ArticleCanadian journal of surgery. Journal canadien de chirurgie2008
Rural surgery in British Columbia: is there anybody out there?
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed.
- Assessing Ethiopia's surgical capacity in light of global surgery 2030 initiatives: Is there progress in the past decade?Surgery open science · 2024Review
- The problems of smaller, rural and remote hospitals: Separating facts from fiction.Future healthcare journal · 2020Article
- Development of an acute care surgery service in Rwanda.Trauma surgery & acute care open · 2019Article
- Learners' experiences of an enhanced surgical skills training program for family physicians.Canadian medical education journal · 2018Article
- Article
- Rural Surgery in Niger: A Multicentric Study in 21 District Hospitals.The Indian journal of surgery · 2015Article
- A proposal for the curriculum and evaluation for training rural family physicians in enhanced surgical skills.Canadian journal of surgery. Journal canadien de chirurgie · 2015Review
- A cross-sectional survey of emergency and essential surgical care capacity among hospitals with high trauma burden in a Central African country.BMC health services research · 2015Article
- Pattern of surgical practice in a regional hospital in Cameroon and implications for training.World journal of surgery · 2013Article
- Bringing surgery to rural children: Chittagong, Bangladesh experience.World journal of surgery · 2013Article
- GP Surgeons' Experiences of Training in British Columbia and Alberta: A Case Study of Enhanced Skills for Rural Primary Care providers.Canadian medical education journal · 2012Article
- The impact of launching surgery at the district level in Niger.World journal of surgery · 2009Article
- Delivery models of rural surgical services in British Columbia (1996-2005): are general practitioner-surgeons still part of the picture?Canadian journal of surgery. Journal canadien de chirurgie · 2008Article
- General surgery in Canada: current scope of practice and future needs.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo document surgical procedures performed in British Columbia between 1996 and 2001 at rural hospital sites with no resident specialist surgeons and to define the scope of practice of general practitioner (GP)-surgeons at these small-volume surgical sites.
methodsWe obtained data from published information available in the medical directories for British Columbia and from the Population Utilization Rates and Referrals For Easy Comparative Tables database (versions 6.0 and 9.0) to conduct a retrospective study of all rural BC hospitals with surgical programs that had no resident specialist surgeon and relied on GP-surgeons for emergency surgical care between 1996 and 2001. We studied surgical programs at the 12 hospitals that met inclusion criteria and interviewed the physician or nurse responsible for the program. Outcomes were measured in terms of the types and volumes of surgical procedures (elective and emergency) from 1996 to 2001, including itinerant surgery.
resultsOn average, 2690 surgical procedures were performed annually at the 12 hospitals included in the study. Endoscopy, hand surgery, cesarean section, herniorrhaphy, tonsillectomy and dilation and curettage (D&C) were among the top elective and emergency procedures. For each hospital, between 8 and 26 procedures of hand surgery, cesarean section, herniorrhaphy, D&C and appendectomy were performed each year. In the 12 communities studied, 19% of all surgery was emergency and 81% elective. There was significant overlap in the types of emergency and elective procedures. GP-surgeons carried out most of the emergency procedures, which nonetheless accounted for a small portion of their surgical work.
conclusionGP-surgeons still perform a significant number of emergency and elective surgical procedures in rural BC hospitals. This study defines useful procedures for GP-surgeons in communities without the population base to sustain a resident specialist surgeon. This information can be used to structure training programs for GP-surgeons that will adequately meet the needs of rural communities.
Indexed as
Identifiers
18682764PMC2496604What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.