Evidence map›Paper›PMID 37029798›Full record

Observational studyWorld journal of surgery2023

South Africa and the Surgical Diaspora-A Hub for Surgical Migration and Training.

Niclas Rudolfson, Adam Lantz, Mark G Shrime, Walter Johnson, Martin D Smith, Lars Hagander

Abstract readObservational Study
In one paragraph

Observational study in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

6 authors.

Niclas RudolfsonSurgery and Public Health, Pediatrics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden. Niclas.rudolfson@med.lu.se.ORCID 0000-0002-2393-8494
Adam LantzSurgery and Public Health, Pediatrics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.
Mark G ShrimeMercy Ships, Garden Valley, TX, USA.
Walter JohnsonCenter for Global Surgery, Loma Linda University, Loma Linda, CA, USA.
Martin D SmithDepartment of Surgery, University of Witwatersrand, Johannesburg, South Africa.
Lars HaganderSurgery and Public Health, Pediatrics, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shortage of trained surgeons, anesthesiologists, and obstetricians is a major contributor to the unmet need for surgical care in low- and middle-income countries, and the shortage is aggravated by migration to higher-income countries.

methodsWe performed a cross-sectional observational study, combining individual-level data of 43,621 physicians from the Health Professions Council of South Africa with data from the registers of 14 high-income countries, and international statistics on surgical workforce, in order to quantify migration to and from South Africa in both absolute and relative terms.

resultsOf 6670 surgeons, anesthesiologists, and obstetricians in South Africa, a total of 713 (11%) were foreign medical graduates, and 396 (6%) were from a low- or middle-income country. South Africa was an important destination primarily for physicians originating from low-income countries; 2% of all surgeons, anesthesiologists, and obstetricians from low- and middle-income countries were registered in South Africa, and 6% in the other 14 recipient countries. A total of 1295 (16%) South African surgeons, anesthesiologists, and obstetricians worked in any of the 14 studied high-income countries.

conclusionSouth Africa is an important regional hub for surgical migration and training. A notable proportion of surgical specialists in South Africa were medical graduates from other low- or middle-income countries, whereas migration out of South Africa to high-income countries was even larger.

Indexed as

Specialties, SurgicalSurgeonsCross-Sectional StudiesDeveloping CountriesHuman MigrationHumansSouth Africa

Identifiers

PMID37029798
PMCPMC10083063

What OpenQuestion holds

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Registered trials

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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.