Evidence map›Paper›PMID 38016727›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Surgical, trauma and telehealth capacity in Indigenous communities in Northern Quebec: a cross-sectional survey.

Allyson Kis, Tarek Razek, Jeremy Grushka, Nathalie Boulanger, Larry Watt, Dan Deckelbaum, Kosar Khwaja, Paola Fata, Evan G Wong

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.Canadian journal of surgery. Journal canadien de chirurgie
    Article
  4. Article
  5. 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

9 authors at 1 institution in 1 country.

Allyson KisFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Tarek RazekFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Jeremy GrushkaFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Nathalie BoulangerFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Larry WattFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Dan DeckelbaumFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Kosar KhwajaFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Paola FataFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt).
Evan G WongFrom the Faculty of Medicine, McGill University, Montréal, Que. (Kis); the Régie régionale de la santé et des services sociaux du Nunavik, Kuujjuaq, Que. (Boulanger); the Division of General Surgery, Department of Surgery, McGill University, Montréal, Que. (Razek, Grushka, Deckelbaum, Khwaja, Fata, Wong); and the Ungava Tulattavik Health Centre, Kuujjuaq, Que. (Watt) evan.wong@mcgill.ca.
Nunavik Regional Board of Health and Social Services · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelivering trauma and surgical care to Northern Quebec presents unique challenges owing to the region's remoteness, extreme weather and limited transport; the expansion of telehealth could help address these difficulties. We aimed to evaluate current surgical, trauma and telemedicine capacity in Nunavik, Quebec.

methodsWe used validated assessment tools, including the Personnel, Infrastructure, Procedures, Equipment and Supplies survey, the International Assessment of Capacity for Trauma index and the Maryland Health Care Commission Telemedicine Readiness tool to evaluate surgical, trauma and telemedicine capacity, respectively. We adapted these tools to the Northern Quebec context through discussions with local leadership. Data were collected in 2 regional hospitals - the Ungava Tulattavik Health Centre (UTHC) and the Inuulitsivik Health Centre (IHC) - and 12 Centres locaux de services communautaires (CLSCs; local community services centres) in 6 villages along the Hudson Bay coast and 6 villages along the Ungava Bay coast through iterative discussions with 4 chief nurses from each regional hospital and set of CLSCs; resources were confirmed through on-site evaluation by the respondents. We performed a descriptive analysis of the data.

resultsSurgical capacity was highest in the IHC (6.76) and lowest in the Ungava Bay CLSCs (5.52). Personnel (0%-0%) and procedures (13%-33%) were the least available resources. Trauma capacity was highest in the IHC (7.25) and lowest in the Hudson Bay CLSCs (5.58). Although equipment (90%-100%) and supplies (100%-100%) were readily available, personnel (0%-0%) and procedures (25%-56%) were lacking. The UTHC was most prepared for telehealth (67.80%), and the Ungava Bay CLSCs achieved a lower score (51.13%). Underdeveloped telehealth criteria included funding, administrative support, quality improvement and physical spaces (all 33%-67%).

conclusionAcute care capacity in Nunavik appears heterogeneous, with readily available equipment and supplies, but a lack of personnel capable of performing lifesaving procedures. To address the need for telemedicine, future initiatives should focus on improving funding, administrative support, physical spaces and quality-improvement initiatives.

Indexed as

Delivery of Health CareTelemedicineCross-Sectional StudiesHospitalsHumansQuebec

Identifiers

PMID38016727
PMCPMC10699286
OpenAlexW4389085520

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.