ArticleAfrican journal of paediatric surgery : AJPS
Epidemiology, management and outcome of gastroschisis in Sub-Saharan Africa: Results of an international survey.
Article in African journal of paediatric surgery : AJPS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03185637 (Paediatric Surgery Across Sub-Saharan Africa), which is not on this map. Cited by 26 papers, 2 of them syntheses that pooled it.
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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.
Paediatric Surgery Across Sub-Saharan Africa: A Multi-Centre Prospective Cohort Study
Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Investigating the use of ultrasonography for the antenatal diagnosis of structural congenital anomalies in low-income and middle-income countries: a systematic review.BMJ paediatrics open · 2020Pooled it
- Cost-effectiveness of neonatal surgery for congenital anomalies in low-income and middle-income countries: a systematic review protocol.BMJ paediatrics open · 2020Pooled it
- Feeding Practices in Simple Gastroschisis: Insights into Practice Variation from a Multidisciplinary Survey.Journal of pediatrics. Clinical practice · 2026Article
- A survey of Ugandan skilled birth attendants regarding beliefs and management of gastroschisis.BMJ global health · 2026Article
- Outcomes of general paediatric surgical neonates managed at the Nelson Mandela Children's Hospital, Johannesburg, South Africa.Pediatric surgery international · 2026Article
- Feasibility of neonatal intravenous nutrition for the management of gastroschisis in sub-Saharan Africa.World journal of pediatric surgery · 2026Article
- Improved mortality in gastroschisis patients after implementation of a standardized management bundle in central Malawi: A single-center follow-up at four years.Journal of pediatric surgery · 2026Article
- Improving care and survival of newborns with surgical conditions in Tanzania (TINY Tanzania): a focus on gastroschisis.Pediatric surgery international · 2024Article
- Evaluation of the Management of Gastroschisis in Aristide Le Dantec University Hospital Center in Dakar: A Cross Sectional Study.African journal of paediatric surgery : AJPS · 2024Article
- Efforts to improve outcomes among neonates with complex intestinal atresia: a single-center low-income country experience.Pediatric surgery international · 2024Article
- Gastroschisis in Sub-Saharan Africa: a scoping review of the prevalence, management practices, and associated outcomes.Pediatric surgery international · 2023Article
- Article
- Building gut from scratch - progress and update of intestinal tissue engineering.Nature reviews. Gastroenterology & hepatology · 2022Review
- Paediatric surgical outcomes in sub-Saharan Africa: a multicentre, international, prospective cohort study.BMJ global health · 2021Article
- A retrospective review of gastroschisis epidemiology and referral patterns in northern Ghana.Pediatric surgery international · 2021Article
- High Abdominal Perfusion Pressure Using Umbilical Cord Flap in the Management of Gastroschisis.Frontiers in pediatrics · 2021Article
- Major abdominal wall defects in the low- and middle-income setting: current status and priorities.Pediatric surgery international · 2020Review
- Mortality from gastroschisis in the state of Rio de Janeiro: a 10-year series.Revista de saude publica · 2020Article
- Challenges and Outcome of Management of Gastroschisis at a Tertiary Institution in North-Eastern Nigeria.Frontiers in surgery · 2020Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim was to compare gastroschisis (GS) epidemiology, management and outcome in low-income countries (LIC) in Sub-Saharan Africa (SSA) with middle- (MIC) and high-income countries (HIC). MATERIALS AND
methodsA 10-question survey was administered at the 2012 Pan-African Paediatric Surgery Association Congress. RESULTS are presented as median (range); differences were analysed using contingency tests.
resultsA total of 82 delegates (28 countries [66 institutions]) were divided into LIC (n = 11), MIC (n = 6) and HIC (n = 11). In LIC, there were fewer surgeons and more patients. LIC reported 22 cases (1-184) GS/institution/year, compared to 12 cases (3-23)/institution/year in MICs and 15 cases (1-100)/institution/year in HICs. Antenatal screening was less readily available in LIC. Access to parenteral nutrition and neonatal intensive care in LIC was 36% and 19%, compared to 100% in HIC. Primary closure rates were similar in LIC and HIC at 58% and 54%, respectively; however, the majority of staged closure utilised custom silos in LIC and preformed silos in HIC. In LIC, mortality was reported as >75% by 61% delegates and 50-75% by 33%, compared to <25% by 100% of HIC delegates (P < 0.0001).
conclusionsGastroschisis is a problem encountered by surgeons in SSA. Mortality is high and resources in many centres inadequate. We propose the implementation of a combined epidemiological research, service delivery training and resource provision programme to help improve our understanding of GS in SSA whilst attempting to improve outcome.
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