Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated just now
Peer-reviewedCC BY-NC-NDWorld journal of emergency surgery : WJES

Current models of emergency general surgery care delivery in Manitoba, Canada: a cross-sectional survey.

  • Chantae Garland1
  • Mosaed Aldekhayel1,2
  • Allan Garland3,4
  • Sarvesh Logsetty1,5,6,7
  • Rae Spiwak1,5,6,7
  • David Gomez8,9,10,11,12,13
  • Lawrence Gillman1
  • Kelly Vogt14,15
  • Peter Miles16
  • Jordan Nantais17,18,19,20,21
21 affiliations
  1. 1Department of Surgery, University of Manitoba, GF436B, 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada.
  2. 2Organ Transplant Center of Excellence, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
  3. 3Max Rady College of Medicine, University of Manitoba, Winnpeg, MB, Canada.
  4. 4Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
  5. 5Department of Psychiatry, University of Manitoba, Winnipeg, MB, Canada.
  6. 6Manitoba Centre for Health Policy, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
  7. 7Department of Pediatrics and Child Health, University of Manitoba, Winnipeg, MB, Canada.
  8. 8Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canada.
  9. 9Institute of Medical Science, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  10. 10ICES, Toronto, ON, Canada.
  11. 11Department of Surgery, University of Toronto, Toronto, ON, Canada.
  12. 12Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
  13. 13Division of General Surgery, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
  14. 14Division of General Surgery, Western University, London, ON, Canada.
  15. 15London Health Sciences Research Institute, London, ON, Canada.
  16. 16Department of Surgery, University of Alberta, Edmonton, AB, Canada.
  17. 17Department of Surgery, University of Manitoba, GF436B, 820 Sherbrook Street, Winnipeg, MB, R3A 1R9, Canada. [email protected].
  18. 18Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, ON, Canada. [email protected].
  19. 19ICES, Toronto, ON, Canada. [email protected].
  20. 20Department of Surgery, University of Toronto, Toronto, ON, Canada. [email protected].
  21. 21Division of General Surgery, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada. [email protected].
Read full textPDFDOICite

Abstract

Background

Emergency general surgery conditions result in disproportionately high rates of morbidity and mortality. Despite this, little is known about the resources available for related care in Canadian hospitals. Our aim was to describe the resources and structures dedicated to emergency general surgery in Manitoba, Canada.Methodology

We developed a survey to examine institutional capabilities in providing emergency general surgical care. The survey was developed over three iterations using a modified Delphi technique and was then reviewed separately by community surgeons to ensure broad applicability. A cross-sectional survey of representatives at each of the fourteen hospitals reported to offer emergency general surgery care in Manitoba was performed in two iterations between March and December 2023. Findings were examined descriptively and stratified between tertiary, urban, and rural centres. Our aim was to describe the resources and structures in place for providing related care, including the proportion of hospitals with a dedicated emergency general surgery care model.Results

After exclusions and non-responses, we examined the resources and capabilities of nine institutions. Two tertiary, two urban community, and five rural community centres were evaluated. Of these institutions, 4/9 (44.4%) had an emergency general surgery model of care, including one rural centre. There was a large degree of variation in operative resources, specialty services, and physician learners between centre types. Allied health professionals were more consistently available across hospitals. Our survey results identified several pertinent gaps in care, including a lack of shared treatment protocols, transfer agreements, and quality improvement measures, even at large tertiary centres.Conclusions

This study demonstrates a pressing need for collaboration between centres and involvement in quality improvement amongst practitioners to meet standards of care in emergency general surgery. The results also show that important aspects of emergency general surgical care can be quantified with our survey and will serve as the basis for expanding this to a country-wide study.

