Evidence map›Paper›PMID 30523395›Full record

ArticleWorld journal of surgery2019

The Heterogeneity of Global Pediatric Surgery: Defining Needs and Opportunities Around the World.

Kent Garber, Carla Cecilia Ramírez Cabrera, Quang-Le Dinh, Justin T Gerstle, AiXuan Holterman, Leecarlo Millano, Nyagetuba J K Muma, Liem Thanh Nguyen, Hoang Tran, Son Ngoc Tran and 1 more

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Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Kent GarberDepartment of General Surgery, University of California, Los Angeles, Los Angeles, USA.
Carla Cecilia Ramírez CabreraHospital Roosevelt, Guatemala City, Guatemala.
Quang-Le DinhChildren's Hospital 1, HCMC, Vietnam.
Justin T GerstleDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
AiXuan HoltermanUniversity of Illinois College of Medicine, Chicago, USA.
Leecarlo MillanoDepartment of Surgery, Tarakan District Hospital, Jakarta, Indonesia.
Nyagetuba J K MumaAIC Kijabe Hospital, Kijabe, Kenya.
Liem Thanh NguyenVinmec General International Hospital, Hanoi, Vietnam.
Hoang TranCan Tho University of Medicine and Pharmacy, Can Tho Children's Hospital, Can Tho, Vietnam.
Son Ngoc TranSaint Paul Hospital, Hanoi, Vietnam.
Shant ShekherdimianDivision of Pediatric Surgery, University of California, Los Angeles, Los Angeles, USA. sshekherdimian@mednet.ucla.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe global burden of pediatric surgical conditions continues to remain inadequately addressed, particularly in low- and middle-income countries. Among the many factors contributing to this gap are a lack of access to care secondary to resource shortages and inequitable distribution, underfinancing of healthcare systems, poor quality of care, and contextual challenges such as natural disasters and conflict. The relative contribution of these and other factors varies widely by region and even with countries of a region.

methodsThis review seeks to discuss the heterogeneity of global pediatric surgery and offer recommendations for addressing the barriers to high-quality pediatric surgical care throughout the world.

resultsThere is significant heterogeneity in pediatric surgical challenges, both between regions and among countries in the same region, although data are limited. This heterogeneity can reflect differences in demographics, epidemiology, geography, income level, health spending, historical health policies, and cultural practices, among others.

conclusionCountry-level research and stakeholder engagement are needed to better understand the heterogeneity of local needs and drive policy changes that contribute to sustainable reforms. Key to these efforts will be improved financing, access to and quality of pediatric surgical care.

Indexed as

Child Health ServicesGlobal HealthHealth Services AccessibilityPediatricsSpecialties, SurgicalAccidents, TrafficAdolescentChildChild, PreschoolCongenital AbnormalitiesHealth ResourcesHumansInfantQuality of Health Care

Identifiers

PMID30523395

What OpenQuestion holds

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Registered trials

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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.