Evidence map›Paper›PMID 37667225›Full record

SynthesisBMC health services research2023

Identifying critical gaps in research to advance global surgery by 2030: a systematic mapping review.

Meskerem Aleka Kebede, Deng Simon Garang Tor, Tesfamariam Aklilu, Adane Petros, Martilord Ifeanyichi, Ezekiel Aderaw, Maeve Sophia Bognini, Darshita Singh, Rosemary Emodi, Rachel Hargest and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Controversies and conundrums in global surgery.The British journal of surgery · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Hepato-pancreato-biliary surgery in West Africa: a timely capacity assessment.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2024
    Article
  18. Article
  19. Article
  20. Review
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

11 authors.

Meskerem Aleka KebedeGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK. m.kebede@lse.ac.uk.
Deng Simon Garang TorGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.
Tesfamariam AkliluSchool of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Adane PetrosSchool of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Martilord IfeanyichiGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.
Ezekiel AderawSchool of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Maeve Sophia BogniniGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.
Darshita SinghGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.
Rosemary EmodiRoyal College of Surgeons of England, Global Affairs, 38-43 Lincoln's Inn Fields, London, UK.
Rachel HargestGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.
Rocco FriebelGlobal Surgery Policy Unit, LSE Health, London School of Economics and Political Science, Cowdray House 1.12, Houghton Street, London, WC2A 2AE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Progress on surgical system strengthening has been slow due to a disconnect between evidence generation and the information required for effective policymaking. This systematic mapping review sought to assess critical research gaps in the field of global surgery guided by the World Health Organisation Health Systems building block framework, analysis of authorship and funding patterns, and an exploration of emerging research partnership networks. Literature was systematically mapped to identify, screen, and synthesize results of publications in the global surgery field between 2015 and March 2022. We searched four databases and included literature published in seven languages. A social network analysis determined the network attributes of research institutions and their transient relationships in shaping the global surgery research agenda. We identified 2,298 relevant studies out of 92,720 unique articles searched. Research output increased from 453 in 2015-16 to 552 in 2021-22, largely due to literature on Covid-19 impacts on surgery. Sub-Saharan Africa (792/2298) and South Asia (331/2298) were the most studied regions, although high-income countries represented a disproportionate number of first (42%) and last (43%) authors. Service delivery received the most attention, including the surgical burden and quality and safety of services, followed by capacity-building efforts in low- and middle-income countries. Critical research in economics and financing, essential infrastructure and supplies, and surgical leadership necessary to guide policy decisions at the country level were lacking. Global surgical systems remain largely under-researched. Knowledge diffusion requires an emphasis on developing sustainable research partnerships and capacity across low- and middle-income countries. A renewed focus must be given to equipping countries with tools for effective decision-making to enhance investments in high-quality surgical services.

Indexed as

COVID-19Asia, SouthernCapacity BuildingDatabases, FactualHumansIncomeEquityGlobal surgeryLancet commission on global surgeryLow and middle-income countriesNetwork analysisPartnershipResearch fundingWorld health organization health systems building blocks

Identifiers

PMID37667225
PMCPMC10478287

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.