Evidence map›Paper›PMID 28180984›Full record

ReviewWorld journal of surgery2017

Beyond a Moral Obligation: A Legal Framework for Emergency and Essential Surgical Care and Anesthesia.

Kashmira S Chawla, Lainie Rutkow, Kent Garber, Adam L Kushner, Barclay T Stewart

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

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. It is linked to trial NCT04487496 (Determinants of Access to Emergency Surgery at the University College Hospital, Ibadan), which is not on this 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.

NCT04487496 completednot on this mapstarted 2020, after this paper: background citation

Determinants of Access to Emergency Surgery at the University College Hospital, Ibadan

TypeobservationalSponsorUniversity College Hospital, IbadanRan2020 to 2022Enrolled87ConditionsAccess to Emergency Surgery
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Governing access to emergency care in Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2020
    Review
  3. Developing emergency care systems: a human rights-based approach.Bulletin of the World Health Organization · 2019
    Article
  4. 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

5 authors.

Kashmira S ChawlaDepartment of Surgery, Thomas Jefferson University Hospital, 909 Walnut St, Philadelphia, PA, 19107, USA. kashmira.chawla@gmail.com.
Lainie RutkowDepartment of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Kent GarberDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Adam L KushnerDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Barclay T StewartDepartment of Surgery, University of Washington, 1959 NE Pacific St, Seattle, WA, 98195, 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

backgroundAccess to quality and timely emergency and essential surgical care and anesthesia (EESCA) is an integral component of the right to health as reinforced by the ratification of the World Health Assembly Resolution 68.15. However, this resolution is merely a guideline and has not been able to bolster the necessary political will to promote EESCA. Our objective was to evaluate international treaties, which carry legal obligations, for EESCA-related text, and develop a human rights-based framework to support EESCA advancement and advocacy.

methodsWe conducted a comprehensive review of all the UN Treaty Collection-Certified True Copies (CTCs) of multilateral treaties database from December 2015 to April 2016. The relevant text was manually searched to abstract and analyze to identify major themes supporting a human rights-based approach to EESCA.

resultsMultiple treaties in the UN database addressed EESCA in the areas of human rights, refugees and stateless persons, health, penal matters, and disarmament. A total of 13 treaties containing 23 articles had language that endorsed aspects of EESCA. The three major themes, supported by the phraseology in the treaties, included: (1) equal access to EESCA (eight articles); (2) timely care of injured and those with emergency surgical conditions (eight articles); and (3) protection, rehabilitation, psychosocial support, and social security (seven articles).

conclusionsA number of United Nations multilateral treaties support available and equitable EESCA. These findings can be used to galvanize support and encourage signatory Member States to promote and implement EESCA development initiatives.

Indexed as

Global HealthHuman RightsInternational CooperationAnesthesiaEmergency Medical ServicesHealth Services AccessibilityHumansMoral ObligationsSurgical Procedures, OperativeTime FactorsUnited Nations

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.