Evidence map›Paper›PMID 29441407›Full record

SynthesisWorld journal of surgery2018

Disability Weights for Pediatric Surgical Procedures: A Systematic Review and Analysis.

Emily R Smith, Tessa Concepcion, Stephanie Lim, Sam Sadler, Dan Poenaru, Anthony T Saxton, Mark Shrime, Emmanuel Ameh, Henry E Rice, Global Initiative for Children’s Surgery

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  9. Article
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  12. Review
  13. Is Global Pediatric Surgery a Good Investment?World journal of surgery · 2019
    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

10 authors.

Emily R SmithRobbins College of Health and Human Services, Baylor University, Waco, TX, USA. emily.smith1@duke.edu.
Tessa ConcepcionDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Stephanie LimDuke University School of Medicine, Durham, NC, USA.
Sam SadlerDuke University, Durham, NC, USA.
Dan PoenaruDivision of Pediatric General and Thoracic Surgery, The Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.
Anthony T SaxtonDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Mark ShrimeProgram in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Emmanuel AmehDivision of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.
Henry E RiceDuke Global Health Institute, Duke University, 310 Trent Drive, Durham, NC, 27710, USA.
Global Initiative for Children’s Surgery

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetrics to measure the burden of surgical conditions, such as disability weights (DWs), are poorly defined, particularly for pediatric conditions. To summarize the literature on DWs of children's surgical conditions, we performed a systematic review of disability weights of pediatric surgical conditions in low- and middle-income countries (LMICs).

methodFor this systematic review, we searched MEDLINE for pediatric surgery cost-effectiveness studies in LMICs, published between January 1, 1996, and April 1, 2017. We also included DWs found in the Global Burden of Disease studies, bibliographies of studies identified in PubMed, or through expert opinion of authors (ES and HR).

resultsOut of 1427 publications, 199 were selected for full-text analysis, and 30 met all eligibility criteria. We identified 194 discrete DWs published for 66 different pediatric surgical conditions. The DWs were primarily derived from the Global Burden of Disease studies (72%). Of the 194 conditions with reported DWs, only 12 reflected pre-surgical severity, and 12 included postsurgical severity. The methodological quality of included studies and DWs for specific conditions varied greatly.

interpretationIt is essential to accurately measure the burden, cost-effectiveness, and impact of pediatric surgical disease in order to make informed policy decisions. Our results indicate that the existing DWs are inadequate to accurately quantify the burden of pediatric surgical conditions. A wider set of DWs for pediatric surgical conditions needs to be developed, taking into account factors specific to the range and severity of surgical conditions.

Indexed as

Cost of IllnessDeveloping CountriesSurgical Procedures, OperativeAdolescentChildChild, PreschoolCost-Benefit AnalysisDiseaseHealth StatusHumansInfantInfant, NewbornQuality-Adjusted Life YearsSeverity of Illness Index

Identifiers

PMID29441407

What OpenQuestion holds

Textmetadata
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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.