Evidence map›Paper›PMID 27225996›Full record

ArticleWorld journal of surgery2016

Global Estimation of Surgical Procedures Needed for Forcibly Displaced Persons.

Yuanting Zha, Barclay Stewart, Eugenia Lee, Kyle N Remick, David H Rothstein, Reinou S Groen, Gilbert Burnham, David K Imagawa, Adam L Kushner

Abstract read
PubMed Publisher
In one paragraph

Article 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuanting ZhaDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. yzha1@jhu.edu.
Barclay StewartDepartment of Surgery, University of Washington, Seattle, WA, USA.
Eugenia LeeDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Kyle N RemickDepartment of Surgery, Uniformed Services University of the Health Sciences, Bethesda, MD, USA.
David H RothsteinDepartment of Pediatric Surgery, Women and Children's Hospital of Buffalo, Buffalo, NY, USA.
Reinou S GroenDepartment of Gynecology & Obstetrics, Johns Hopkins Hospital, Baltimore, MD, USA.
Gilbert BurnhamDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
David K ImagawaUniversity of California, Irvine School of Medicine, Irvine, CA, USA.
Adam L KushnerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Funding

Northern/Pacific Universities Global Health Research Training ConsortiumR25TW009345 · FIC · UNIVERSITY OF WASHINGTON · PI KOLARS, JOSEPH C., NERURKAR, VIVEK RAMCHANDRA · 2012 to 2016
$5.9M
FIC NIH HHS R25 TW009345
6 · The paper itself

Abstract

introductionSixty million people were displaced from their homes due to conflict, persecution, or human rights violations at the end of 2014. This vulnerable population bears a disproportionate burden of disease, much of which is surgically treatable. We sought to estimate the surgical needs for forcibly displaced persons globally to inform humanitarian assistance initiatives.

methodsData regarding forcibly displaced persons, including refugees, internally displaced persons (IDPs), and asylum seekers were extracted from United Nations databases. Using the minimum proposed surgical rate of 4669 procedures per 100,000 persons annually, global, regional, and country-specific estimates were calculated. The prevalence of pregnancy and obstetric complications were used to estimate obstetric surgical needs.

resultsAt least 2.78 million surgical procedures (IQR 2.58-3.15 million) were needed for 59.5 million displaced persons. Of these, 1.06 million procedures were required in North Africa and the Middle East, representing an increase of 50 % from current unmet surgical need in the region. Host countries with the highest surgical burden for the displaced included Syria (388,000 procedures), Colombia (282,000 procedures), and Iraq (187,000). Between 4 and 10 % of required procedures were obstetric surgical procedures. Children aged <18 years made up 52 % of the displaced, portending a substantial demand for pediatric surgical care.

conclusionApproximately three million procedures annually are required to meet the surgical needs of refugees, IDPs, and asylum seekers. Most displaced persons are hosted in countries with inadequate surgical care capacity. These figures should be considered when planning humanitarian assistance and targeted surgical capacity improvements.

Indexed as

AdolescentAfrica, NorthernChildChild, PreschoolColombiaDatabases, FactualDemocratic Republic of the CongoFemaleHealth Services Needs and DemandHumansInfantInfant, NewbornInternationalityIraqMaleObstetric Surgical Procedures

Identifiers

PMID27225996

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.