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Erschienen in: World Journal of Surgery 4/2015

01.04.2015 | Original Scientific Report

Moving from Data Collection to Application: A Systematic Literature Review of Surgical Capacity Assessments and their Applications

verfasst von: Lucas C. Carlson, Joseph A. Lin, Emmanuel A. Ameh, Wakisa Mulwafu, Peter Donkor, Miliard Derbew, Edgar Rodas, Nyengo C. Mkandawire, Mitra Dhanaraj, Herve Yangni-Angate, Rachid Sani, Mohamed Labib, Roxana Barbero, Damian Clarke, Martin D. Smith, Lawrence Sherman, Frederick A. Mutyaba, Philip Alexander, Larry G. P. Hadley, Michael J. VanRooyen, Adam L. Kushner

Erschienen in: World Journal of Surgery | Ausgabe 4/2015

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Abstract

Background

Over the past decade, assessments of surgical capacity in low- and middle-income countries (LMICs) have contributed to our understanding of barriers to the delivery of surgical services in a number of countries. It is yet unclear, however, how the findings of these assessments have been applied and built upon within the published literature.

Methods

A systematic literature review of surgical capacity assessments in LMICs was performed to evaluate current levels of understanding of global surgical capacity and to identify areas for future study. A reverse snowballing method was then used to follow-up citations of the identified studies to assess how this research has been applied and built upon in the literature.

Results

Twenty-one papers reporting the findings of surgical capacity assessments conducted in 17 different LMICs in South Asia, East Asia and Pacific, Latin America and the Caribbean, and sub-Saharan Africa were identified. These studies documented substantial deficits in human resources, infrastructure, equipment, and supplies. Only seven additional papers were identified which applied or built upon the studies. Among these, capacity assessment findings were most commonly used to develop novel tools and intervention strategies, but they were also used as baseline measurements against which updated capacity assessments were compared.

