ArticlePediatric surgery international2019
Epidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda.
Article in Pediatric surgery international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 29 citations in OpenAlex.
- Effectiveness of primary repair for low anorectal malformations in Uganda.Pediatric surgery international · 2024Trial
- Risk factors for 30-day mortality following major neonatal surgery: insights from a 10-year cohort in southern Tunisia.Surgery today · 2026Article
- Perioperative mortality in pediatric non-cardiac surgery in Ethiopia: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2026Article
- Management and Outcomes of Anorectal Malformations at University Teaching Hospital of Kigali, Rwanda from 2015 to 2023.Research square · 2025Article
- Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania: A cross-sectional study.PLOS global public health · 2025Article
- Anorectal malformations.Nature reviews. Disease primers · 2024Review
- Small Scale, High Precision: Robotic Surgery in Neonatal and Pediatric Patients-A Narrative Review.Children (Basel, Switzerland) · 2024Review
- Surgically Correctable Congenital Anomalies: Reducing Morbidity and Mortality in the First 8000 Days of Life.World journal of surgery · 2023Review
- The burden, prevention and care of infants and children with congenital anomalies in sub-Saharan Africa: A scoping review.PLOS global public health · 2023Article
- Factors Affecting Survival in Nontraumatic Pediatric Abdominal Surgical Emergencies: A Contemporary Review.Cureus · 2022Review
- Factors associated with mortality in congenital malformations of the gastrointestinal tract in a tertiary center in Senegal.World journal of pediatric surgery · 2022Article
- Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study.Lancet (London, England) · 2021Article
- Ten Global Surgical Care Statements for Children: examining our commitment to the future.Pediatric surgery international · 2021Review
- Epidemiology of Pediatric Surgical Conditions Observed in a First-Level Hospital in Burundi.Frontiers in pediatrics · 2021Article
- Long-Term Outcomes of Patients with Digestive Tract Congenital Anomalies and Their Caregivers in Uganda: A Cohort Study.Sage open pediatricsArticle
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction/purposeThe burden of pediatric surgical disease is largely unknown in low- and middle-income countries such as Uganda where access to care is limited.
methodsImplementation of a locally led database in January 2012 at a Ugandan tertiary referral hospital, and review of 3465 prospectively collected pediatric surgical admissions from January 2012 to August 2016.
results2090 children (60.3%) underwent surgery during admission. 59% were male and 41% female. 28.6% of admissions were in neonates and 50.4% were in children less than 1 year old. Congenital anomalies including Hirschsprung's, anorectal malformations, intestinal atresias, omphalocele, and gastroschisis were the most common diagnoses (38.6%) followed by infections (15.0%) and tumors (8.6%). Mortality rates were substantially higher than those of high-income countries; for example, gastroschisis and intussusception had mortality rates of 90.1% and 19.7%, respectively. Post-operative mortality was highest in the congenital anomalies group (15.0%).
conclusionThere is a high burden of infant congenital anomalies with higher mortality rates compared to high-income countries. The unit performs primarily specialized procedures appropriate for a tertiary center. We hope that these data will facilitate evaluation of ongoing quality improvement and capacity-building initiatives.
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