ArticleWorld journal of surgery2018
The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review.Annals of global health · 2023Pooled it
- Challenges and enablers in accessing paediatric inguinal hernia surgical care in Sierra Leone: a qualitative exploratory study.BMJ open · 2026Article
- Development of paediatric surgical care in Sierra Leone: a repeated nationwide cross-sectional study from 2012 to 2023.BMJ public health · 2026Article
- Prevalence and outcomes of pediatric surgical conditions at Connaught Hospital in Freetown: a retrospective study.World journal of pediatric surgery · 2023Article
- Paediatric surgical conditions in Malawi - A cross-sectional nationwide household survey.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Developing Metrics to Define Progress in Children's Surgery.World journal of surgery · 2019Review
Corrections and comments
- Erratum issuedCorrection to: The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap.2019 · von Screeb, Johan [corrected to von Schreeb, Johan]
Authors and funding
5 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn low- and middle-income countries, there is a gap between the need for surgery and its equitable provision, and a lack of proxy indicators to estimate this gap. Sierra Leone is a West African country with close to three million children. It is unknown to what extent the surgical needs of these children are met.
aimTo describe a nationwide provision of pediatric surgical procedures and to assess pediatric hernia repair as a proxy indicator for the shortage of surgical care in the pediatric population in Sierra Leone.
methodsWe analyzed results from a nationwide facility survey in Sierra Leone that collected data on surgical procedures from operation and anesthesia logbooks in all facilities performing surgery. We included data on all patients under the age of 16 years undergoing surgery. Primary outcomes were rate and volume of surgical procedures. We calculated the expected number of inguinal hernia in children and estimated the unmet need for hernia repair.
resultsIn 2012, a total of 2381 pediatric surgical procedures were performed in Sierra Leone. The rate of pediatric surgical procedures was 84 per 100,000 children 0-15 years of age. The most common pediatric surgical procedure was hernia repair (18%), corresponding to a rate of 16 per 100,000 children 0-15 years of age. The estimated unmet need for inguinal hernia repair was 88%.
conclusionsThe rate of pediatric surgery in Sierra Leone was very low, and inguinal hernia was the single most common procedure noted among children in Sierra Leone.
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