Evidence map›Paper›PMID 29225948›Full record

ReviewBMJ global health2017

Collecting data for global surgical indicators: a collaborative approach in the Pacific Region.

Glenn Douglas Guest, Elizabeth McLeod, William R G Perry, Vilami Tangi, Joao Pedro, Ponifasio Ponifasio, Johnny Hedson, Jemesa Tudravu, Douglas Pikacha, Eric Vreede and 11 more

Open access · goldAbstract readReview
In one paragraph

Review in BMJ global health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 2% of its field
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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

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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

21 authors at 5 institutions in 3 countries.

Glenn Douglas GuestGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
Elizabeth McLeodGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
William R G PerryService Delivery and Safety, World Health Organization, Geneva, Switzerland.ORCID 0000-0001-8718-8306
Vilami TangiPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Joao PedroPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Ponifasio PonifasioPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Johnny HedsonGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
Jemesa TudravuPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Douglas PikachaPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Eric VreedeGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
Basil LeodoroPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Noah TapauaPacific Islands Surgeons Association, Rarotonga, Cook Islands.
James KongGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
Bwabwa OtenPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Deacon TeapaPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Stephanie KorinGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
Leona WilsonAustralian and New Zealand College of Anaesthetists, Melbourne, Victoria, Australia.
Samson MesolPacific Islands Surgeons Association, Rarotonga, Cook Islands.
Kabiri TunetiPacific Islands Surgeons Association, Rarotonga, Cook Islands.
John G MearaPlastic and Oral Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.
David A WattersGlobal Health, Royal Australasian College of Surgeons, Melbourne, Victoria, Australia.
NOAA National Marine Fisheries Service Pacific Islands Fisheries Science Center · USRoyal Australasian College of Surgeons · AUAustralian and New Zealand College of Anaesthetists · AUBoston Children's Hospital · USWorld Health Organization · CH

Funding

World Health Organization 001
6 · The paper itself

Abstract

In 2015, the Lancet Commission on Global Surgery (LCoGS) recommended six surgical metrics to enable countries to measure their surgical and anaesthesia care delivery. These indicators have subsequently been accepted by the World Bank for inclusion in the World Development Indicators. With support from the Royal Australasian College of Surgeons and the Pacific Islands Surgical Association, 14 South Pacific countries collaborated to collect the first four of six LCoGS indicators. Thirteen countries collected all four indicators over a 6-month period from October 2015 to April 2016. Australia and New Zealand exceeded the recommended LCoGS target for all four indicators. Only 5 of 13 countries (38%) achieved 2-hour access for at least 80% of their population, with a range of 20% (Papua New Guinea and Solomon Islands) to over 65% (Fiji and Samoa). Five of 13 (38%) countries met the target surgical volume of 5000 procedures per 100 000 population, with six performing less than 1600. Four of 14 (29%) countries had at least 20 surgical, anaesthesia and obstetric providers in their workforce per 100 000 population, with a range of 0.9 (Timor Leste) to 18.5 (Tuvalu). Perioperative mortality rate was reported by 13 of 14 countries, and ranged from 0.11% to 1.0%. We believe it is feasible to collect global surgery indicators across the South Pacific, a diverse geographical region encompassing high-income and low-income countries. Such metrics will allow direct comparison between similar nations, but more importantly provide baseline data that providers and politicians can use in advocacy national health planning.

Indexed as

disease and standardisation of ratesindices of healthdpublic healthsurgery

Identifiers

PMID29225948
PMCPMC5717952
OpenAlexW2769969114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.