Evidence map›Paper›PMID 37341797›Full record

ReviewWorld journal of surgery2023

Routine Pediatric Surgical Emergencies: Incidence, Morbidity, and Mortality During the 1st 8000 Days of Life-A Narrative Review.

Alizeh Abbas, Ruth Laverde, Ava Yap, Caroline Q Stephens, Lubna Samad, Justina O Seyi-Olajide, Emmanuel A Ameh, Doruk Ozgediz, Kokila Lakhoo, Stephen W Bickler and 7 more

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

Review 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

6 citing papers in PubMed, 12 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

17 authors at 12 institutions in 5 countries.

Alizeh AbbasDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Ruth LaverdeDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Ava YapDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA. ava.yap@ucsf.edu.ORCID 0000-0002-4650-2845
Caroline Q StephensDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Lubna SamadGlobal Surgery Programs, Interactive Research & Development, Karachi, Pakistan.
Justina O Seyi-OlajidePediatric Surgical Unit, Lagos University Teaching Hospital, Lagos, Nigeria.
Emmanuel A AmehDivision of Pediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.
Doruk OzgedizDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Kokila LakhooDepartment of Pediatric Surgery, University of Oxford and Oxford University Hospitals, Oxford, UK.
Stephen W BicklerDivision of Pediatric Surgery, Department of Surgery, University of California San Diego School of Medicine, 9500 Gilman Drive #0739, La Jolla, San Diego, CA, 92093-0739, USA.
John G MearaProgram in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.
Donald BundyGlobal Research Consortium for School Health and Nutrition, London School of Hygiene and Tropical Medicine, London, UK.
Dean T JamisonInstitute for Global Health Sciences, University of California, San Francisco, San Francisco, CA, USA.
Greg KlazuraLoyola University Medical Center, Chicago, IL, USA.
Alicia SykesNaval Medical Center San Diego, San Diego, CA, USA.
Godfrey Sama PhilipoMuhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
GICS
University of California, San Francisco · USHarvard University · USInteractive Research and Development · PKLagos University Teaching Hospital · NGLoyola University Medical Center · USMuhimbili University of Health and Allied Sciences · TZNational Hospital Abuja · NGNaval Medical Center San Diego · USUniversity of Alabama at Birmingham · USUniversity of California San Diego · USUniversity of London · GBUniversity of Oxford · GB

Funding

Partnerships to Develop Injury Research Capacity in Sub-Saharan AfricaD43TW010463 · FIC · UT SOUTHWESTERN MEDICAL CENTER · PI IDRIS, AHAMED H, NWARIAKU, FIEMU E. · 2016 to 2021
$1.2M
FIC NIH HHS D43 TW010463
6 · The paper itself

Abstract

backgroundMany potentially treatable non-congenital and non-traumatic surgical conditions can occur during the first 8000 days of life and an estimated 85% of children in low- and middle-income countries (LMICs) will develop one before 15 years old. This review summarizes the common routine surgical emergencies in children from LMICs and their effects on morbidity and mortality.

methodsA narrative review was undertaken to assess the epidemiology, treatment, and outcomes of common surgical emergencies that present within the first 8000 days (or 21.9 years) of life in LMICs. Available data on pediatric surgical emergency care in LMICs were aggregated.

resultsOutside of trauma, acute appendicitis, ileal perforation secondary to typhoid fever, and intestinal obstruction from intussusception and hernias continue to be the most common abdominal emergencies among children in LMICs. Musculoskeletal infections also contribute significantly to the surgical burden in children. These "neglected" conditions disproportionally affect children in LMICs and are due to delays in seeking care leading to late presentation and preventable complications. Pediatric surgical emergencies also necessitate heavy resource utilization in LMICs, where healthcare systems are already under strain.

conclusionsDelays in care and resource limitations in LMIC healthcare systems are key contributors to the complicated and emergent presentation of pediatric surgical disease. Timely access to surgery can not only prevent long-term impairments but also preserve the impact of public health interventions and decrease costs in the overall healthcare system.

Indexed as

EmergenciesEmergency Medical ServicesAdolescentChildDelivery of Health CareEmergency TreatmentHumansIncidence

Identifiers

PMID37341797
PMCPMC10694096
OpenAlexW4381469222

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.