{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:25:56Z","timestamp":1793107556685,"version":"4.5.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T00:00:00Z","timestamp":1694563200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Food insecurity is defined as having limited or uncertain availability of nutritionally adequate food. Approximately 10.5% of U.S. households are food-insecure. Our study aimed to determine the prevalence and postoperative implications of food insecurity in a diverse group of colorectal surgery patients admitted to a hospital in an area with a higher-than-average median income.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The 6-question Household Food Security Survey was added to the colorectal surgery ERAS program preoperative paperwork. Patient demographics, comorbidities, operative parameters, length of stay, and postoperative outcomes were collected by review of electronic medical records.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 294 ERAS patients (88.8%) completed the survey over an 11-month period. Thirty-three patients (11.2%) were identified as food-insecure. Food-insecure patients were more likely to be non-white ( P = .003), younger ( P = .009), smokers ( P = .004), chronic narcotic users ( P &lt; .001), unmarried ( P = .007), and have more comorbidities ( P = .004). The food-insecure population had more frequent postoperative ileus ( P = .044). Hospital length of stay was significantly longer in food-insecure patients (8.6\u00a0days vs 5.4\u00a0days, P &lt; .001). Food-insecure patients also had higher rates of &gt;30-day mortality ( P = .049).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Food insecurity was found to occur in patients that lived in communities deemed both affluent and distressed. These patients had longer hospital stays and higher mortality. A food insecurity questionnaire can easily identify patients at risk. Further investigations to mitigate these complications are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348231198122","type":"journal-article","created":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T17:06:50Z","timestamp":1694624810000},"page":"419-426","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Food Insecurity in the Elective Enhanced Recovery After Surgery Colorectal Surgical Population: Prevalence and Implications for Surgical Outcomes"],"prefix":"10.1177","volume":"90","author":[{"given":"Michael","family":"Tolkacz","sequence":"first","affiliation":[{"name":"Department of General Surgery, Corewell Health - William Beaumont University Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Reilly","sequence":"additional","affiliation":[{"name":"Department of Surgery, Geisinger Health System, Danville, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane M.","family":"Studzinski","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Corewell Health - William Beaumont University Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rose E.","family":"Callahan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Corewell Health - William Beaumont University Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"DeMare","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Corewell Health - William Beaumont University Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samer","family":"Kawak","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Corewell Health - William Beaumont University Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Ziegler","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Corewell Health - william Beaumont Hospital, Royal Oak, MI, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,9,13]]},"reference":[{"key":"bibr1-00031348231198122","unstructured":"US Department of Agriculture, Economic Research Service. Definitions of food security. [Accessed 23 Jan, 2023];Available from: https:\/\/www.ers.usda.gov\/topics\/food-nutrition-assistance\/food-security-in-the-us\/definitions-of-food-security.aspx]"},{"key":"bibr2-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.0645"},{"key":"bibr3-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1177\/0033354916664154"},{"key":"bibr4-00031348231198122","volume-title":"Household Food Security in the United States in 2019","author":"Coleman-Jensen A","year":"2020"},{"key":"bibr5-00031348231198122","doi-asserted-by":"publisher","DOI":"10.3390\/nu12072096"},{"key":"bibr6-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.2.298"},{"key":"bibr7-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0528.2009.00479.x"},{"key":"bibr8-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2014.04.025"},{"key":"bibr9-00031348231198122","doi-asserted-by":"publisher","DOI":"10.3945\/jn.109.112573"},{"key":"bibr10-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.00278.x"},{"key":"bibr11-00031348231198122","volume-title":"Costs for hospital stays in the United States, 2011","author":"Pfuntner A","year":"2013"},{"key":"bibr12-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2013.0096"},{"issue":"1","key":"bibr13-00031348231198122","first-page":"46","volume":"23","author":"Conde LC","year":"2008","journal-title":"Nutr Hosp"},{"key":"bibr14-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-012-1772-0"},{"key":"bibr15-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2017.12.010"},{"key":"bibr16-00031348231198122","first-page":"CD008879","volume":"11","author":"Burden S","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr17-00031348231198122","doi-asserted-by":"publisher","DOI":"10.1002\/jpen.1417"},{"key":"bibr18-00031348231198122","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.304033"},{"key":"bibr19-00031348231198122","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.89.8.1231"},{"key":"bibr20-00031348231198122","volume-title":"US Household Food Security Survey Module: Six-Item Short Form Economic Research Service","author":"United States Department of Agriculture","year":"2012"},{"key":"bibr21-00031348231198122","unstructured":"Economic Innovation Group. Distressed Communities. [Accessed Jan 27 2023];Available from: https:\/\/eig.org.distressed-communities]"},{"key":"bibr22-00031348231198122","volume-title":"Social Determinants of Health","author":"Centers for Disease Control and Prevention","year":"2021"},{"key":"bibr23-00031348231198122","unstructured":"US Department of Health and Human Services. Healthy People 2030; 2021. 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