SynthesisWorld journal of surgery2016
Anesthesia Care Capacity at Health Facilities in 22 Low- and Middle-Income Countries.
Synthesis in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed.
- Article
- Access and barriers to safe anesthesia in primary health care settings in India.Bioinformation · 2026Article
- Review
- Difficult airway management and bidirectional learning in the perioperative setting in Zambia.British journal of anaesthesia · 2025Article
- Global synergy in anaesthesia training: the crucial role of international collaborations for trainees from low-resource countries.British journal of anaesthesia · 2025Article
- Surveying anesthesia care provision and deficiencies among the secondary public sector hospitals of rural Sindh, Pakistan.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- Anaesthetic practices at Gulu Regional Referral Hospital in Northern Uganda, who does what and where? A retrospective study.Human resources for health · 2025Article
- Assessing Colorectal Care Capacity at an Urban Tertiary Hospital in Ghana.Annals of global health · 2025Article
- Anaesthesia delivery systems in low and lower-middle-income Asian countries: A scoping review of capacity and effectiveness.PLOS global public health · 2024Article
- Pulse oximetry training landscape for healthcare workers in low- and middle-income countries: A scoping review.Journal of global health · 2023Article
- Pulse oximeter provision and training of non-physician anesthetists in Zambia: a qualitative study exploring perioperative care after training.BMC health services research · 2022Article
- Establishing a sustainable training programme in anaesthesia in Ethiopia.Acta anaesthesiologica Scandinavica · 2022Article
- Incidence and factors associated with post-anesthesia care unit complications in resource-limited settings: An observational study.Health science reports · 2022Article
- Trauma Care in Low- and Middle-Income Countries.Surgery journal (New York, N.Y.) · 2021Review
- Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study.PloS one · 2021Article
- Benefits and Barriers to Increasing Regional Anesthesia in Resource-Limited Settings.Local and regional anesthesia · 2020Review
- What is 'global surgery'? Defining the multidisciplinary interface between surgery, anaesthesia and public health.BMJ global health · 2019Review
- Commentary on 'A Consensus-Based Criterion Standard for the Requirement of a Trauma Team:' Low-Resource Setting Considerations.World journal of surgery · 2018Article
- Challenges for the surgical capacity building of township hospitals among the Central China: a retrospective study.International journal for equity in health · 2018Article
- Health-related quality of life and recovery patterns among hospitalised injury patients in Vietnam.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGlobally, an estimated 2 billion people lack access to surgical and anesthesia care. We sought to pool results of anesthesia care capacity assessments in low- and middle-income countries (LMICs) to identify patterns of deficits and provide useful targets for advocacy and intervention.
methodsA systematic review of PubMed, Cochrane Database of Systematic Reviews, and Google Scholar identified reports that documented anesthesia care capacity from LMICs. When multiple assessments from one country were identified, only the study with the most facilities assessed was included. Patterns of availability or deficit were described.
resultsWe identified 22 LMICs (15 low- and 8 middle-income countries) with anesthesia care capacity assessments (614 facilities assessed). Anesthesia care resources were often unavailable, including relatively low-cost ones (e.g., oxygen and airway supplies). Capacity varied markedly between and within countries, regardless of the national income. The availability of fundamental resources for safe anesthesia, such as airway supplies and functional pulse oximeters, was often not reported (72 and 36 % of hospitals assessed, respectively). Anesthesia machines and the capability to perform general anesthesia were unavailable in 43 % (132/307 hospitals) and 56 % (202/361) of hospitals, respectively.
conclusionWe identified a pattern of critical deficiencies in anesthesia care capacity in LMICs, including some low-cost, high-value added resources. The global health community should advocate for improvements in anesthesia care capacity and the potential benefits of doing so to health system planners. In addition, better quality data on anesthesia care capacity can improve advocacy, as well as the monitoring and evaluation of changes over time and the impact of capacity improvement interventions.
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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.