Evidence map›Paper›PMID 38896255›Full record

ArticlePediatric surgery international2024

GAPS phase II: development and pilot results of the global assessment in pediatric surgery, an evidence-based pediatric surgical capacity assessment tool for low-resource settings.

Yasmine Yousef, Sarah Cairo, Etienne St-Louis, Laura F Goodman, Doulia M Hamad, Robert Baird, Emily R Smith, Sherif Emil, Jean-Martin Laberge, Mohamed Abdelmalak and 14 more

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Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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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
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4 · The record

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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

24 authors.

Yasmine YousefJoe di Maggio Children's Hospital, 1150 N 35 Ave, Suite 555, Hollywood, FL, USA. yasmine.yousef@icloud.com.
Sarah CairoDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Etienne St-LouisHarvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada.
Laura F GoodmanChildren's Hospital of Orange County, University of California Irvine, Orange, CA, USA.
Doulia M HamadFaculty of Medicine, McGill University, Montreal, QC, Canada.
Robert BairdDivision of Pediatric General Surgery BC Children's Hospital, University of British Columbia, Vancouver, BC, Canada.
Emily R SmithDepartment of Emergency Medicine and Center for Global Surgery and Health Equity, Duke University, Durham, NC, USA.
Sherif EmilHarvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada.
Jean-Martin LabergeHarvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada.
Mohamed AbdelmalakNile of Hope Hospital, Alexandria, Egypt.
Zipporah GathuyThe Nairobi Hospital, Nairobi, Kenya.
Faye EvansBoston Children's Hospital and Harvard Medical School, Boston, MA, USA.
Maryam Ghavami AdelValiasr Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Ki K BertilleCharles de Gaulle Pediatric Academic Hospital, Ouagadougou, Burkina Faso.
Milind ChitnisFrere Hospital, Walter Sisulu University, East London, South Africa.
Leecarlo MillanoFaculty of Medicine and Nursing, Krida Wacana University, Jakarta, Indonesia.
Peter NthumbaAIC Kijabe Hospital, Kenya and Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Sergio d'AgostinoSurgery for Children - ONLUS, Vicenza, Italy.
Bruno CiglianoOMNI Hospital, Guayaquil, Ecuador.
Luis Zea-SalazarOMNI Hospital, Guayaquil, Ecuador.
Emmanuel AmehDivision of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria.
Doruk OzgedizDepartment of Surgery, University of California, San Francisco, CA, USA.
Elena GuadagnoHarvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada.
Dan PoenaruHarvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, QC, H4A 3J1, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePediatric surgical care in low- and middle-income countries is often hindered by systemic gaps in healthcare resources, infrastructure, training, and organization. This study aims to develop and validate the Global Assessment of Pediatric Surgery (GAPS) to appraise pediatric surgical capacity and discriminate between levels of care across diverse healthcare settings.

methodsThe GAPS Version 1 was constructed through a synthesis of existing assessment tools and expert panel consultation. The resultant GAPS Version 2 underwent international pilot testing. Construct validation categorized institutions into providing basic or advanced surgical care. GAPS was further refined to Version 3 to include only questions with a > 75% response rate and those that significantly discriminated between basic or advanced surgical settings.

resultsGAPS Version 1 included 139 items, which, after expert panel feedback, was expanded to 168 items in Version 2. Pilot testing, in 65 institutions, yielded a high response rate. Of the 168 questions in GAPS Version 2, 64 significantly discriminated between basic and advanced surgical care. The refined GAPS Version 3 tool comprises 64 questions on: human resources (9), material resources (39), outcomes (3), accessibility (3), and education (10).

conclusionThe GAPS Version 3 tool presents a validated instrument for evaluating pediatric surgical capabilities in low-resource settings.

Indexed as

Developing CountriesHealth ResourcesPediatricsChildGlobal HealthHumansPilot ProjectsSpecialties, SurgicalSurgical Procedures, OperativeChildren’s surgeryGlobal healthGlobal surgeryLow-income countryMiddle-income countryPediatric surgery

Identifiers

PMID38896255

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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.