Evidence map›Paper›PMID 39786585›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Assessment of the financial gaps in cardiothoracic surgery in Africa.

Cynthia Nwalibe, Victory Bassey Effiom, Achanga Bill-Smith Anyinkeng, Michael Anayo James, Eben-Ezer Genda, Wambui Irungu, Frank-Awat Abaiweh, Kelechi E Okonta

Abstract read
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Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Cynthia NwalibeFaculty of Clinical Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
Victory Bassey EffiomResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.ORCID 0000-0001-7963-7079
Achanga Bill-Smith AnyinkengResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.
Michael Anayo JamesResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.
Eben-Ezer GendaResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.
Wambui IrunguResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.
Frank-Awat AbaiwehResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.
Kelechi E OkontaResearch Department, Association of Future African Cardiothoracic and Vascular Surgeons, Yaounde, Cameroon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study identified the challenges to financing cardiothoracic surgical care in Africa, highlighting the present state of funding and proffering probable solutions to adequate and effective funding in the region.

methodsIn a literature review, the authors elaborated key points, such as areas of financial funding in cardiothoracic surgery; barriers to appropriate allocation of financial resources for cardiothoracic surgery in Africa; and the needs and available resources for cardiothoracic surgery in Africa. Multiple search engines and databases were used, including but not limited to PubMed, Medline, Cochrane, Scopus and Google Scholar. Sixty articles were identified, and 50 of the 60 were used for this review.

resultsOperations to treat cardiovascular and thoracic diseases performed on the African continent are known to be expensive. They also tend to result in significant morbidity and mortality among the affected individuals because payment is largely out of pocket and the coverage by health insurance providers is low. The establishment of cardiothoracic surgical centres and the delivery of cardiothoracic surgical care are expensive endeavours that limit access to care of patients without comprehensive health insurance or philanthropic support. These poor outcomes are attributed mainly to inadequate funding.

conclusionsWe therefore have recommended advocating for increased funding and for support of policies designed to support the prioritization of cardiothoracic care within national and regional healthcare agendas in order to include cardiothoracic surgery in global and national healthcare plans. Non-governmental organizations and major industries (foreign and local) should be encouraged to invest substantial funds in building and developing cardiothoracic surgery centres in Africa.

Indexed as

Africacardiothoracic surgeryfinancing

Identifiers

PMID39786585
PMCPMC11742124

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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.