Evidence map›Paper›PMID 41107064›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Telemedicine and surgical coordination for Indigenous children from remote communities in northern Quebec.

Sarah Mashal, Sebastien Lamarre-Tellier, Lee Hill, Soukaina Hguig, Delores Coonishis, Jeannie Qaunivq, Aliya Nurmohamed, Esli Osmanlliu, Hussein Wissanji

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In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sarah MashalFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Sebastien Lamarre-TellierFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Lee HillFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Soukaina HguigFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Delores CoonishisFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Jeannie QaunivqFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Aliya NurmohamedFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Esli OsmanlliuFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu).
Hussein WissanjiFrom the McGill Faculty of Medicine (Mashal, Lamarre-Tellier); Harvey E. Beardmore Division of Pediatric Surgery, Montreal Children's Hospital, McGill University Health Centre, Montréal, Que. (Hill, Wissanji); Department of Obstetrics and Gynecology, University of Alberta, Edmonton, Alta. (Hguig); Patient partner, Montreal Children's Hospital, McGill University Health Centre (Coonishis, Qaunivq); Department of Anesthesia, McGill University Health Centre (Nurmohamed); Division of Pediatric Emergency Medicine, Montreal Children's Hospital, McGill University Health Centre, McGill University Health Centre Research Institute, Montréal, Que. (Osmanlliu) hussein.wissanji@mcgill.ca.

Funding

CIHR
6 · The paper itself

Abstract

backgroundPediatric patients from remote Indigenous communities in northern Quebec face substantial challenges accessing surgical care, often requiring lengthy air travel to urban hospitals. We sought to quantify time spent away from home for surgical care and explore telemedicine use during the perioperative period for this population.

methodsWe conducted a retrospective chart review of children from Nunavik and Terres-Cries-de-la-Baie-James who received surgical care at the Montreal Children's Hospital between 2011 and 2021. Dates of preoperative consultation, surgery, and postoperative follow-up were recorded, along with encounter modality.

resultsOf 914 patients identified, 40.9% required urgent surgery. For elective procedures, 59.1% of patients waited 14 days or longer for surgery after initial consultation. Postoperatively, 46.8% had follow-up appointments within 7 days of discharge, while 26.1% waited more than 14 days. Telemedicine was used in only 2.2% of elective consultations and 5.5% of follow-up appointments.

conclusionWait times for surgery and initial follow-up appointments often exceeded 2 weeks and required return trips to Montréal, while telemedicine adoption remained limited across departments. Efforts to reduce wait times, increase telemedicine adoption, and enhance culturally safe practices could improve access and care experiences for patients from northern Quebec.

Indexed as

Health Services AccessibilityHealth Services, IndigenousIndigenous CanadiansSurgical Procedures, OperativeTelemedicineAdolescentChildChild, PreschoolFemaleHumansInfantMaleQuebecRetrospective Studies

Identifiers

PMID41107064
PMCPMC12534093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.