Evidence map›Paper›PMID 35947179›Full record

ArticleWorld journal of surgery2022

Prevalence and Severity of Burn Scars in Rural Mozambique.

Patrick Barba, Daniel C Neubauer, Matchecane Cossa, Jeremy Sieker, Michael W Hornacek, Samuel H Lance, Emily Ewing, Catherine Tsai, Carlos Funzamo, Vanda Amado and 7 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

17 authors at 5 institutions in 2 countries.

Patrick BarbaSchool of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, USA. pbarba@health.ucsd.edu.ORCID 0000-0003-4352-7788
Daniel C NeubauerDepartment of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA.
Matchecane CossaDepartment of Surgery, Eduardo Mondlane University, Maputo, Mozambique.
Jeremy SiekerSchool of Medicine, University of California San Diego, 9500 Gilman Dr, La Jolla, CA, USA.
Michael W HornacekDepartment of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA.
Samuel H LanceDepartment of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA.
Emily EwingRady Children's Hospital, University of California, San Diego, CA, USA.
Catherine TsaiDepartment of Surgery, University of California San Diego, San Diego, CA, USA.
Carlos FunzamoDepartment of Surgery, Eduardo Mondlane University, Maputo, Mozambique.
Vanda AmadoDepartment of Surgery, Eduardo Mondlane University, Maputo, Mozambique.
Fatima AdamoDepartment of Surgery, Eduardo Mondlane University, Maputo, Mozambique.
John RoseDepartment of Surgery, Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, CA, USA.
Peter BendixDepartment of Surgery, University of Chicago, Chicago, IL, USA.
Fernando VazDepartment of Surgery, Eduardo Mondlane University, Maputo, Mozambique.
Emilia NoormahomedDepartment of Parasitology, Eduardo Mondlane University, Maputo, Mozambique.
Stephen W BicklerDivision of Pediatric Surgery, Rady Children's Hospital, University of California, San Diego, CA, USA.
Amanda GosmanDepartment of Surgery, Division of Plastic Surgery, University of California San Diego, San Diego, CA, USA.
Eduardo Mondlane University · MZUniversity of California San Diego · USUniversity of San Diego · USUniversity of California, San Francisco · USUniversity of Chicago · US

Funding

Fogarty International Clinical Research Scholars Support Center @ Vanderbilt-AAMCR24TW007988 · FIC · VANDERBILT UNIVERSITY · PI VERMUND, STEN H. · 2007 to 2011
$27.6M
The Universidade Eduardo Mondlane/UCSD Medical Education PartnershipR24TW008908 · FIC · EDUARDO MONDLANE UNIVERSITY · PI NOORMAHOMED, EMILIA VIRGINIA · 2010 to 2015
$9.0M
University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
The University Eduardo Mondlane/UCSD Health-Professional Education Partnership InitiativeR25TW011216 · FIC · EDUARDO MONDLANE UNIVERSITY · PI NOORMAHOMED, EMILIA VIRGINIA · 2018 to 2022
$3.2M
The Universidade Eduardo Mondlane/UCSD Medical Education PartnershipR24TW008910 · FIC · EDUARDO MONDLANE UNIVERSITY · PI BICKLER, STEPHEN W, NOORMAHOMED, EMILIA VIRGINIA · 2010 to 2014
$2.0M
FIC NIH HHS R24 TW007988FIC NIH HHS R24 TW008908FIC NIH HHS R24 TW008910FIC NIH HHS R24TW008910FIC NIH HHS R25 TW009343FIC NIH HHS R25 TW011216
6 · The paper itself

Abstract

backgroundBurn injuries are common in low- and middle-income countries (LMICs) and their associated disability is tragic. This study is the first to explore burn scars in rural communities in Mozambique. This work also validated an innovate burn assessment tool, the Morphological African Scar Contractures Classification (MASCC), used to determine surgical need.

methodsUsing a stratified, population-weighted survey, the team interviewed randomly selected households from September 2012 to June 2013. Three rural districts (Chókwè, Nhamatanda, and Ribáuè) were selected to represent the southern, central and northern regions of the country. Injuries were recorded, documented with photographs, and approach to care was gathered. A panel of residents and surgeons reviewed the burn scar images using both the Vancouver Scar Scale and the MASCC, a validated visual scale that categorizes patients into four categories corresponding to levels of surgical intervention.

resultsOf the 6104 survey participants, 6% (n = 370) reported one or more burn injuries. Burn injuries were more common in females (57%) and most often occurred on the extremities. Individuals less than 25 years old had a significantly higher odds of reporting a burn scar compared to people older than 45 years. Based on the MASCC, 12% (n = 42) would benefit from surgery to treat contractures.

conclusionUntreated burn injuries are prevalent in rural Mozambique. Our study reveals a lack of access to surgical care in rural communities and demonstrates how the MASCC scale can be used to extend the reach of surgical assessment beyond the hospital through community health workers.

Indexed as

BurnsContractureAdultCicatrixFemaleHumansMozambiquePrevalenceRural Population

Identifiers

PMID35947179
PMCPMC9529692
OpenAlexW4292505803

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.