Evidence map›Paper›PMID 32974741›Full record

ArticleWorld journal of surgery2021

Estimation of the National Surgical Needs in India by Enumerating the Surgical Procedures in an Urban Community Under Universal Health Coverage.

Prashant Bhandarkar, Anita Gadgil, Priti Patil, Monali Mohan, Nobhojit Roy

Open access · hybridAbstract read
In one paragraph

Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Artificial Intelligence in Cataract Surgery: A Systematic Review.Translational vision science & technology · 2024
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  15. The elephant in the room: Exploring the influence and participation of patients in infection-related care across surgical pathways in South Africa and India.Health expectations : an international journal of public participation in health care and health policy · 2023
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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

5 authors at 2 institutions in 2 countries.

Prashant BhandarkarDepartment of Statistics, BARC Hospital, 'WHO Collaboration Centre for Research in Surgical Care Delivery in LMICs', Mumbai, India.
Anita GadgilDepartment of Surgery, BARC Hospital, 'WHO Collaboration Centre for Research in Surgical Care Delivery in LMICs', Mumbai, India.
Priti PatilDepartment of Statistics, BARC Hospital, 'WHO Collaboration Centre for Research in Surgical Care Delivery in LMICs', Mumbai, India.
Monali MohanConsultant, 'WHO Collaboration Centre for Research in Surgical Care Delivery in LMICs', Mumbai, India.
Nobhojit RoyDepartment of Global Public Health, Karolinska Institute, 17177, Stockholm, Sweden. nobhojit.roy@ki.se.ORCID http://orcid.org/0000-0003-2022-7416
Advanced Centre for Treatment, Research and Education in Cancer · INKarolinska Institutet · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background11% of the global burden of disease requires surgical care or anaesthesia management or both. Some studies have estimated this burden to be as high as 30%. The Lancet Commission for Global Surgery (LCoGS) estimated that 5000 surgeries are required to meet the surgical burden of disease for 100,000 people in LMICs. Studies from LMICs, estimating surgical burden based on enumeration of surgeries, are sparse.

methodWe performed this study in an urban population availing employees' heath scheme in Mumbai, India. Surgical procedures performed in 2017 and 2018, under this free and equitable health scheme, were enumerated. We estimated the surgical needs for national population, based on age and sex distribution of surgeries and age standardization from our cohort.

resultA total of 4642 surgeries were performed per year for a population of 88,273. Cataract (22.8%), Caesareans (3.8%), surgeries for fractures (3.27%) and hernia (2.86%) were the commonest surgeries. 44.2% of surgeries belonged to the essential surgeries. We estimated 3646 surgeries would be required per 100,000 Indian population per year. One-third of these surgeries would be needed for the age group 30-49 years, in the Indian population.

conclusionA total of 3646 surgeries were estimated annually to meet the surgical needs of Indian population as compared to the global estimate of 5000 surgeries per 100,000 people. Caesarean section, cataract, surgeries for fractures and hernia are the major contributors to the surgical needs. More enumeration-based studies are needed for better estimates from rural as well as other urban areas.

Indexed as

Universal Health InsuranceAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHealth Services Needs and DemandHumansIndiaInfantInfant, NewbornMaleMiddle AgedPregnancy

Identifiers

PMID32974741
PMCPMC7752785
OpenAlexW3088118220

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.