Evidence map›Paper›PMID 40384573›Full record

ArticleWorld journal of surgery2025

What Is the Need for and Access to Trauma Surgery in Low- and Middle-Income Countries? A Scoping Review.

Thomas Edmiston, Michael F Bath, Amila Ratnayake, Luis Felipe Reyes, Eleanor Reffin, Zhongheng Zhang, Raoof Saleh, Eder Caceres, Joachim Amoako, Isla Kuhn and 9 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

19 authors.

Thomas EdmistonInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Michael F BathInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.ORCID 0000-0003-1879-1093
Amila RatnayakeDepartment of Surgery, Army Hospital, Colombo, Sri Lanka.
Luis Felipe ReyesClínica Universidad de la Sabana, Chía, Cundinamarca, Colombia.ORCID 0000-0003-1172-6539
Eleanor ReffinKing's College Hospital NHS Foundation Trust, London, UK.
Zhongheng ZhangDepartment of Emergency Medicine, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0002-2336-5323
Raoof SalehMédicins Sans Frontières Medical Unit, Berlin, Germany.
Eder CaceresClínica Universidad de la Sabana, Chía, Cundinamarca, Colombia.ORCID 0000-0003-1286-4423
Joachim AmoakoUniversity of Ghana Medical School, Accra, Ghana.ORCID 0000-0001-5734-3926
Isla KuhnUniversity of Cambridge Medical Library, University of Cambridge, Cambridge, UK.
Brandon G SmithInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Lekaashree RambabuDepartment of Medicine, University of Cambridge, Cambridge, UK.
Orla MantleInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Vedha PenmetchaInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Laura HobbsInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Katharina KohlerInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.
Timothy C HardcastleKwaZulu-Natal Department of Health, Trauma and Burns Unit, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.ORCID 0000-0002-3967-0234
Thomas G WeiserDepartment of Surgery, Stanford University, Stanford, California, USA.ORCID 0000-0002-3118-3888
Tom BashfordInternational Health Systems Group, Department of Engineering, University of Cambridge, Cambridge, UK.ORCID 0000-0003-0228-9779

Funding

China National Key Research and Development Program 2022YFC2504500China National Key Research and Development Program 2023YFC3603104Engineering and Physical Sciences Research CouncilGeneral Health Science and Technology Program of Zhejiang Province 2024KY1099Huadong Medicine Joint Funds of the Zhejiang Provincial Natural Science Foundation of China LHDMD24H150001National Natural Science Foundation of China 82272180National Natural Science Foundation of China 82472243NIHR Global Health Research Group on Acquired Brain and Spine Injury NIHR132455Project of Zhejiang University Longquan Innovation Center ZJDXLQCXZCJBGS2024016Science and Technology Department of the National Administration of Traditional Chinese Medicine and the Zhejiang Provincial Administration of Traditional Chinese Medicine GZY-ZJ-KJ-24082the Royal College of Surgeons Ratanji Dalal Research FellowshipUniversidad de La Sabana MED 357 2023Wu Jieping Medical Foundation Special Research Grant 320.6750.2024-23-07
6 · The paper itself

Abstract

introductionTrauma is a major source of morbidity and mortality globally, but low- and middle-income countries (LMICs) are disproportionately affected by higher volumes of trauma and worse health outcomes. Despite this, there are limited data describing how many individuals in these regions need trauma surgery, and how many are able to access it.

methodsWe performed a scoping review to examine the current available evidence on the need for, and access to, trauma surgery in LMICs in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. We included studies published after 2000, across all languages, that reported data on LMICs, as defined by the Organization for Economic Cooperation and Development.

resultsWe identified 32 articles describing the need for trauma surgery and 24 articles describing the access to trauma surgery, representing 27 LMICs overall. The median rate of trauma need was 7361 individuals per 100,000 per year (IQR 6313-9461), whereas the median rate of trauma surgery was 64.8 procedures per 100,000 per year.

conclusionOur study suggests that the need for trauma surgery is far greater than the access provided in LMICs. Indeed, the median rate of trauma surgery currently performed in the represented LMICs was 20 times less than the Lancet Commission on Global Surgery's benchmark. This scoping review illustrates the pressing requirement to generate high-quality prospective data to describe trauma care in LMICs.

Indexed as

Developing CountriesHealth Services AccessibilityHealth Services Needs and DemandTraumatologyWounds and InjuriesAcute Care SurgeryHumansglobal healthsurgerytrauma

Identifiers

PMID40384573
PMCPMC12282569

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.