Evidence map›Paper›PMID 34433607›Full record

ArticleBMJ open2021

Resource availability, utilisation and cost in the provision of critical care in Tanzania: a protocol for a systematic review.

Joseph Kazibwe, Hiral A Shah, A Kuwawenaruwa, Carl Otto Schell, Karima Khalid, Phuong Bich Tran, Srobana Ghosh, Tim Baker, Lorna Guinness

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

9 authors.

Joseph KazibweDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK j.kazibwe@imperial.ac.uk.ORCID 0000-0002-8315-1503
Hiral A ShahDepartment of Infectious Disease Epidemiology, Imperial College London, London, UK.
A KuwawenaruwaHealth System Impact Evaluation and Policy Unit, Ifakara Health Institute, Ifakara, United Republic of Tanzania.
Carl Otto SchellDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0002-7904-1336
Karima KhalidHealth System Impact Evaluation and Policy Unit, Ifakara Health Institute, Ifakara, United Republic of Tanzania.
Phuong Bich TranDepartment of Family and Population Health, University of Antwerp, Antwerpen, Belgium.
Srobana GhoshGlobal Health Department, Center for Global Development, London, UK.
Tim BakerDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-8727-7018
Lorna GuinnessGlobal Health Department, Center for Global Development, London, UK.ORCID 0000-0002-1013-4200

Funding

Wellcome TrustWellcome Trust 221571/Z/20/Z
6 · The paper itself

Abstract

introductionCritical care is essential in saving lives of those that are critically ill, however, provision of critical care can be costly and heterogeneous across lower-resource settings. This paper describes the protocol for a systematic review of the literature that aims to identify the reported costs and resources available for the provision of critical care and the forms of critical care provision in Tanzania. METHODS AND ANALYSIS: The review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Three databases (MEDLINE, Embase and Global Health) will be searched to identify articles that report the forms of critical care, resources used in the provision of critical care in Tanzania, their availability and the associated costs. The search strategy will be developed from four key concepts; critical care provision, critical illness, resource use, Tanzania. The articles that fulfil the inclusion and exclusion criteria will be assessed for quality using the Reference Case for Estimating the Costs of Global Health Services and Interventions checklist. The extracted data will be summarised using descriptive statistics including frequencies, mean and median of the quantity and costs of resources used in the components of critical care services, depending on the data availability. This study will be carried out between February and November 2021. ETHICS AND DISSEMINATION: This study is a review of secondary data and ethical clearance was sought from and granted by the Tanzanian National Institute of Medical Research (reference: NIMR/HQ/R.8a/Vol. IX/3537) and London School of Hygiene and Tropical Medicine (ethics ref: 22866). We will publish the review in a peer-reviewed journal as an open access article in addition to presenting the findings at conferences and public scientific gatherings. PROSPERO REGISTRATION NUMBER: The protocol was registered with PROSPERO; registration number: CRD42020221923.

Indexed as

Critical CareResearch DesignCritical IllnessHumansLondonReview Literature as TopicTanzaniahealth economicshealth policyintensive & critical care

Identifiers

PMID34433607
PMCPMC8388301

What OpenQuestion holds

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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.