Evidence map›Paper›PMID 30659343›Full record

ArticleWorld journal of surgery2019

Identifying Information Gaps in a Surgical Capacity Assessment Tool for Developing Countries: A Methodological Triangulation Approach.

Obieze C Nwanna-Nzewunwa, Mary Margaret Ajiko, Girish Motwani, Fiona Kabagenyi, Melissa Carvalho, Isabelle Feldhaus, Fred Kirya, Joseph Epodoi, Rochelle Dicker, Catherine Juillard

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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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

3 citing papers in PubMed.

  1. Article
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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

10 authors.

Obieze C Nwanna-NzewunwaDepartment of Surgery, Zuckerberg San Francisco General Hospital & Trauma Center, Center for Global Surgical Studies, University of California, San Francisco, 1001 Potrero Avenue, Building 1, Rooms 400 and 401, San Francisco, CA, 94110, USA.
Mary Margaret AjikoDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Girish MotwaniDepartment of Surgery, Zuckerberg San Francisco General Hospital & Trauma Center, Center for Global Surgical Studies, University of California, San Francisco, 1001 Potrero Avenue, Building 1, Rooms 400 and 401, San Francisco, CA, 94110, USA.
Fiona KabagenyiDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Melissa CarvalhoDepartment of Surgery, Zuckerberg San Francisco General Hospital & Trauma Center, Center for Global Surgical Studies, University of California, San Francisco, 1001 Potrero Avenue, Building 1, Rooms 400 and 401, San Francisco, CA, 94110, USA.
Isabelle FeldhausDepartment of Surgery, Zuckerberg San Francisco General Hospital & Trauma Center, Center for Global Surgical Studies, University of California, San Francisco, 1001 Potrero Avenue, Building 1, Rooms 400 and 401, San Francisco, CA, 94110, USA.
Fred KiryaDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Joseph EpodoiDepartment of Surgery, Soroti Regional Referral Hospital, Soroti, Uganda.
Rochelle DickerDepartment of Surgical Critical Care, University of California, Los Angeles, Los Angeles, CA, 90095-1749, USA.
Catherine JuillardDepartment of Surgery, Zuckerberg San Francisco General Hospital & Trauma Center, Center for Global Surgical Studies, University of California, San Francisco, 1001 Potrero Avenue, Building 1, Rooms 400 and 401, San Francisco, CA, 94110, USA. c.juillard@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical capacity assessment in low- and middle-income countries (LMICs) is challenging. The Surgeon OverSeas' Personnel Infrastructure Procedure Equipment and Supplies (PIPES) survey tool has been proposed to address this challenge. There is a need to examine the gaps in veracity and context appropriateness of the information obtained using the PIPES tool.

methodsWe performed a methodological triangulation by comparing and contrasting information obtained using the PIPES tool with information obtained simultaneously via three other methods: time and motion study (T&M); provider focus group discussions (FGDs); and a retrospective review of hospital records.

resultsIn its native state, the PIPES survey does not capture the role of non-physician clinicians who contribute immensely to surgical care delivery in LMICs. The surgical workforce was more accurately captured by the FGDs and T&M. It may also not reflect the improvisations (e.g., patients sharing beds, partitioning the operating theater, and using preoperative rooms for surgery, etc.) that occur to expand surgical capacity to overcome the limited infrastructure and equipment.

conclusionsThe PIPES tool captures vital surgical capacity information but has gaps that can be filled by modifying the tool and/or using ancillary methodologies. The interests of the researcher and the local stakeholders' perspectives should inform such modifications.

Indexed as

Delivery of Health CareDeveloping CountriesFocus GroupsHealth Care SurveysHealth Services Needs and DemandHealth Services ResearchHumansRetrospective StudiesSurgeonsSurgical Procedures, OperativeTime and Motion StudiesUganda

Identifiers

PMID30659343

What OpenQuestion holds

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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.