Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma)

Kathryn M Stadeli¹, Tandis Soltani^{1

2}, Bethany L Strong³, Anamaria J Robles¹, Sydney Timmer-Murillo⁴, Susan E Cronn⁵, Cynthia Lizette Villarreal⁶, Vanessa P Ho^{7

8

9}, Michaela A West¹⁰, Michelle A Price⁶, Arpana Jain¹¹, Rachael A Callcut¹²; Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) Group

Collaborators, Affiliations

Collaborators

Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) Group:
Richard D Betzold, Pamela Bixby, Michelle F Buehner, Rachael A Callcut, Lourdes Castañón, Susan Cronn, MarcA de Moya, Juan C Duchesne, Samir M Fakhry, Brianna R Fram, Garrett D Hall, Jacob Higgins, Vanessa P Ho, Arpana Jain, Benjamin Levi, Ashley N Moreno, Sarah N Pierrie, Michelle A Price, Shayan Rakhit, Anamaria J Robles, Carrie Sims, Tandis Soltani, Kathryn M Stadeli, Bethany L Strong, Shakeva Swain, Sydney Timmer-Murillo, Esther S Tseng, Cynthia Lizette Villarreal, Michaela A West, Tanya L Zakrison

Affiliations

¹ Department of Surgery, University of California Davis Medical Center, Sacramento, California, USA.
² Department of Surgery, Loma Linda University, Loma Linda, California, USA.
³ Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA.
⁴ Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
⁵ Department of Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.
⁶ Coalition for National Trauma Research, San Antonio, Texas, USA.
⁷ Department of Surgery, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio, USA.
⁸ Center for Health Equity Engagement, Education, and Research, Case Western Reserve University, Cleveland, Ohio, USA.
⁹ Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
¹⁰ Surgery, North Memorial Health, Minneapolis, Minnesota, USA.
¹¹ Arizona Burn Center, Valleywise Medical Center, Phoenix, Arizona, USA.
¹² Department of Surgery, University of California Davis School of Medicine, Sacramento, California, USA.

PMID: 40584752
PMCID: PMC12198790
DOI: 10.1136/tsaco-2024-001469

Review

Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma)

Kathryn M Stadeli et al. Trauma Surg Acute Care Open. 2025.

. 2025 Jun 25;10(Suppl 4):e001469.

doi: 10.1136/tsaco-2024-001469. eCollection 2025.

Authors

Collaborators

Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) Group:
Richard D Betzold, Pamela Bixby, Michelle F Buehner, Rachael A Callcut, Lourdes Castañón, Susan Cronn, MarcA de Moya, Juan C Duchesne, Samir M Fakhry, Brianna R Fram, Garrett D Hall, Jacob Higgins, Vanessa P Ho, Arpana Jain, Benjamin Levi, Ashley N Moreno, Sarah N Pierrie, Michelle A Price, Shayan Rakhit, Anamaria J Robles, Carrie Sims, Tandis Soltani, Kathryn M Stadeli, Bethany L Strong, Shakeva Swain, Sydney Timmer-Murillo, Esther S Tseng, Cynthia Lizette Villarreal, Michaela A West, Tanya L Zakrison

Affiliations

¹ Department of Surgery, University of California Davis Medical Center, Sacramento, California, USA.
² Department of Surgery, Loma Linda University, Loma Linda, California, USA.
³ Department of Surgery, University of Maryland Medical Center, Baltimore, Maryland, USA.
⁴ Trauma and Acute Care Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
⁵ Department of Surgery, Medical College of Wisconsin, Wauwatosa, Wisconsin, USA.
⁶ Coalition for National Trauma Research, San Antonio, Texas, USA.
⁷ Department of Surgery, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio, USA.
⁸ Center for Health Equity Engagement, Education, and Research, Case Western Reserve University, Cleveland, Ohio, USA.
⁹ Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
¹⁰ Surgery, North Memorial Health, Minneapolis, Minnesota, USA.
¹¹ Arizona Burn Center, Valleywise Medical Center, Phoenix, Arizona, USA.
¹² Department of Surgery, University of California Davis School of Medicine, Sacramento, California, USA.

PMID: 40584752
PMCID: PMC12198790
DOI: 10.1136/tsaco-2024-001469

Abstract

On August 2-3, 2023, the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma) convened to discuss strategies to support research to eliminate disparities in trauma care. An ongoing challenge for performing high-quality equity-based research is the uncomfortable recognition that implicit bias and structural racism are deeply ingrained in our society and culture and are therefore often unrecognized in medicine and research practices. Throughout SAFER-Trauma, several examples of strategies to overcome these challenges were presented. In this article, we will relate a diverse array of examples through three distinct angles. The first focuses on innovations that harness existing data in novel and groundbreaking ways, uncovering fresh insights and applications from information already at our disposal. The second examines innovations that arise from traditional healthcare systems and research methods, showing how research in the healthcare sphere can adapt to meet modern needs. The third will explore projects that emerged from communities, driven by the pressing needs and aspirations of the people they serve.

Keywords: Delivery of Health Care; Healthcare disparities; Research; vulnerable populations.

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Conflict of interest statement

None declared.

References

1. Tseng ES, Williams BH, Santry HP, Martin MJ, Bernard AC, Joseph BA. History of Equity, Diversity, and Inclusion in Trauma Surgery: for Our Patients, for Our Profession, and for Ourselves. Curr Trauma Rep. 2022;8:214–26. doi: 10.1007/s40719-022-00240-6. - DOI - PMC - PubMed
1. Glassberg E, Nadler R, Erlich T, Klien Y, Kreiss Y, Kluger Y. A Decade of Advances in Military Trauma Care. Scand J Surg. 2014;103:126–31. doi: 10.1177/1457496914523413. - DOI - PubMed
1. Joseph B, Azim A, Zangbar B, Bauman Z, OʼKeeffe T, Ibraheem K, Kulvatunyou N, Tang A, Latifi R, Rhee P. Improving mortality in trauma laparotomy through the evolution of damage control resuscitation: Analysis of 1,030 consecutive trauma laparotomies. J Trauma Acute Care Surg. 2017;82:328–33. doi: 10.1097/TA.0000000000001273. - DOI - PubMed
1. Karam BS, Patnaik R, Murphy P, deRoon-Cassini TA, Trevino C, Hemmila MR, Haines K, Puzio TJ, Charles A, Tignanelli C, et al. Improving mortality in older adult trauma patients: Are we doing better? J Trauma Acute Care Surg. 2022;92:413–21. doi: 10.1097/TA.0000000000003406. - DOI - PubMed
1. Breeding T, Ngatuvai M, Rosander A, Maka P, Davis J, Knowlton LM, Hoops H, Elkbuli A. Trends in disparities research on trauma and acute care surgery outcomes: A 10-year systematic review of articles published in The Journal of Trauma and Acute Care Surgery. J Trauma Acute Care Surg . 2023;95:806–15. doi: 10.1097/TA.0000000000004067. - DOI - PubMed

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Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma)

Collaborators

Affiliations

Innovative approaches to equity research in trauma: current work and aspirations from the Summit on the Advancement of Focused Equity Research in Trauma (SAFER-Trauma)

Authors

Collaborators

Affiliations

Abstract

Conflict of interest statement

References

Publication types

LinkOut - more resources

Full Text Sources