Evidence map›Paper›PMID 27432199›Full record

ArticleJournal of vascular surgery2016

Consensus recommendations for essential vascular care in low- and middle-income countries.

Barclay T Stewart, Adam Gyedu, Christos Giannou, Brijesh Mishra, Norman Rich, Sherry M Wren, Charles Mock, Adam L Kushner, Essential Vascular Care Guidelines Study Group

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of vascular surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
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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.

Barclay T StewartDepartment of Surgery, University of Washington, Seattle, the School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, and the Department of Interdisciplinary Health Sciences, Stellenbosch University, Cape Town, South Africa. Electronic address: stewarb@uw.edu.
Adam GyeduDepartment of Surgery, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, and the Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana.
Christos GiannouInternational Health and Management of Health Crises, National and Kapodistrian University, Athens, Greece.
Brijesh MishraDepartment of Plastic Surgery, Reconstructive and Aesthetic Surgery, King Georges Medical University, Lucknow, Uttar Pradesh, India.
Norman RichDepartment of Surgery, Uniformed Services University, Bethesda, Md.
Sherry M WrenCenter for Global Health and Innovation, Stanford University, Palo Alto, Calif.
Charles MockHarborview Injury Prevention & Research Center, Department of Surgery, and Department of Global Health, University of Washington, Seattle, Wash.
Adam L KushnerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Surgeons OverSeas (SOS), New York, and the Department of Surgery, Columbia University, New York, NY.
Essential Vascular Care Guidelines Study Group

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
Understanding the Effect of Climate Change on Road Safety in GhanaD43TW007267 · FIC · UNIVERSITY OF WASHINGTON · PI Peter Donkor, CHARLES N. MOCK · 2005 to 2026
$5.0M
FIC NIH HHS D43 TW007267FIC NIH HHS R25 TW009345
6 · The paper itself

Abstract

objectiveMany low- and middle-income countries (LMICs) are ill equipped to care for the large and growing burden of vascular conditions. We aimed to develop essential vascular care recommendations that would be feasible for implementation at nearly every setting worldwide, regardless of national income.

methodsThe normative Delphi method was used to achieve consensus on essential vascular care resources among 27 experts in multiple areas of vascular care and public health as well as with experience in LMIC health care. Five anonymous, iterative rounds of survey with controlled feedback and a statistical response were used to reach consensus on essential vascular care resources.

resultsThe matrices provide recommendations for 92 vascular care resources at each of the four levels of care in most LMICs, comprising primary health centers and first-level, referral, and tertiary hospitals. The recommendations include essential and desirable resources and encompass the following categories: screening, counseling, and evaluation; diagnostics; medical care; surgical care; equipment and supplies; and medications.

conclusionsThe resources recommended have the potential to improve the ability of LMIC health care systems to respond to the large and growing burden of vascular conditions. Many of these resources can be provided with thoughtful planning and organization, without significant increases in cost. However, the resources must be incorporated into a framework that includes surveillance of vascular conditions, monitoring and evaluation of vascular capacity and care, a well functioning prehospital and interhospital transport system, and vascular training for existing and future health care providers.

Indexed as

Health Care CostsCombined Modality TherapyDelivery of Health Care, IntegratedDelphi TechniqueDeveloping CountriesHumansPatient Care TeamPovertyProgram DevelopmentQuality ImprovementQuality Indicators, Health CareVascular Diseases

Identifiers

PMID27432199
PMCPMC5121001

What OpenQuestion holds

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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.