Evidence map›Paper›PMID 40448938›Full record

ArticleWorld journal of surgery2025

Strategies and Recommendations to Improve Accessibility of Essential Surgery in Rural Settings in OECD Countries: A Scoping Review.

G Osman, Y Kamel, I Konate, M Diedhiou, S Basnet, R Shrestha, S K Shrestha, V Krylyuk, J Grushka, E Wong and 3 more

Abstract readScoping Review
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

G OsmanCentre for Global Surgery, McGill University, Montreal, Canada.ORCID 0000-0002-0993-5502
Y KamelFaculty of Medicine, University of Montreal, Montreal, Canada.
I KonateFaculty of Health Sciences, Université Gaston Berger, Saint-Louis, Sénégal.
M DiedhiouFaculty of Health Sciences, Université Gaston Berger, Saint-Louis, Sénégal.
S BasnetDhulikhel Hospital, Kathmandu University, Dhulikhel, Nepal.
R ShresthaDhulikhel Hospital, Kathmandu University, Dhulikhel, Nepal.
S K ShresthaDhulikhel Hospital, Kathmandu University, Dhulikhel, Nepal.
V KrylyukKyiv Hospital for Emergency Medicine (KHEM), Kiev, Ukraine.
J GrushkaCentre for Global Surgery, McGill University, Montreal, Canada.
E WongCentre for Global Surgery, McGill University, Montreal, Canada.
T FarhatCentre for Global Surgery, McGill University, Montreal, Canada.ORCID 0000-0001-9732-0593
K KhwajaCentre for Global Surgery, McGill University, Montreal, Canada.
D DeckelbaumCentre for Global Surgery, McGill University, Montreal, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe provision of essential and emergency surgical services presents complex challenges in remote areas. Equitable access has gained attention thanks to the significant work done by the Lancet Commission on Global Surgery (LCoGS). Although the focus was on low- and middle-income countries, developed countries also face challenges in providing equitable surgical care and, in fact, do not always meet the benchmarks set by the LCoGS yet still have acceptable outcomes. We sought to explore the current strategies aimed at improving and maintaining access to essential surgical care in rural and remote areas of OECD countries (Organization for Economic Co-operation and Development).

methodsWe conducted a scoping review using MeSH terms. The search was performed on MEDLINE and EMBASE databases and was limited to English sources published between 1946 and January 10, 2025. ELIGIBILITY CRITERIA: Any strategy or intervention aimed at improving and maintaining timely access to essential surgeries in rural and remote areas of OECD countries.

resultsSix main categories of strategies were found: (1) resource distribution; (2) task sharing; (3) telemedicine; (4) surgical workforce; (5) training and education; and (6) prehospital system.

conclusionRecognizing that developed countries, in fact, do not always meet the benchmarks set by the LCoGS yet still have acceptable outcomes highlights that specific strategies are important contributors to the reduction of disparities between rural and urban outcomes. These strategies may be used in the study of surgical services in low- and middle-income countries.

Indexed as

Health Services AccessibilityRural Health ServicesSurgical Procedures, OperativeDeveloping CountriesHumansOrganisation for Economic Co-Operation and DevelopmentTelemedicineessential surgeryglobal surgeryremoterural

Identifiers

PMID40448938
PMCPMC12282567

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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.