Evidence map›Paper›PMID 33437947›Full record

ArticleEClinicalMedicine2020

Assessment of diagnostics capacity in hospitals providing surgical care in two Latin American states.

Lina Roa, Ellie Moeller, Zachary Fowler, Rodrigo Vaz Ferreira, Sebastian Mohar, Tarsicio Uribe-Leitz, Aline Gil Alves Guilloux, Alejandro Mohar, Robert Riviello, John G Meara and 2 more

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 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
1.1field-weighted citation impact, top 20% 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, 10 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

12 authors at 6 institutions in 4 countries.

Lina RoaProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
Ellie MoellerProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
Zachary FowlerProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
Rodrigo Vaz FerreiraUniversidade do Estado do Amazonas, Av. Djalma Batista, 3578 - Flores, Manaus - AM, 69055-010, Brazil.
Sebastian MoharHospital Básico Comunitario Angel Albino Corzo, Calle Quinta Pte. Nte. 410, Emiliano Zapata, 30370 Jaltenango de la Paz, Chiapas, Mexico.
Tarsicio Uribe-LeitzProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
Aline Gil Alves GuillouxFaculdade de Medicina, Universidade de São Paulo, Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo - SP, 01246-903, Brazil.
Alejandro MoharUnidad de Epdemiología e Investigación Biomédica en Cáncer. Instituto Nacional de Cancerología, Universidad Nacional Autonoma de Mexico Mexico.
Robert RivielloProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
John G MearaProgram in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Avenue, Boston, MA, 02115 United States.
Jose Emerson Dos Santos SouzaUniversidade do Estado do Amazonas, Av. Djalma Batista, 3578 - Flores, Manaus - AM, 69055-010, Brazil.
Valeria MaciasCompañeros en Salud, Calle Primera Pte. Sur 25, Centro, 30370, Angel Albino Corzo, Chiapas, Mexico.
Harvard University · USBrigham and Women's Hospital · USUniversidade do Estado do Amazonas · BRBoston Children's Hospital · USInstituto Nacional de Cancerología · MXUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiagnostic services are an essential component of high-quality surgical, anesthesia and obstetric (SAO) care. Efforts to scale up SAO care in Latin America have often overlooked diagnostics capacity. This study aims to analyze the capacity of diagnostic services, including radiology, pathology, and laboratory medicine, in hospitals providing SAO care in the states of Chiapas, Mexico and Amazonas, Brazil.

methodsA stratified cross-sectional evaluation of diagnostic capacity in hospitals performing surgery in Chiapas and Amazonas was performed using the Surgical Assessment Tool (SAT). National data sources were queried for indicators of diagnostics capacity in terms of workforce, infrastructure and diagnosis utilization. Fisher's exact tests and chi-square tests were used to compare categorical variables between the private and public sector in Chiapas while descriptive statistics are used to compare Amazonas and Chiapas.

findingsIn Chiapas, 53% (

interpretationFacilities providing SAO care in low-resource states in Mexico and Brazil often lack functioning diagnostics services and workforce. Scale-up of diagnostic services is essential to improve SAO care and should occur with emphasis on equitable and adequate resource allocation.

Indexed as

DiagnosticsGlobal surgeryHealth systemsLaboratory medicinePathologyRadiology

Identifiers

PMID33437947
PMCPMC7788433
OpenAlexW3095813941

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.