Havens and colleagues1 have consistently produced interesting work analyzing large patient databases. This study suggests that certain institutional factors were associated with fragmentation of surgical care in emergency surgery patients; these include hospital size, teaching status, and safety-net standing.1 However, inherent to the study design, there tends to be more questions than answers. It is difficult to come to definitive conclusions because there are several variables at play that contribute to the discontinuity of surgical care.
Wybourn CA, Mendoza AE, Campbell AR. Fragmentation of Care—The Untold Story. JAMA Surg. Published online November 16, 2016. doi:10.1001/jamasurg.2016.4099