ArticleWorld journal of surgery2020
Waiting Too Long: The Contribution of Delayed Surgical Access to Pediatric Disease Burden in Somaliland.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cost-effectiveness of neonatal surgery for congenital anomalies in low-income and middle-income countries: a systematic review protocol.BMJ paediatrics open · 2020Pooled it
- A Framework for Thinking About the Potential Public Health Impact of Epidemiologic Research.Epidemiology (Cambridge, Mass.) · 2026Article
- Factors influencing parents' healthcare-seeking behaviour for their ill children: a cross-sectional study based on China family panel studies.Frontiers in public health · 2026Article
- Factors Influencing Healthcare-Seeking Delay Among Chinese Residents: A Cross-Sectional Study.Patient preference and adherence · 2026Article
- Epidemiology, outcomes, and access to care for pediatric patients who underwent surgery in Northern Tanzania: A cross-sectional study.PLOS global public health · 2025Article
- GAPS Phase III: incorporation of capacity based weighting in the global assessment for pediatric surgery.Pediatric surgery international · 2024Article
- Assessment of anesthesia capacity for children in Somaliland.PLOS global public health · 2024Article
- Modeling the global impact of reducing out-of-pocket costs for children's surgical care.PLOS global public health · 2024Article
- Article
- Delays in care for hydrocephalus and spina bifida at a tertiary hospital in Somaliland.World journal of pediatric surgery · 2023Article
- Prevalence of pediatric surgical problems among east African refugees: estimates from a cross-sectional survey using random cluster sampling.BMC pediatrics · 2022Article
- Defining Surgical Workforce Density Targets to Meet Child and Neonatal Mortality Rate Targets in the Age of the Sustainable Development Goals: A Global Cross-Sectional Study.World journal of surgery · 2022Article
- Delayed presentation of congenital rectal stenosis associated with Down's syndrome and hypothyroidism: Case report.Clinical case reports · 2021Article
- Global and regional overview of the inclusion of paediatric surgery in the national health plans of 124 countries: an ecological study.BMJ open · 2021Article
- Article
- Barriers to Surgical Care Among Children in Somaliland: An Application of the Three Delays Framework.World journal of surgery · 2020Article
- Estimation of Disability Adjusted Life Years in Pediatric Injury Patients at a Zonal Referral Hospital in Northern Tanzania.Sage open pediatricsArticle
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelayed access to surgical care for congenital conditions in low- and middle-income countries is associated with increased risk of death and life-long disabilities, although the actual burden of delayed access to care is unknown. Our goal was to quantify the burden of disease related to delays to surgical care for children with congenital surgical conditions in Somaliland.
methodsWe collected data from medical records on all children (n = 280) receiving surgery for a proxy set of congenital conditions over a 12-month time period across all 15 surgically equipped hospitals in Somaliland. We defined delay to surgical care for each condition as the difference between the ideal and the actual ages at the time of surgery. Disability-adjusted life years (DALYs) attributable to these delays were calculated and compared by the type of condition, travel distance to care, and demographic characteristics.
resultsWe found long delays in surgical care for these 280 children with congenital conditions, translating to a total of 2970 attributable delayed DALYs, or 8.4 avertable delayed DALYs per child, with the greatest burden among children with neurosurgical and anorectal conditions. Over half of the families seeking surgical care had to travel over 2 h to a surgically equipped hospital in the capital city of Hargeisa.
conclusionsChildren with congenital conditions in Somaliland experience substantial delays to surgical care and travel long distances to obtain care. Estimating the burden of delayed surgical care with avertable delayed DALYs offers a powerful tool for estimating the costs and benefits of interventions to improve the quality of surgical care.
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