ReviewWorld journal of surgery2017
Cost-Effectiveness in Global Surgery: Pearls, Pitfalls, and a Checklist.
Review in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled 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.
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
27 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Financial toxicity among patients with breast cancer: a systematic review and meta-analysis.The oncologist · 2026Pooled it
- Financial Toxicity Among Patients With Breast Cancer Worldwide: A Systematic Review and Meta-analysis.JAMA network open · 2023Pooled it
- Disability Weights for Pediatric Surgical Procedures: A Systematic Review and Analysis.World journal of surgery · 2018Pooled it
- Does community-based health insurance protect women from financial catastrophe after cesarean section? A prospective study from a rural hospital in Rwanda.BMC health services research · 2022Trial
- Hidden costs and unmet supportive care needs among individuals with experience of breast cancer and their carers in the United Kingdom.BJC reports · 2025Article
- Cost-Effectiveness Analysis of Surgical Strategies Versus Medical Management for Rheumatic Heart Disease in Rwanda.Journal of the American Heart Association · 2025Article
- Who pays for surgical care in the global south? A narrative review.PLOS global public health · 2025Review
- Evaluation of Financial Interventions in Breast Cancer Care Worldwide: A Systematic Review.Plastic and reconstructive surgery. Global open · 2024Article
- Modeling the global impact of reducing out-of-pocket costs for children's surgical care.PLOS global public health · 2024Article
- Cost effectiveness and return on investment analysis for surgical care in a conflict-affected region of Sudan.PLOS global public health · 2024Article
- Article
- The true costs of cesarean delivery for patients in rural Rwanda: Accounting for post-discharge expenses in estimated health expenditures.International journal for equity in health · 2022Article
- Long-Term Impact of a Low-Cost Paediatric Intussusception Air Enema Reduction Simulation-Based Education Programme in a Low-Middle Income Country.World journal of surgery · 2022Article
- Assessing the cost and economic impact of tertiary-level pediatric cancer care in Tanzania.PloS one · 2022Article
- Smartphone and web-based independent consultation and feedback for joint replacement surgeries: a randomized control trial protocol.BMC medical informatics and decision making · 2021Article
- Catastrophic expenditure and impoverishment after caesarean section in Sierra Leone: An evaluation of the free health care initiative.PloS one · 2021Article
- Short-term general, gynecologic, orthopedic, and pediatric surgical mission trips in Nicaragua: A cost-effectiveness analysis.Journal of global health · 2021Article
- Methods for estimating economic benefits of surgical interventions in low-income and middle-income countries: a scoping review.BMJ open · 2020Article
- Waiting Too Long: The Contribution of Delayed Surgical Access to Pediatric Disease Burden in Somaliland.World journal of surgery · 2020Article
- Developing Metrics to Define Progress in Children's Surgery.World journal of surgery · 2019Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCost-effectiveness analysis can be a powerful policy-making tool. In the two decades since the first cost-effectiveness analyses in global surgery, the methodology has established the cost-effectiveness of many types of surgery in low- and middle-income countries (LMICs). However, with the crescendo of cost-effectiveness analyses in global surgery has come vast disparities in methodology, with only 15% of studies adhering to published guidelines. This has led to results that have varied up to 150-fold.
methodsThe theoretical basis, common pitfalls, and guidelines-based recommendations for cost-effectiveness analyses are reviewed, and a checklist to be used for cost-effectiveness analyses in global surgery is created.
resultsCommon pitfalls in global surgery cost-effectiveness analyses fall into five categories: the analytic perspective, cost measurement, effectiveness measurement, probability estimation, valuation of the counterfactual, and heterogeneity and uncertainty. These are reviewed in turn, and a checklist to avoid these pitfalls is developed.
conclusionCost-effectiveness analyses, when done rigorously, can be very useful for the development of efficient surgical systems in LMICs. This review highlights the common pitfalls in these analyses and methods to avoid these pitfalls.
Indexed as
Identifiers
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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.