ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025
Comparative outcomes for pediatric cranial procedures by general surgeons and neurosurgeons in a tertiary care hospital in Ethiopia.
Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn resource-limited hospitals, pediatric neurosurgery is performed by general surgeons (GS) and neurosurgeons (NS), but the provider-specific impact remains unclear. This study compares pediatric neurosurgery cranial cases managed by GS and NS at a regional referral center in Southern Ethiopia.
methodsCranial operations in patients < 18 years (January 2020-October 2024) were retrospectively reviewed. Data included demographics, travel, delay (> 12 h), procedure type, and early outcomes (complications, length of stay [LOS]). Procedures were classified as routine (elevation, washout/I&D) or complex (shunt, craniotomy). Chi square with Yates and Mann‑Whitney U tests compared groups. Multivariable logistic regression adjusted for age, sex, and delay.
resultsAmong the 75 patients, 36 (48%) were treated by NS and 39 (52%) by GS. Routine operations predominated in GS (69.2% vs 55.6%) while complex procedures were more frequent in NS (36.1% vs 5.1%). LOS was comparable (4 days, p = 0.772), as were delays (41.0% GS vs 44.4% NS, p = 0.818) and complications (12.8% GS vs 19.4% NS, χ2 test with Yates p = 0.641). Complication rates for routine procedures were similar between groups (elevation 0% and washout/I&D 40%; p = 1.000), and although unadjusted rates were higher in the NS cohort for complex cases (craniotomy 66.7% vs 30.0%; shunt 23.1% vs 0%), these differences were not statistically significant (p = 0.510 and p = 1.000, respectively), with multivariable adjustment likewise showing no provider effect (aOR 1.25, 95% CI 0.27-5.78; p = 0.773).
conclusionsWith appropriate training, GS achieved early outcomes comparable to NS for routine and complex pediatric cranial operations. The absence of significant differences in complications supports structured task‑sharing and skills-based mentorship to expand neurosurgical care in resource-limited settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.