MD0Paula Cupertino, PhD1Aqsa Ghaffar, BS2Yue Li, PhD3Xueya Cai, PhD4Cristopher Soto, BS5Megha Ramaswamy, PhD, MPH6Bruce W. Herdman, PhD7Fergal J. Fleming, MD, MPH8Anthony Loria, MD, MSCI9From the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NYFrom the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NYFrom the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY† Department of Public Health Sciences, University of Rochester, NY‡ Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NYFrom the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NY§ Department of Health Systems and Population Health, University of Washington School of Public Health, Seattle, WA‖ Philadelphia Department of Prisons, Philadelphia, PA.From the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NYFrom the * Surgical Health Outcomes and Reaching for Equity (SHORE), Department of Surgery, University of Rochester Medical Center, Rochester, NYObjective:. This study, examining literature up to December 2023, aims to comprehensively assess surgical care for incarcerated individuals, identifying crucial knowledge gaps for informing future health services research and interventions. Background:. The US prison system detains around 2 million individuals, mainly young, indigent males from ethnic and racial minorities. The constitutional right to healthcare does not protect this population from unique health challenges and disparities. The scarcity of literature on surgical care necessitates a systematic review to stimulate research, improve care quality, and address health issues within this marginalized community. Methods:. A systematic review, pre-registered with the International Prospective Register of Systematic Reviews (CRD42023454782), involved searches in PubMed, Embase, and Web of Science. Original research on surgical care for incarcerated individuals was included, excluding case reports/series (<10 patients), abstracts, and studies involving prisoners of war, plastic surgeries for recidivism reduction, transplants using organs from incarcerated individuals, and nonconsensual surgical sterilization. Results:. Out of 8209 studies screened, 118 met inclusion criteria, with 17 studies from 16 distinct cohorts reporting on surgical care. Predominantly focusing on orthopedic surgeries, supplemented by studies in emergency general, burns, ophthalmology, and kidney transplantation, the review identified delayed hospital presentations, a high incidence of complex cases, and low postoperative follow-up rates. Notable complications, such as nonfusion and postarthroplasty infections, were more prevalent in incarcerated individuals compared with nonincarcerated individuals. Trauma-related mortality rates were similar, despite lower intraabdominal injuries following penetrating abdominal injuries in incarcerated patients. Conclusion:. While some evidence suggests inferior surgical care in incarcerated patients, the limited quality of available studies underscores the urgency of addressing knowledge gaps through future research. This is crucial for patients, clinicians, and policymakers aiming to enhance care quality for a population at risk of surgical complications during incarceration and postrelease.http://journals.lww.com/10.1097/AS9.0000000000000434 |
| spellingShingle | Totadri Dhimal, MD Paula Cupertino, PhD Aqsa Ghaffar, BS Yue Li, PhD Xueya Cai, PhD Cristopher Soto, BS Megha Ramaswamy, PhD, MPH Bruce W. Herdman, PhD Fergal J. Fleming, MD, MPH Anthony Loria, MD, MSCI Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research Annals of Surgery Open |
| title | Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research |
| title_full | Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research |
| title_fullStr | Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research |
| title_full_unstemmed | Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research |
| title_short | Systematic Review of Surgical Care in the Incarcerated Population: Identifying Knowledge Gaps for Future Research |
| title_sort | systematic review of surgical care in the incarcerated population identifying knowledge gaps for future research |
| url | http://journals.lww.com/10.1097/AS9.0000000000000434 |
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