ArticlePediatric surgery international2016
Quantifying the pediatric surgical need in Uganda: results of a nationwide cross-sectional, household survey.
Article in Pediatric surgery international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.
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Who cites it
47 citing papers in PubMed, 75 citations in OpenAlex.
- Untreated surgical conditions in Malawi: A randomised cross-sectional nationwide household survey.Malawi medical journal : the journal of Medical Association of Malawi · 2017Trial
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- Current Landscape of Children's Surgery in Africa: A Multicenter Analysis of 16,000 Cases.World journal of surgery · 2025Article
- What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.World journal of surgery · 2025Article
- Barriers in an East African refugee camp: applying the three delays framework to pediatric surgical care.Pediatric surgery international · 2025Article
- Characterizing the unmet need for pediatric neurosurgical care.Surgical neurology international · 2025Article
- Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania: A cross-sectional study.PLOS global public health · 2025Article
- Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review.Pediatric surgery international · 2024Article
- Pediatric Emergency Surgery Course in Uganda: Long-Term Follow-Up and Insights From Further Dissemination.The Journal of surgical research · 2024Article
- Modeling the global impact of reducing out-of-pocket costs for children's surgical care.PLOS global public health · 2024Article
- Acceptability of surgical care in Uganda: a qualitative study on users and providers.BMJ open · 2023Article
- Article
- Picture Cards Versus Physical Examination: A Proof-of-Concept Study to Improve the SOSAS Survey Tool.The Journal of surgical research · 2023Article
- Prevalence and outcomes of pediatric surgical conditions at Connaught Hospital in Freetown: a retrospective study.World journal of pediatric surgery · 2023Article
- Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland.World journal of pediatric surgery · 2023Article
- Pediatric surgery backlog at a Ugandan tertiary care facility: COVID-19 makes a chronic problem acutely worse.Pediatric surgery international · 2022Article
- Prevalence of pediatric surgical problems among east African refugees: estimates from a cross-sectional survey using random cluster sampling.BMC pediatrics · 2022Article
- Challenges with pediatric surgical financing and universal health coverage in Guatemala: A qualitative analysis.PLOS global public health · 2022Article
- Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan.PLOS global public health · 2022Article
- Pediatric intestinal obstruction: analysis of etiologies and factors influencing short-term outcomes in Rwanda.World journal of pediatric surgery · 2022Article
Corrections and comments
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Authors and funding
14 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLittle is known about the prevalence of pediatric surgical conditions in low- and middle-income countries. Many children never seek medical care, thus the true prevalence of surgical conditions in children in Uganda is unknown. The objective of this study was to determine the prevalence of surgical conditions in children in Uganda.
methodsUsing the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey, we enumerated 4248 individuals in 2315 households in 105 randomly selected clusters throughout Uganda. Children aged 0-18 were included if randomly selected from the household; for those who could not answer for themselves, parents served as surrogates.
resultsOf 2176 children surveyed, 160 (7.4 %) reported a currently untreated surgical condition. Lifetime prevalence of surgical conditions was 14.0 % (305/2176). The predominant cause of surgical conditions was trauma (48.4 %), followed by wounds (19.7 %), acquired deformities (16.2 %), and burns (12.5 %). Of 90 pediatric household deaths, 31.1 % were associated with a surgically treatable proximate cause of death (28/90 deaths).
conclusionAlthough some trauma-related surgical burden among children can be adequately addressed at district hospitals, the need for diagnostics, human resources, and curative services for more severe trauma cases, congenital deformities, and masses outweighs the current capacity of hospitals and trained pediatric surgeons in Uganda.
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