Evidence map›Paper›PMID 36403406›Full record

Observational studyThe Journal of surgical research2023

Monitoring Indicators of Universal Access to Accessible and Safe Anesthetic and Surgical Care in a Peruvian Region: An Ambispective Study.

Carlos Shiraishi-Zapata, Yovanky More-Vilela, Aldo Villarreal-Álamo, Víctor Morales-Cuervo, Dante Gil-Chiroque, Jaime Castillo-Tovar, Dante Ramírez-Ríos, Salomón Aguirre-Uribe, Joselyne Lecca-Castillo, Roxanna Garcia and 4 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in The Journal of surgical research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Global Perspectives in Plastic Surgery: View of Plastic Surgeons From Peru.Plastic and reconstructive surgery. Global open · 2026
    Article
  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

14 authors at 5 institutions in 2 countries.

Carlos Shiraishi-ZapataService of Anesthesiology and Surgical Center "Telésforo León Velasco", Hospital III José Cayetano Heredia EsSalud, Piura, Peru. Electronic address: shiraishi52@hotmail.com.
Yovanky More-VilelaService of Anesthesiology and Surgical Center "Telésforo León Velasco", Hospital III José Cayetano Heredia EsSalud, Piura, Peru.
Aldo Villarreal-ÁlamoService of Surgical Center and Anesthesiology, Hospital II Jorge Reátegui Delgado EsSalud, Piura, Peru.
Víctor Morales-CuervoUnit of Anterior Segment, Peruvian Ophthalmology Institute EsSalud, Piura, Peru.
Dante Gil-ChiroqueService of General Surgery, Hospital de Apoyo II-2 Sullana Ministerio de Salud, Sullana, Peru.
Jaime Castillo-TovarService of Surgical Center and Anesthesiology, Hospital II Integrado Talara EsSalud, Talara, Peru.
Dante Ramírez-RíosDepartment of Anesthesiology and Surgical Center, Hospital de Apoyo II-2 Sullana Ministerio de Salud, Sullana, Peru.
Salomón Aguirre-UribeService of Surgery and Anesthesiology, Hospital II-1 "Nuestra Señora de las Mercedes" Ministerio de Salud, Paita, Peru.
Joselyne Lecca-CastilloUnit of Anterior Segment, Peruvian Ophthalmology Institute EsSalud, Piura, Peru; Service of Surgical Center, Peruvian Ophthalmology Institute EsSalud, Piura, Perú.
Roxanna GarciaDepartment of Neurosurgery, Northwestern University, Chicago, Illinois.
Mario Oyanguren-MaldonadoService of General Surgery, Hospital de Apoyo II-2 Sullana Ministerio de Salud, Sullana, Peru.
Juan Paico-PalaciosService of Surgery and Anesthesiology, Hospital II-1 "Manuel Javier Nomberto" Ministerio de Salud, Chulucanas, Peru.
Arnaldo Vite-QuirogaService of Surgery and Anesthesiology, Hospital II-1 "Manuel Javier Nomberto" Ministerio de Salud, Chulucanas, Peru.
Milagros Niquen-JimenezUniversidad Peruana Cayetano Heredia, Lima, Peru.
Ministry of Health · PEEsSALUD · PEHospital Nacional Cayetano Heredia · PENorthwestern University · USUniversidad Peruana Cayetano Heredia · PE

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
Chicago Stroke Trials ConsortiumU24NS107233 · NINDS · UNIVERSITY OF CHICAGO · PI Shyam Prabhakaran · 2018 to 2026
$2.8M
FIC NIH HHS D43 TW010543NINDS NIH HHS U24 NS107233
6 · The paper itself

Abstract

introductionThe Lancet Commission on Global Surgery indicators for monitoring anesthetic and surgical care allow the identification of access barriers, evaluate the safety of surgeries, facilitate planning, and assess changes over time. The primary objective was to measure these indicators in all health facilities of a Peruvian region in 2020.

methodsThis was an ambispective observational study to measure the anesthetic and surgical care indicators in Piura, a region in Peru, between January 2020 and June 2021. Public and private health facilities in the Piura region that performed surgical care or had specialists from any surgical specialty participated in the study. Data were collected from all regional health facilities that provided surgical care to estimate the density of surgical workforce. Likewise, the percentage of the population with access to an operating room within 2 h was estimated using georeferenced tools. Finally, a public database was accessed to determine the surgical volume, the percentage of the regional population protected with health insurance.

resultsIn 2020, 88.4% of the inhabitants of this Peruvian region had access to timely essential surgery. There were 18.4 surgical specialists and 1174 surgeries per 100,000 populations, and 91% of the population had health insurance. In addition, there was a rate of 2.1 working operating rooms per 100,000 inhabitants in 2021.

conclusionsThis Peruvian region presented an increasing trend with respect to the population's access to essential and timely surgical care, and health insurance coverage. However, the workforce distribution was inequitable among the provinces of the region, the surgical volume was reduced, and timely access was hindered because of the SARS-CoV-2 pandemic.

Indexed as

AnestheticsCOVID-19Specialties, SurgicalHealth Services AccessibilityHumansPeruSARS-CoV-2AnestheticsAnesthesiaHealth services accessibilityHealth workforcePeruSurgeryUniversal health insurance

Identifiers

PMID36403406
PMCPMC10118244
OpenAlexW4309264050

What OpenQuestion holds

Textmetadata
LicenceTDM
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.