Evidence map›Paper›PMID 29619512›Full record

ArticleWorld journal of surgery2018

A Nationwide Assessment of Pediatric Surgical Capacity in Mongolia.

Laura F Goodman, Erdenetsetseg Chuluun, Burmaa Sanjaa, Sanchin Urjin, Sarnai Erdene, Narantuya Khad, Adiyasuren Jamiyanjav, Jacob Stephenson, Diana L Farmer

Abstract read
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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
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

9 authors at 4 institutions in 2 countries.

Laura F GoodmanDepartment of Surgery, University of California Davis Health, 2315 Stockton Boulevard OP512, Sacramento, CA, 95817, USA. laurafgoodman@gmail.com.
Erdenetsetseg ChuluunMongolian National University of Medical Sciences, S. Zorig Street-3, Sukhbaatar District, P.O. Box 48/111, Ulaanbaatar, 14210, Mongolia.
Burmaa SanjaaMongolian National University of Medical Sciences, S. Zorig Street-3, Sukhbaatar District, P.O. Box 48/111, Ulaanbaatar, 14210, Mongolia.
Sanchin UrjinMongolian National University of Medical Sciences, S. Zorig Street-3, Sukhbaatar District, P.O. Box 48/111, Ulaanbaatar, 14210, Mongolia.
Sarnai ErdeneMongolian National University of Medical Sciences, S. Zorig Street-3, Sukhbaatar District, P.O. Box 48/111, Ulaanbaatar, 14210, Mongolia.
Narantuya KhadDepartment for Statistics and Information Technology, Center for Health Development, Enkhtaivan Street - 13b, Sukhbaatar District, Ulaanbaatar, Mongolia.
Adiyasuren JamiyanjavDepartment of Pediatric Surgery, National Center for Maternal and Child Health, Khuvsgalch Road, Bayangol District, Ulaanbaatar, 16060, Mongolia.
Jacob StephensonUniformed Services University of the Health Sciences, Bethesda, MD, USA.
Diana L FarmerDepartment of Surgery, University of California Davis Health, 2221 Stockton Boulevard, Sacramento, CA, 95817, USA.
Mongolian National University · MNUniversity of California, Davis · USNational Center for Communicable Diseases · MNMongolian National University of Medical Sciences · MN

Funding

UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
Fulbright Association 2016Fulbright Association N/A Fulbright Student Award Granted May 18Harvard T.H. Chan School of Public Health 20Harvard T.H. Chan School of Public Health N/A Rose Traveling Fellowship Granted April 26Harvard University Committee on General Scholarships N/A Frederick Sheldon Traveling Fellowship GrantedNCATS NIH HHS UL1 TR000002
6 · The paper itself

Abstract

backgroundMongolia is a country characterized by its vast distances and extreme climate. An underdeveloped medical transport infrastructure makes patient transfer from outlying regions dangerous. Providing pediatric surgical care locally is crucial to improve the lives of children in the countryside. This is the first structured assessment of nationwide pediatric surgical capacity.

methodsOperation rates were calculated using data from the Mongolian Center for Health Development and population data from the Mongolian Statistical Information Service. The Pediatric Personnel, Infrastructure, Procedures, Equipment, and Supplies (PediPIPES) survey tool was used to collect data at all survey sites. Descriptive data analyses were completed using Excel. Studies of association were completed using Stata. All reported percentages are of the hospitals outside of the capital (n = 21).

resultsAll provincial hospitals have general surgeons; seven (33.3%) of them have pediatric surgeon(s). One facility has no anesthesiologist. All facilities perform basic procedures and provide anesthesia. Four (19%) can treat common congenital anomalies. All facilities have basic operating room equipment. Nine hospitals do not have pulse oximetry available. Twelve hospitals do not have pediatric surgical instruments always available. Pediatric supplies are lacking.

conclusionsProvincial hospitals in Mongolia can perform basic procedures. However, essential pediatric supplies are lacking. Consequently, certain life-saving procedures are not available to children outside of the capital. Only a few improvements would be amendable to low-cost process improvement adjustment, and the majority of needs require resource additions. Procedure, equipment, and supply availability should be further explored to develop a comprehensive nationwide pediatric surgical program.

Indexed as

PediatricsSpecialties, SurgicalAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHealth Care SurveysHealth ResourcesHealth Services AccessibilityHumansInfantInfant, NewbornMaleMongoliaRural Health Services

Identifiers

PMID29619512
OpenAlexW2797411367

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.