Evidence map›Paper›PMID 39844813›Full record

ArticleSurgery in practice and science2023

Delayed access to essential surgical care in Uganda: A tertiary multi-center study.

Emmanuel Adupa, Andrew Marvin Kanyike, Joshua Mwebembezi, Daniel Safari Nteranya, Mercy Ndibalema, Dissan Matovu, Victor Niwenyesiga, Smarco Arinda, Kenneth Agaba

Abstract read
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Article in Surgery in practice and science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Emmanuel AdupaDepartment of Obstetrics & Gynecology, St. Mary's Hospital Lacor, Gulu, Uganda.
Andrew Marvin KanyikeDepartment of Surgery, Mengo Hospital, Kampala, Uganda.
Joshua MwebembeziDepartment of Internal Medicine, Kabale Regional Referral Hospital, Kabale, Uganda.
Daniel Safari NteranyaDepartment of Surgery, University of Bukavu, DRC.
Mercy NdibalemaDepartment of Internal Medicine, Kabale Regional Referral Hospital, Kabale, Uganda.
Dissan MatovuDepartment of Surgery, Rubaga Hospital, Kampala, Uganda.
Victor NiwenyesigaDepartment of Surgery, Hoima Regional Referral Hospital, Hoima, Uganda.
Smarco ArindaDepartment of Obstetrics & Gynecology, Ishaka Adventist hospital, Bushenyi, Uganda.
Kenneth AgabaDepartment of Surgery, Fort Portal Regional Referral Hospital, Fort Portal, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgery has been largely neglected within global public health despite growing evidence that the overall burden of disease requiring surgical intervention is rapidly growing and affordable access to surgical care can avert many deaths and disabilities. This study assessed the factors influencing delayed access to essential surgical care in Uganda. Methods: A descriptive multi-center cross-sectional survey was carried out in three hospitals designated for major surgeries in Uganda from December 2019 to December 2021 across three regions of the country in a prospective manner. Patients admitted to the hospitals that required surgical intervention were included. Bivariate analysis using the chi-square test or Fischers' exact test and multivariable logistic regression models to adjust for confounders were carried out. Findings: A total of 635 patients participated in the study of which the majority were males ( Interpretation: All three factors contribute to surgical delay but most significantly access to hospital. Several socioeconomic factors like education, long distances, and poverty interplay in a complex web to hamper access to essential surgical care.

Indexed as

Delayed accessEssential surgical careUganda

Identifiers

PMID39844813
PMCPMC11750040

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Registered trials

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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.