Related

  1. Improving Quality Through the Emergency General Surgery Verification Program
    Geoffrey G. Hobika, Michael W. Wandling, Sarah L. Remer +10
    JAMA SurgeryPeer-reviewedLicence not statedFull textEpidemiology & public healthPMC
  2. Artificial Intelligence in Emergency Radiology: Current Applications, Challenges, and Future Directions.
    Anjali Agrawal, Fausto Labruto, Melissa A Davis
    The Indian journal of radiology & imagingPeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthEurope PMC
  3. The relationship of shift timing with emergency cesarean delivery rate, decision-to-delivery interval, and neonatal outcomes: a retrospective cohort study.
    Mustafa Şanlı, Mustafa Hakan Acer, Hilal Özbek
    BMC pregnancy and childbirthPeer-reviewedCC BY-NC-NDFull textObstetrics, gynaecology & paediatricsEurope PMCPMCDOAJ
  4. Acoustic and Ultrasonic Energy Devices for Soft Tissue Dissection in General Surgery: Current Evidence and Future Directions
    Carlos Alejandro Arragan Lezama, Luis Fernando Tandayamo Sisalima, Álvaro de Jesús Posada Manjarrez +3
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  5. Modernization of emergency general surgery through technical expertise and operational development for our patients and teams.
    Erin C Howell, Jennifer L Hartwell, Alexander Cavalea +10
    Trauma surgery & acute care openPeer-reviewedCC BY-NCFull textGeneral medicineEurope PMC

Cite

BibTeXRIS
BibTeX
@article{garland2026current,
  title = {{Current models of emergency general surgery care delivery in Manitoba, Canada: a cross-sectional survey.}},
  author = {Chantae Garland and Mosaed Aldekhayel and Allan Garland and Sarvesh Logsetty and Rae Spiwak and David Gomez and Lawrence Gillman and Kelly Vogt and Peter Miles and Jordan Nantais},
  journal = {World journal of emergency surgery : WJES},
  year = {2026},
  month = nov,
  doi = {10.1186/s13017-026-00733-8},
  url = {https://europepmc.org/article/MED/42972366},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Current models of emergency general surgery care delivery in Manitoba, Canada: a cross-sectional survey.
AU  - Chantae Garland
AU  - Mosaed Aldekhayel
AU  - Allan Garland
AU  - Sarvesh Logsetty
AU  - Rae Spiwak
AU  - David Gomez
AU  - Lawrence Gillman
AU  - Kelly Vogt
AU  - Peter Miles
AU  - Jordan Nantais
PY  - 2026
DA  - 2026/11/02
JO  - World journal of emergency surgery : WJES
DO  - 10.1186/s13017-026-00733-8
UR  - https://europepmc.org/article/MED/42972366
AB  - Background  Emergency general surgery conditions result in disproportionately high rates of morbidity and mortality. Despite this, little is known about the resources available for related care in Canadian hospitals. Our aim was to describe the resources and structures dedicated to emergency general surgery in Manitoba, Canada.Methodology  We developed a survey to examine institutional capabilities in providing emergency general surgical care. The survey was developed over three iterations using a modified Delphi technique and was then reviewed separately by community surgeons to ensure broad applicability. A cross-sectional survey of representatives at each of the fourteen hospitals reported to offer emergency general surgery care in Manitoba was performed in two iterations between March and December 2023. Findings were examined descriptively and stratified between tertiary, urban, and rural centres. Our aim was to describe the resources and structures in place for providing related care, including the proportion of hospitals with a dedicated emergency general surgery care model.Results  After exclusions and non-responses, we examined the resources and capabilities of nine institutions. Two tertiary, two urban community, and five rural community centres were evaluated. Of these institutions, 4/9 (44.4%) had an emergency general surgery model of care, including one rural centre. There was a large degree of variation in operative resources, specialty services, and physician learners between centre types. Allied health professionals were more consistently available across hospitals. Our survey results identified several pertinent gaps in care, including a lack of shared treatment protocols, transfer agreements, and quality improvement measures, even at large tertiary centres.Conclusions  This study demonstrates a pressing need for collaboration between centres and involvement in quality improvement amongst practitioners to meet standards of care in emergency general surgery. The results also show that important aspects of emergency general surgical care can be quantified with our survey and will serve as the basis for expanding this to a country-wide study.
SN  - 1749-7922
ER  -