Evidence map›Paper›PMID 37433735›Full record

ArticleBMJ open2023

Protocol for scoping review to identify and characterise surgery, obstetric, trauma and anaesthesia care in Ugandan health policy databases.

Brian Kasagga, Berjo Dongmo Takoutsing, Darius Balumuka, Fortunate Ambangira, Derrick Kasozi, Margaret Amelia Namiiro, John Sekyanzi, Isaac Chebet, Jean Kizito Namatovu, Mercy Namazzi and 4 more

Abstract read
In one paragraph

Article in BMJ open, 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
–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. 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.

Brian KasaggaDepartment of Surgery, Mulago National Referral Hospital, Kampala, Uganda briankasagga@gmail.com.ORCID 0000-0002-8292-7322
Berjo Dongmo TakoutsingResearch Department, Association of Future African Neurosurgeons, Yaounde, Cameroon.ORCID 0000-0002-8993-2060
Darius BalumukaDepartment of Plastic and Reconstructive Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Fortunate AmbangiraSchool of Public Health, Makerere University CHS, Kampala, Uganda.
Derrick KasoziResearch Department, Makerere University Infectious Diseases Institute, Kampala, Central, Uganda.
Margaret Amelia NamiiroDepartment of Medicine, Makerere University School of Medicine, Kampala, Uganda.
John SekyanziDepartment of Obstetrics, Women's Hospital International and Fertility Centre, Kampala, Uganda.
Isaac ChebetDepartment of Obstetrics, Women's Hospital International and Fertility Centre, Kampala, Uganda.
Jean Kizito NamatovuDepartment of Obstetrics, Women's Hospital International and Fertility Centre, Kampala, Uganda.
Mercy NamazziMedicine, Kampala International University - Western Campus, Bushenyi, Western, Uganda.
Yusuf SadiqDepartment of Obstetrics, Women's Hospital International and Fertility Centre, Kampala, Uganda.
Boniface MutatinaClinical Epidemiology Unit, Makerere University College of Health Sciences, Kampala, Uganda.
Ekwaro A ObukuClinical Epidemiology Unit, Department of Medicine, Makerere University, Kampala, Uganda.ORCID 0000-0001-5311-2346
Emmanuel Alex ElobuDepartment of Surgery, Mulago National Referral Hospital, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiseases addressed by surgical, obstetric, trauma and anaesthesia (SOTA) care are rising globally due to an anticipated rise in the burden of non-communicable diseases and road traffic accidents. Low- and middle-income countries (LMICs) disproportionately bear the brunt. Evidence-based policies and political commitment are required to reverse this trend. The Lancet Commission of Global Surgery proposed National Surgical and Obstetric and Anaesthesia Plans (NSOAPs) to alleviate the respective SOTA burdens in LMICs. NSOAPs success leverages comprehensive stakeholder engagement and appropriate health policy analyses and recommendations. As Uganda embarks on its NSOAP development, policy prioritisation in Uganda remains unexplored. We, therefore, seek to determine the priority given to SOTA care in Uganda's healthcare policy and systems-relevant documents. METHODS AND ANALYSIS: We will conduct a scoping review of SOTA health policy and system-relevant documents produced between 2000 and 2022 using the Arksey and O'Malley methodological framework and additional guidance from the Joanna Briggs Institute Reviewer's manual. These documents will be sought from the websites of SOTA stakeholders by hand searching. We shall also search from Google Scholar and PubMed using well-defined search strategies. The Knowledge Management Portal for the Ugandan Ministry of Health, which was created to provide evidence-based decision-making data, is the primary source. The rest of the sources will include the following: other repositories like websites of relevant government institutions, international and national non-governmental organisations, professional associations and councils, and religious and medical bureaus. Data retrieved from the eligible policy and decision-making documents will include the year of publication, the global surgery specialty mentioned, the NSOAP surgical system domain, the national priority area involved and funding. The data will be collected in a preformed extraction sheet. Two independent reviewers will screen the collected data, and results will be presented as counts and their respective proportions. The findings will be reported narratively using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for scoping reviews. ETHICS AND DISSEMINATION: This study will generate evidence-based information on the state of SOTA care in Uganda's health policy, which will inform NSOAP development in this nation. The review's findings will be presented to the Ministry of Health planning task force. The study will also be disseminated through a peer-reviewed publication; oral and poster presentations at local, regional, national and international conferences and over social media.

Indexed as

Anesthesia, ObstetricalAnesthesiologyFemaleHealth PolicyHumansObstetric Surgical ProceduresPregnancyScoping Reviews as TopicUgandaUnited StatesANAESTHETICSHealth policyOBSTETRICSSURGERYTrauma management

Identifiers

PMID37433735
PMCPMC10347438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.