Evidence map›Paper›PMID 37962686›Full record

ArticlePediatric surgery international2023

Pilot bowel management program at Mbarara Hospital, Uganda.

Stephen Trinidad, Felix Oyania, Crispus Bingana, Ivan Nuwagaba, Maria Obermeyer, Charles Odongo, Meera Kotagal, Martin Situma

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In one paragraph

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

8 authors at 4 institutions in 3 countries.

Stephen TrinidadCincinnati Children's Hospital Medical Center, Cincinnati, USA. Stephenmtrinidad01@gmail.com.
Felix OyaniaMbarara University of Science and Technology, Mbarara, Uganda.
Crispus BinganaMbarara Regional Referral Hospital, Mbarara, Uganda.
Ivan NuwagabaMbarara Regional Referral Hospital, Mbarara, Uganda.
Maria ObermeyerCincinnati Children's Hospital Medical Center, Cincinnati, USA.
Charles OdongoMbarara Regional Referral Hospital, Mbarara, Uganda.
Meera KotagalCincinnati Children's Hospital Medical Center, Cincinnati, USA.
Martin SitumaMbarara University of Science and Technology, Mbarara, Uganda.
Mbarara National Referral Hospital · UGCincinnati Children's Hospital Medical Center · USMbarara University of Science and Technology · UGBurnet Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChildren with Hirschsprung's disease (HD) and anorectal malformations (ARM) may benefit from a bowel management program (BMP) to treat constipation and fecal incontinence. This study describes a pilot BMP in Uganda.

methodsPatients treated for HD or ARM were recruited for the BMP. Local staff underwent training and progressively took over decision-making. The rates of patient involuntary bowel movements (IBMs) and provider confidence were evaluated pre- and post-BMP with questionnaires. The results were compared with Fischer's exact test.

resultsTen staff-2 surgeons, 6 nurses and 2 physiotherapists-and 12 patients participated. Patient median age was 4.5 years (IQR 3-6.6) and ten were male. Ten reported at least daily IBMs prior to the BMP. All patients underwent a clean-out. The parents were then taught to perform daily enemas or irrigations. Specific regimens were determined by patient history and imaging and titrated throughout the BMP. There were differences in the rates of both daytime and nighttime IBMs before and after the BMP (p = 0.0001 and 0.002, respectively). All staff reported increased confidence.

conclusionsWe describe the first BMP in Uganda. BMPs can successfully treat constipation and fecal incontinence in low-income countries, although there are challenges with resources and follow-up.

Indexed as

Anorectal MalformationsFecal IncontinenceHirschsprung DiseaseChildChild, PreschoolConstipationDefecationFemaleHospitalsHumansMaleUgandaAnorectal malformationBowel management programFecal incontinenceGlobal healthHirschsprung’s disease

Identifiers

PMID37962686
OpenAlexW4388659684

What OpenQuestion holds

Textmetadata
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.