Evidence map›Paper›PMID 29270649›Full record

ArticleWorld journal of surgery2018

Emergency-to-Elective Surgery Ratio: A Global Indicator of Access to Surgical Care.

Meghan Prin, Jean Guglielminotti, Onias Mtalimanja, Guohua Li, Anthony Charles

Abstract read
PubMed Publisher
In one paragraph

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. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Patient-reported outcome measures to evaluate postoperative quality of life in patients undergoing elective abdominal surgery: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
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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

5 authors at 4 institutions in 3 countries.

Meghan PrinDepartment of Anesthesiology and Critical Care, Columbia University College of Physicians and Surgeons, New York, NY, USA. mp3052@cumc.columbia.edu.
Jean GuglielminottiDepartment of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Onias MtalimanjaDepartment of Anaesthesiology, Kamuzu Central Hospital, Lilongwe, Malawi.
Guohua LiDepartment of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Anthony CharlesDepartment of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Columbia University · USInserm · FRKamuzu Central Hospital · MWUniversity of North Carolina at Chapel Hill · US

Funding

Columbia Injury Control Research CenterR49CE002096 · CE · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LI, GUOHUA · 2012 to 2018
$5.5M
FIC NIH HHS Postdoctoral Research FellowshipNCIPC CDC HHS R49 CE002096
6 · The paper itself

Abstract

backgroundSurgical care is essential to health systems but remains a challenge for low- and middle-income countries (LMICs). Current metrics to assess access and delivery of surgical care focus on the structural components of surgery and are not readily applicable to all settings. This study assesses a new metric for surgical care access and delivery, the ratio of emergent surgery to elective surgery (Ee ratio), which represents the number of emergency surgeries performed for every 100 elective surgeries.

methodsA systematic search of PubMed and Medline was conducted for studies describing surgical volume and acuity published between 2006 and 2016. The relationship between Ee ratio and three national indicators (gross domestic product, per capital healthcare spending, and physician density) was analyzed using weighted Pearson correlation coefficients (r

resultsA total of 29 studies with 33 datasets were included for analyses. The median Ee ratio was 14.6 (IQR 5.5-62.6), with a range from 1.6 to 557.4. For countries in sub-Saharan Africa the median value was 62.6 (IQR 17.8-111.0), compared to 9.4 (IQR 3.4-13.4) for the United States and 5.5 (IQR 4.4-10.1) for European countries. In multivariable linear regression, the per capita healthcare spending was inversely associated with the Ee ratio, with a 63-point decrease in the Ee ratio for each 1 point increase in the log of the per capita healthcare spending (regression coefficient β = -63.2; 95% CI -119.6 to -6.9; P = 0.036).

conclusionsThe Ee ratio appears to be a simple and valid indicator of access to available surgical care. Global health efforts may focus on investment in low-resource settings to improve access to available surgical care.

Indexed as

Health Services AccessibilityElective Surgical ProceduresEmergency Medical ServicesGlobal HealthHealth ExpendituresHumans

Identifiers

PMID29270649
OpenAlexW2781163115

What OpenQuestion holds

Textmetadata
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.