Evidence map›Paper›PMID 27358650›Full record

ArticleAfrican health sciences2016

Endoscopic capacity in West Africa.

Daniel Perl, Desmond Leddin, Damon Bizos, Andrew Veitch, James N'Dow, Stephanie Bush-Goddard, Ramou Njie, Maud Lemoine, Suzanne T Anderson, John Igoe and 2 more

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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, 30 citations in OpenAlex.

  1. Article
  2. Upper GI Endoscopy in Resource-Constrained Settings: Bridging the Gap.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  3. Article
  4. Hepato-pancreato-biliary surgery in West Africa: a timely capacity assessment.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Gastrointestinal endoscopy capacity in Eastern Africa.Endoscopy international open · 2021
    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

12 authors at 2 institutions in 2 countries.

Daniel PerlGastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Desmond LeddinGastroenterology, Dalhousie University, Halifax, Nova Scotia, Canada.
Damon BizosDepartment of Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Andrew VeitchGastroenterology, New Cross Hospital, Wolverhampton, England.
James N'DowUrological Surgery, University of Aberdeen, Aberdeen, Scotland.
Stephanie Bush-GoddardHorizon's Clinic and Foundation, The Gambia.
Ramou NjieHepatology, Medical Research Council Unit, The Gambia.
Maud LemoineHepatology, Medical Research Council Unit, The Gambia.
Suzanne T AndersonClinical Services Department, Medical Research Council Unit, The Gambia.
John IgoeGastroenterology, Dalhousie University, Halifax, Nova Scotia, Canada.
Sharmila AnandasabapathyGastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Brijen ShahGastroenterology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Dalhousie University · CAUniversity of the Witwatersrand · ZA

Funding

Medical Research Council MC_UP_A900_1120
6 · The paper itself

Abstract

backgroundLevels of endoscopic demand and capacity in West Africa are unclear.

objectivesThis paper aims to: 1. describe the current labor and endoscopic capacity, 2. quantify the impact of a mixed-methods endoscopy course on healthcare professionals in West Africa, and 3. quantify the types of diagnoses encountered.

methodsIn a three-day course, healthcare professionals were surveyed on endoscopic resources and capacity and were taught through active observation of live cases, case discussion, simulator experience and didactics. Before and after didactics, multiple-choice exams as well as questionnaires were administered to assess for course efficacy. Also, a case series of 23 patients needing upper GI endoscopy was done.

resultsIn surveying physicians, less than half had resources to perform an EGD and none could perform an ERCP, while waiting time for emergency endoscopy in urban populations was at least one day. In assessing improvement in medical knowledge among participants after didactics, objective data paired with subjective responses was more useful than either alone. Of 23 patients who received endoscopy, 7 required endoscopic intervention with 6 having gastric or esophageal varices. Currently the endoscopic capacity in West Africa is not sufficient. A formal GI course with simulation and didactics improves gastrointestinal knowledge amongst participants.

Indexed as

Africa, WesternClinical CompetenceDisease ProgressionEducation, MedicalEducation, NursingEmergency TreatmentEndoscopy, GastrointestinalHumansWaiting ListsEndoscopic capacityendoscopic demandtraining courseWest Africa

Identifiers

PMID27358650
PMCPMC4915418
OpenAlexW2393650139

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.