Conclusions

While the global surgery community has made tremendous progress in establishing baseline values of surgical capacity in LMICs around the world, further work is necessary to build upon and apply the foundational knowledge established through these efforts. Capacity assessment data should be coordinated and used in ongoing research efforts to monitor and evaluate progress in global surgery and to develop targeted intervention strategies. Intervention strategy development may also be further incorporated into the evaluation process itself.
Literatur
2.
Zurück zum Zitat Linden AF, Sekidde FS, Galukande M et al (2012) Challenges of surgery in developing countries: a survey of surgical and anesthesia capacity in Uganda’s public hospitals. World J Surg 36(5):1056–1065. doi:10.1007/s00268-012-1482-7 CrossRefPubMed Linden AF, Sekidde FS, Galukande M et al (2012) Challenges of surgery in developing countries: a survey of surgical and anesthesia capacity in Uganda’s public hospitals. World J Surg 36(5):1056–1065. doi:10.​1007/​s00268-012-1482-7 CrossRefPubMed
3.
Zurück zum Zitat Gupta S, Wong EG, Kushner AL (2014) Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries. Trop Med Int Health. doi:10.1111/tmi.12371 PubMed Gupta S, Wong EG, Kushner AL (2014) Scarcity of protective items against HIV and other bloodborne infections in 13 low- and middle-income countries. Trop Med Int Health. doi:10.​1111/​tmi.​12371 PubMed
7.
9.
Zurück zum Zitat Sayers A (2007) Tips and tricks in performing a systematic review. Br J Gen Pract 57(542):759PubMedCentral Sayers A (2007) Tips and tricks in performing a systematic review. Br J Gen Pract 57(542):759PubMedCentral
10.
Zurück zum Zitat Duke T, Graham SM, Cherian MN et al (2010) Oxygen is an essential medicine: a call for international action. Int J Tuberc Lung Dis 14(11):1362–1368PubMedCentralPubMed Duke T, Graham SM, Cherian MN et al (2010) Oxygen is an essential medicine: a call for international action. Int J Tuberc Lung Dis 14(11):1362–1368PubMedCentralPubMed
11.
Zurück zum Zitat Leow JJ, Groen RS, Bae JY et al (2012) Scarcity of healthcare worker protection in eight low- and middle-income countries: surgery and the risk of HIV and other bloodborne pathogens. Trop Med Int Health 17(3):397–401. doi:10.1111/j.1365-3156.2011.02909.x PubMed Leow JJ, Groen RS, Bae JY et al (2012) Scarcity of healthcare worker protection in eight low- and middle-income countries: surgery and the risk of HIV and other bloodborne pathogens. Trop Med Int Health 17(3):397–401. doi:10.​1111/​j.​1365-3156.​2011.​02909.​x PubMed
14.
Zurück zum Zitat Taira BR, Cherian MN, Yakandawala H et al (2010) Survey of emergency and surgical capacity in the conflict-affected regions of Sri Lanka. World J Surg 34(3):428–432CrossRefPubMed Taira BR, Cherian MN, Yakandawala H et al (2010) Survey of emergency and surgical capacity in the conflict-affected regions of Sri Lanka. World J Surg 34(3):428–432CrossRefPubMed
15.
Zurück zum Zitat Spiegel DA, Choo S, Cherian M et al (2011) Quantifying surgical and anesthetic availability at primary health facilities in Mongolia. World J Surg 35(2):272–279CrossRefPubMed Spiegel DA, Choo S, Cherian M et al (2011) Quantifying surgical and anesthetic availability at primary health facilities in Mongolia. World J Surg 35(2):272–279CrossRefPubMed
16.
Zurück zum Zitat Natuzzi ES, Kushner A, Jagilly R et al (2011) Surgical care in the Solomon Islands: a road map for universal surgical care delivery. World J Surg 35(6):1183–1193CrossRefPubMed Natuzzi ES, Kushner A, Jagilly R et al (2011) Surgical care in the Solomon Islands: a road map for universal surgical care delivery. World J Surg 35(6):1183–1193CrossRefPubMed
17.
Zurück zum Zitat Markin A, Barbero R, Leow JJ et al (2013) A quantitative analysis of surgical capacity in Santa Cruz, Bolivia. J Surg Res 185(1):190–197CrossRefPubMed Markin A, Barbero R, Leow JJ et al (2013) A quantitative analysis of surgical capacity in Santa Cruz, Bolivia. J Surg Res 185(1):190–197CrossRefPubMed
18.
Zurück zum Zitat Solis C, Leon P, Sanchez N et al (2013) Nicaraguan surgical and anesthesia infrastructure: survey of Ministry of Health hospitals. World J Surg 37(9):2109–2121CrossRefPubMed Solis C, Leon P, Sanchez N et al (2013) Nicaraguan surgical and anesthesia infrastructure: survey of Ministry of Health hospitals. World J Surg 37(9):2109–2121CrossRefPubMed
19.
Zurück zum Zitat Choo S, Perry H, Hesse AA et al (2010) Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool. Trop Med Int Health 15(9):1109–1115PubMed Choo S, Perry H, Hesse AA et al (2010) Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool. Trop Med Int Health 15(9):1109–1115PubMed
20.
Zurück zum Zitat Knowlton LM, Chackungal S, Dahn B (2013) Liberian surgical and anesthesia infrastructure: a survey of county hospitals. World J Surg 37(4):721–729CrossRefPubMed Knowlton LM, Chackungal S, Dahn B (2013) Liberian surgical and anesthesia infrastructure: a survey of county hospitals. World J Surg 37(4):721–729CrossRefPubMed
