Evidence map›Paper›PMID 32462216›Full record

ArticleWorld journal of surgery2020

Surgical Needs of Internally Displaced Persons in Kerenik, West Darfur, Sudan.

David P Kuwayama, Kathryn M Chu, Zachary Hartman, Bashir Idris, Christopher Wolfgang, Hon William H Frist

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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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 23% 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, 7 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

6 authors at 6 institutions in 2 countries.

David P KuwayamaSection of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Unit 3V, 1 Medical Center Drive, Lebanon, NH, 03756, USA. david.p.kuwayama@hitchcock.org.ORCID http://orcid.org/0000-0001-7390-2871
Kathryn M ChuDepartment of Global Health, Stellenbosch University, Cape Town, South Africa.
Zachary HartmanAlaska Surgical Associates, Palmer, AK, USA.
Bashir IdrisDepartment of Pharmacy, University of Maryland Upper Chesapeake Medical Center, Bel Air, MD, USA.
Christopher WolfgangDepartment of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
Hon William H FristDepartment of Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, TN, USA.
Alaska Bible College · USDartmouth–Hitchcock Medical Center · USJohns Hopkins Hospital · USUniversity of Maryland Upper Chesapeake Health · USVanderbilt University · USWestern Cape Department of Health · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of surgical disease in refugee and internally displaced person (IDP) populations has not been well defined. Populations fleeing conflict are mobile, limiting the effectiveness of traditional sampling methods. We employed novel sampling and survey techniques to conduct a population-based surgical needs assessment amongst IDPs in Kerenik, West Darfur, Sudan, over 4 weeks in 2008.

methodsSatellite imagery was used to identify man-made structures. Ground teams were guided by GPS to randomly selected households. A newly created surgical needs survey was administered by surgeons to household members. One randomly selected individual answered demographic and medical history questions pertaining to themselves and first-degree blood relatives. All household members were offered a physical examination looking for surgical disease.

findingsThere were 780 study participants; 82% were IDPs. A history since displacement of surgical and potentially surgical conditions was reported in 38% of respondents and by 73% of respondents in first-degree blood relatives. Surgical histories included trauma (gunshots, stabbings, assaults) (5% respondents; 27% relatives), burns (6% respondents; 14% relatives), and obstetrical problems (5% female respondents; 11% relatives). 1485 individuals agreed to physical examinations. Untreated surgical and potentially surgical disease was identified in 25% of participants.

interpretationWe identified and characterized a high burden of surgical and potentially surgical disease in an IDP population in West Darfur. Our study is unique in its direct assessment of a traumatized, mobile, vulnerable population. Health officials and agencies charged with the care of IDP and refugee populations should be aware of the high prevalence of surgical and potentially surgical conditions in these communities. This study adds to the growing body of evidence that investment in surgical resources may address a significant portion of the overall burden of disease in marginalized populations.

Indexed as

Needs AssessmentRefugeesSurgical Procedures, OperativeAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMiddle Aged

Identifiers

PMID32462216
OpenAlexW3031169818

What OpenQuestion holds

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Registered trials

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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.