Evidence map›Paper›PMID 30324071›Full record

ArticlePlastic and reconstructive surgery. Global open2018

Current Challenges of Plastic Surgical Care in Sub-Saharan Africa (Maputo, Mozambique).

Kevin J Guzman, Natacha Gemo, Deborah B Martins, Pedro Santos, Daniel A DeUgarte, Fatima Ademo, David Kulber, Celma Issufo

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  5. Review
  6. The Burden of Plastic Surgery in Rural Kenya: The Kapsowar Hospital Experience.Plastic and reconstructive surgery. Global open · 2024
    Article
  7. Article
  8. Article
  9. Its Not about the Destination, Its about the Journey-Plotting 50 Years of Changing Clinical Trends in Plastic Surgery in a Public Sector Teaching Hospital.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2021
    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

8 authors at 3 institutions in 2 countries.

Kevin J GuzmanDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Natacha GemoDepartment of Surgery, Hospital Central de Maputo, Maputo, Mozambique.
Deborah B MartinsDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Pedro SantosDepartment of Surgery, Matola Hospital, Matola, Mozambique.
Daniel A DeUgarteDepartment of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, Calif.
Fatima AdemoDepartment of Surgery, Hospital Central de Maputo, Maputo, Mozambique.
David KulberDepartment of Surgery, Cedars Sinai Medical Center, Los Angeles, Calif.
Celma IssufoDepartment of Surgery, Hospital Central de Maputo, Maputo, Mozambique.
Maputo Central Hospital · MZUniversity of California, Los Angeles · USCedars-Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited data exist on plastic surgery practices in Sub-Saharan Africa. The aim of this study was to characterize the spectrum of disease and operative procedures at a teaching hospital in Maputo, Mozambique to help understand the challenges of providing care for the local providers and to provide contextual relevance for training through partnerships.

methodsA mixed-methods approach was utilized to perform an ongoing needs assessment. A retrospective review was performed of plastic surgery operative records, ward admissions records, and death records in a tertiary-care hospital in Maputo, Mozambique for the period January 2015 to December 2015.

resultsLimited resources (equipment, block-time, personnel, and perioperative services) were observed. The most common diagnoses for the 455 patients evaluated were burns (44%) and neoplasms (17%). Congenital abnormalities accounted for only 1% of the patient diagnoses. Of the 408 procedures performed, the majority were skin grafts (43%) and skin excisions (31%). Sepsis from burns accounted for 70% of documented deaths (14/20). The mean number of days to skin grafting for inpatients was 53 days.

conclusionWe observed a large burden of burns and skin graft procedures at a public referral teaching hospital in Mozambique. Our findings provide contextual relevance to help focus public health efforts and improve plastic surgery training and practices.

Identifiers

PMID30324071
PMCPMC6181493
OpenAlexW2887133529

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.