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Perspectives, Opinions and Curiosities ·

Impact of Bypassing Local Surgical Care on Outcomes

Patients who bypass their nearest surgical hospitals for urgent procedures may face worse clinical outcomes.

  • Bypass is linked to higher odds of disease progression (adjusted odds ratio 1.22).
  • Complications increase by 12% (aor 1.12) and length of stay by 20% (aor 1.20) for bypass patients.

Understanding these risks is essential for optimizing patient selection and encouraging local interventions.

  • Mortality risk remains unchanged (aor 1.25).

Journal Article by Abid M, Malone T, Holmes M and Charles A in J Am Coll Surg

Copyright © 2026 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.

read the whole article in J Am Coll Surg

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