Evidence map›Paper›PMID 40410761›Full record

ArticleBMC surgery2025

Hepato-pancreato-biliary surgical capacity in East and South African countries: a regional assessment survey.

Mohamed Daffalla Awadalla Gismalla, T K Marumo, Nebiat E Mekonnen, Ahmed AbdElrahman-Abdalla Abd Elrahman

Abstract read
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Article in BMC surgery, 2025. 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

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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

4 authors.

Mohamed Daffalla Awadalla GismallaDepartment of Surgery, Faculty of Medicine, University of Gezira, Wad Medani, Sudan. mohadaff22@gmail.com.
T K MarumoDepartment of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Nebiat E MekonnenDepartment of Surgery, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
Ahmed AbdElrahman-Abdalla Abd ElrahmanDepartment of Surgery, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsHepato-pancreato-biliary (HPB) services are not widely recognized in African countries. This survey seeks to assess the current status of HPB surgery in East and Southern Africa.

methodsThe Surgeons Overseas Personnel, Infrastructure, Procedure, Equipment, and Supplies (PIPES) survey assessed HPB capacity in East and South African countries. The PIPES score was calculated for hospitals; a higher score indicates greater capacity.

resultsTwenty-five responses from 10 countries completed the survey, yielding a median score of 41 (range 18-57). 80% of hospitals are government-operated. Functioning X-ray machines and pre-tested blood banks are the most commonly available resources in 23 (92%) and 20 (80%) hospitals. The most common procedure is open cholecystectomy, performed in 24 (96%) hospitals, while laparoscopic cholecystectomy, distal pancreatectomy, and non-anatomic hepatic resections were conducted in 22 (92%) hospitals. The Whipple operation and liver resection were carried out in 20 (80%) hospitals. Interventional radiology is available in 5 (20%) centers, and liver transplantation was noted in 3 (12%) hospitals. Electrosurgery is available in 25 hospitals, and energy devices are accessible in 19.

conclusionThis study highlights the HPB surgery services in East and Southern African countries. Despite limited resources, certain HPB services are accessible.

Indexed as

Biliary Tract Surgical ProceduresDigestive System Surgical ProceduresAfrica, EasternHealth Care SurveysHumansSouth AfricaEast AfricaHepato-pancreato-biliary surgerySouth AfricaSub-Saharan Africa; surgical capacity

Identifiers

PMID40410761
PMCPMC12102894

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LicenceCC BY-NC-ND
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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.