21.
Zurück zum Zitat Sherman L, Clement PT, Cherian MN et al (2011) Implementing Liberia’s poverty reduction strategy: an assessment of emergency and essential surgical care. Arch Surg 146(1):35–39CrossRefPubMed Sherman L, Clement PT, Cherian MN et al (2011) Implementing Liberia’s poverty reduction strategy: an assessment of emergency and essential surgical care. Arch Surg 146(1):35–39CrossRefPubMed
22.
Zurück zum Zitat Henry JA, Windapo O, Kushner AL et al (2012) A survey of surgical capacity in rural southern Nigeria: opportunities for change. World J Surg 36(12):2811–2818CrossRefPubMed Henry JA, Windapo O, Kushner AL et al (2012) A survey of surgical capacity in rural southern Nigeria: opportunities for change. World J Surg 36(12):2811–2818CrossRefPubMed
23.
Zurück zum Zitat Petroze RT, Nzayisenga A, Rusanganwa V et al (2012) Comprehensive national analysis of emergency and essential surgical capacity in Rwanda. Br J Surg 99(3):436–443CrossRefPubMed Petroze RT, Nzayisenga A, Rusanganwa V et al (2012) Comprehensive national analysis of emergency and essential surgical capacity in Rwanda. Br J Surg 99(3):436–443CrossRefPubMed
24.
Zurück zum Zitat Groen RS, Kamara TB, Dixon-Cole R et al (2012) A tool and index to assess surgical capacity in low income countries: an initial implementation in Sierra Leone. World J Surg 36(8):1970–1977CrossRefPubMed Groen RS, Kamara TB, Dixon-Cole R et al (2012) A tool and index to assess surgical capacity in low income countries: an initial implementation in Sierra Leone. World J Surg 36(8):1970–1977CrossRefPubMed
25.
Zurück zum Zitat Kingham TP, Kamara TB, Cherian MN et al (2009) Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care. Arch Surg 144(2):122–127CrossRefPubMed Kingham TP, Kamara TB, Cherian MN et al (2009) Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care. Arch Surg 144(2):122–127CrossRefPubMed
26.
27.
Zurück zum Zitat Penoyar T, Cohen H, Kibatala P et al (2012) Emergency and surgery services of primary hospitals in the United Republic of Tanzania. BMJ Open 2(1):e000369CrossRefPubMedCentralPubMed Penoyar T, Cohen H, Kibatala P et al (2012) Emergency and surgery services of primary hospitals in the United Republic of Tanzania. BMJ Open 2(1):e000369CrossRefPubMedCentralPubMed
28.
Zurück zum Zitat Iddriss A, Shivute N, Bickler S et al (2011) Emergency, anaesthetic and essential surgical capacity in the Gambia. Bull World Health Organ 89(8):565–572CrossRefPubMedCentralPubMed Iddriss A, Shivute N, Bickler S et al (2011) Emergency, anaesthetic and essential surgical capacity in the Gambia. Bull World Health Organ 89(8):565–572CrossRefPubMedCentralPubMed
29.
Zurück zum Zitat Henry JA, Orgoi S, Govind S et al (2012) Strengthening surgical services at the soum (first-referral) hospital: the WHO emergency and essential surgical care (EESC) program in Mongolia. World J Surg 36(10):2359–2370. doi:10.1007/s00268-012-1668-z CrossRefPubMed Henry JA, Orgoi S, Govind S et al (2012) Strengthening surgical services at the soum (first-referral) hospital: the WHO emergency and essential surgical care (EESC) program in Mongolia. World J Surg 36(10):2359–2370. doi:10.​1007/​s00268-012-1668-z CrossRefPubMed
31.
Zurück zum Zitat Petroze RT, Mody GN, Ntaganda E et al (2013) Collaboration in surgical capacity development: a report of the inaugural meeting of the Strengthening Rwanda Surgery initiative. World J Surg 37(7):1500–1505. doi:10.1007/s00268-012-1769-8 CrossRefPubMed Petroze RT, Mody GN, Ntaganda E et al (2013) Collaboration in surgical capacity development: a report of the inaugural meeting of the Strengthening Rwanda Surgery initiative. World J Surg 37(7):1500–1505. doi:10.​1007/​s00268-012-1769-8 CrossRefPubMed
33.
Zurück zum Zitat Belle J, Cohen H, Shindo N et al (2010) Influenza preparedness in low-resource settings: a look at oxygen delivery in 12 African countries. J Infect Dev Ctries 4(7):419–424PubMed Belle J, Cohen H, Shindo N et al (2010) Influenza preparedness in low-resource settings: a look at oxygen delivery in 12 African countries. J Infect Dev Ctries 4(7):419–424PubMed
Metadaten
Titel
Moving from Data Collection to Application: A Systematic Literature Review of Surgical Capacity Assessments and their Applications
verfasst von
Lucas C. Carlson
Joseph A. Lin
Emmanuel A. Ameh
Wakisa Mulwafu
Peter Donkor
Miliard Derbew
Edgar Rodas
Nyengo C. Mkandawire
Mitra Dhanaraj
Herve Yangni-Angate
Rachid Sani
Mohamed Labib
Roxana Barbero
Damian Clarke
Martin D. Smith
Lawrence Sherman
Frederick A. Mutyaba
Philip Alexander
Larry G. P. Hadley
Michael J. VanRooyen
Adam L. Kushner
Publikationsdatum
01.04.2015
Verlag
Springer US
Erschienen in
World Journal of Surgery / Ausgabe 4/2015
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-014-2938-8

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