Evidence map›Paper›PMID 31620468›Full record

ArticlemHealth2019

Supervision and support in surgical practice using mobile platform: a case of mass hydrocele surgeries in remote regions.

Larry Akoko, Ally Mwanga, Maria Chikawe, Evelyne Lutainulwa, Deogratius Ngoma, Andreas Nshalla, Upendo Mwingira

Open access · diamondAbstract read
In one paragraph

Article in mHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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  5. 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

7 authors at 4 institutions in 1 country.

Larry AkokoDepartment of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Ally MwangaDepartment of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Maria ChikaweNational Institute for Medical Research, Dar es Salaam, Tanzania.
Evelyne LutainulwaMaries Stopes Tanzania, Dar es Salaam, Tanzania.
Deogratius NgomaIMA World Health, Dar es Salaam, Tanzania.
Andreas NshallaMaries Stopes Tanzania, Dar es Salaam, Tanzania.
Upendo MwingiraNational Institute for Medical Research, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZNational Institute for Medical Research · TZTanzania Media Women's Association · TZInternational Institute of Tropical Agriculture · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, nearly 19 million people with

methodsThis was a prospective cohort study done in Mtwara and Lindi regions during the period of 2014-2015. Training model followed the West African Morbidity Management protocol for hydrocele followed by practical sessions in the operating room in each locality. Subsequently, patients were screened and discussed by sharing pictures on WhatsApp created to link the hydrocele teams and the two consultant surgeons. Patients with simple hydrocele not to require scrotoplasty and with non-coexistent of hernia were recruited. Data collected included: number of cases performed, time spent per procedure, hematoma formation and adherence to local anesthesia. Descriptive statistics was used to summarize the findings.

resultsFifteen NPCs were successfully trained and mentored throughout the study period and were subsequently able to perform 1,337 hydrocelectomies in 1,250 patients with 387 having bilateral hydrocele. The use of local anesthesia was successful in nearly all the patients and case selection was appropriate as can be seen with only 7/1,250 requiring additional procedures other than hydrocelectomy. The mean procedure duration was 50.2±0.24 minutes and complications rates were low at 2.16%.

conclusionsMobile platform with instant photo and video sharing capacity can be a reliable tool in offering support and supervision in surgical service provision.

Indexed as

hydrocelehydrocelectomymobile mentorshipNon-physician clinician (NPC)partial sac excision

Identifiers

PMID31620468
PMCPMC6789301
OpenAlexW2976536960

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.