Evidence map›Paper›PMID 32219560›Full record

ReviewPediatric surgery international2020

Tracheoesophageal fistula in the developing world: are we ready for thoracoscopic repair?

Hossam S Alslaim, Andrew B Banooni, Ahmad Shaltaf, Nathan M Novotny

Open access · bronzeAbstract readReview
In one paragraph

Review in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

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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

4 authors at 3 institutions in 2 countries.

Hossam S AlslaimDepartment of Surgery, Medical College of Georgia, Augusta, GA, USA.
Andrew B BanooniDepartment of Anesthesiology, Beaumont Children's, Royal Oak, MI, USA.
Ahmad ShaltafDepartment of Pediatric Surgery, Palestine Medical Complex, Ramallah, West Bank, Palestine.
Nathan M NovotnyDepartment of Pediatric Surgery, Palestine Medical Complex, Ramallah, West Bank, Palestine. Nathan.Novotny@beaumont.org.
Palestinian Hydrology Group · PSAugusta University · USCorewell Health Children's · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTracheoesophageal fistula (TEF) is a bellwether for a country's ability to care for sick newborns. We aim to review the existing literature from low- and middle-income countries in regard to management of those newborns and the possible approaches to improve their outcomes.

methodsA review of the existing English literature was conducted with the aim of assessing challenges faced by providers in LMIC in terms of diagnostic, preoperative, operative and post-operative care for TEF patients. We also review the limited literature for performing thoracoscopic repair in the developing world context and suggest methods for introduction of advanced thoracoscopic procedures including techniques for providing anesthesia to these challenging babies.

resultsWhile outcomes related to technique from LMIC are comparable to the developed world, rates of secondary complications like sepsis and pneumonia are higher. In many areas, repairs are conducted in a staged fashion with minimal utilization of thoracoscopic approach. The paucity of resources creates strain on intraoperative and post-operative management.

conclusionClearly, not all developing world contexts are ready to attempt thoracoscopic repair but we outline suggestions for assessing the existing capabilities and a stepwise gradual implementation of advanced thoracoscopy when appropriate.

Indexed as

Developing CountriesHumansMorbidityPostoperative CareThoracoscopyTracheoesophageal FistulaGlobal healthMinimally invasive surgeryNeonatal anesthesiaNeonatal surgeryThoracoscopy

Identifiers

PMID32219560
PMCPMC7223493
OpenAlexW3013697832

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.