Evidence map›Paper›PMID 38590474›Full record

ArticleCureus2024

Ambulatory Surgery Center in Rural Uganda: A Novel Approach to Providing Surgical Care.

Unwana Abasi, Joseph Okello Damoi, Anna Turumanya Kalumuna, Angellica Giibwa, So Park, Dylan Cuva, Allen T Yu, Arthur Emoru, Moses Bakaleke Binoga, Dillan Villavisanis and 5 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2024. 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
1.1field-weighted citation impact, top 24% 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, 2 citations in OpenAlex.

  1. Article
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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

15 authors at 1 institution in 2 countries.

Unwana AbasiSurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
Joseph Okello DamoiSurgery, Kyabirwa Surgical Center, Jinja, UGA.
Anna Turumanya KalumunaSurgery, Kyabirwa Surgical Center, Jinja, UGA.
Angellica GiibwaSurgery, Kyabirwa Surgical Center, Jinja, UGA.
So ParkSurgery, Mount Sinai Hospital, New York, USA.
Dylan CuvaSurgery, Mount Sinai Hospital, New York, USA.
Allen T YuSurgery, Mount Sinai Hospital, New York, USA.
Arthur EmoruAnesthesiology, Kyabirwa Surgical Center, Jinja, UGA.
Moses Bakaleke BinogaSurgery, Kyabirwa Surgical Center, Jinja, UGA.
Dillan VillavisanisPlastic and Reconstructive Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, USA.
Sara N KianiSurgery, Icahn School of Medicine at Mount Sinai, New York, USA.
Katie GlerumSurgery, Mount Sinai Hospital, New York, USA.
Jerome WayeGastroenterology, Mount Sinai Hospital, New York, USA.
Michael MarinSurgery, Mount Sinai Hospital, New York, USA.
Linda ZhangSurgery, Mount Sinai Hospital, New York, USA.
Jinja Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite evidence that ambulatory surgery is safe with faster recovery compared to in-patient hospitalization, surgeons in low- and middle-income countries like Uganda have been hesitant to embrace this practice. Kyabirwa Surgical Center (KSC) is the first freestanding ambulatory surgery center (ASC) in rural Uganda. We aim to report the impact of a rural ASC since its establishment, in alleviating surgically-treatable morbidity within its catchment area.

methodsKSC is located in Jinja, Uganda. The center's electronic medical record was used to analyze the utilization of services, and the Uganda Bureau of Statistics was used to calculate KSC's catchment area. Effectiveness was calculated using disability-adjusted life years (DALYs) averted.

resultsBetween July 2019 and December 2021, 7,391 patients (57.7% female, 42.3% male) visited KSC from a catchment area of 570,790 people. Of 1,355 procedures, 64.6% were general surgery, 21.3% endoscopy, 9.2% gynecological/genitourinary), 2.8% ENT, 1.5% colorectal, and 0.6% orthopedics. There were no postoperative hospital admissions for complications or mortalities. From the seven most common procedures with an associated disability weight, 2,193.16 total DALYs were averted.

conclusionASCs can be effective in addressing surgical care gaps in Uganda by increasing the yearly surgical capacity of the local catchment area and averting DALYs within the population.

Indexed as

ambulatory surgerydisability-adjusted life yearseffectivenessrural surgeryuganda

Identifiers

PMID38590474
PMCPMC11001256
OpenAlexW4392629931

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.