ArticleWorld journal of surgery2015
A pilot survey of pediatric surgical capacity in West Africa.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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Who cites it
32 citing papers in PubMed, 57 citations in OpenAlex.
- Disentangling income and geography in perceived barriers to pediatric hydrocephalus care.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026Article
- Global, regional, and national burden of digestive congenital anomalies from 1990-2021.Pediatric research · 2025Article
- Pediatric surgery in Burkina Faso: capacity, gaps, and challenges.Pediatric surgery international · 2025Article
- Surgery and the first 8000 days of life: a review.International health · 2025Review
- The Children's Hospitals in Africa Mapping Project (CHAMP) survey: Facilities, equipment, supplies, infrastructure, and capacity to respond to emergencies.PLOS global public health · 2025Article
- Prevalence and patterns of pediatric surgical pathologies in three referral hospitals in Cameroon.Frontiers in surgery · 2025Article
- Adaptation and validation of the Children's Surgical Assessment Tool for Rwandan district hospitals.Global health action · 2024Article
- GAPS Phase III: incorporation of capacity based weighting in the global assessment for pediatric surgery.Pediatric surgery international · 2024Article
- GAPS phase II: development and pilot results of the global assessment in pediatric surgery, an evidence-based pediatric surgical capacity assessment tool for low-resource settings.Pediatric surgery international · 2024Article
- Pediatric Surgery Workforce Around the World: A Need to Revise Residency Programs?Global pediatric health · 2024Article
- Assessing the inclusion of children's surgical care in National Surgical, Obstetric and Anaesthesia Plans: a policy content analysis.BMJ open · 2023Article
- Critical shortage of capacity to deliver safe paediatric surgery in sub-Saharan Africa: evidence from 67 hospitals in Malawi, Zambia, and Tanzania.Frontiers in pediatrics · 2023Article
- An OxPLORE Initiative Evaluating Children's Surgery Resources Worldwide: A Cross-sectional Implementation of the OReCS Document.World journal of surgery · 2022Article
- Are Surgeons Enough? The Relationship between Increasing Surgical Demand and Access to Surgery in a Resource-Limited Environment.The Journal of surgical research · 2021Article
- Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study.BMJ global health · 2021Article
- Global and regional overview of the inclusion of paediatric surgery in the national health plans of 124 countries: an ecological study.BMJ open · 2021Article
- Inclusion of Children's Surgery in National Surgical Plans and Child Health Programmes: the need and roadmap from Global Initiative for Children's Surgery.Pediatric surgery international · 2021Review
- Geospatial Mapping of Pediatric Surgical Capacity in North Kivu, Democratic Republic of Congo.World journal of surgery · 2020Article
- Article
- Is Global Pediatric Surgery a Good Investment?World journal of surgery · 2019Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile some data exist for the burden of pediatric surgical disease in low- and middle-income countries (LMICs), little is known about pediatric surgical capacity. In an effort to better plan and allocate resources for pediatric surgical care in LMICs, a survey of pediatric surgical capacity using specific tool was needed.
methodsBased on the previously published Surgeons OverSeas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey, a pediatric PIPES (PediPIPES) survey was created. To ensure relevance to local needs and inclusion of only essential items, a draft PediPIPES survey was reviewed by nine pediatric surgeons and modifications were incorporated into a final tool. The survey was then distributed to surgeons throughout sub-Saharan Africa. Data from West Africa (37 hospitals in 10 of the 16 countries in the subregion) were analyzed.
resultsFewer than 50% (18/37) of the hospitals had more than two pediatric surgeons. Neonatal or general intensive care units were not available in 51.4% (19/37) of hospitals. Open procedures such as appendectomy were performed in all the hospitals whereas less-invasive interventions such as non-operative intussusception reduction were done in only 41% (15/37). Life-saving pediatric equipment such as apnea monitors were not available in 65% (24/37) of the hospitals.
conclusionsThe PediPIPES survey was useful in documenting the pediatric surgical capacity in West Africa. Many hospitals in West Africa are not optimally prepared to undertake pediatric surgery. Our study showed shortages in personnel, infrastructure, procedures, equipment, and supplies necessary to adequately and appropriately provide surgical care for pediatric patients.
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