Assessing cesarean section and inguinal hernia repair as proxy indicators of the total number of surgeries performed in Sierra Leone in 2012

Bjerring, A W; Lier, Marius E.; Rød, Siri Malene; Vestby, Pia Fiskaa; Melf, Klaus; Endreseth, Birger Henning; Salvesen, Øyvind; Schreeb, Johan von; Wibe, Arne; Kamara, Thaim B.; Bolkan, Håkon A.

doi:10.1016/j.surg.2014.12.014

Cited by 12 publications

(19 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Lancet Commission for Global Surgery estimated the global need of surgery based on the known prevalence of conditions that are primarily treated with surgery [ 4 ]. Others have used surgical tracers such as groin hernia and ratio of cesarean section [ 27 ]. Even though inguinal hernia seems to be a reliable tracer to estimate the surgical needs in the pediatric population, this calculation also has its limitations, since it assumes that the incidence of inguinal hernia is similar among populations.…”

Section: Discussionmentioning

confidence: 99%

The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap

et al. 2017

Self Cite

View full text Add to dashboard Cite

BackgroundIn low- and middle-income countries, there is a gap between the need for surgery and its equitable provision, and a lack of proxy indicators to estimate this gap. Sierra Leone is a West African country with close to three million children. It is unknown to what extent the surgical needs of these children are met.AimTo describe a nationwide provision of pediatric surgical procedures and to assess pediatric hernia repair as a proxy indicator for the shortage of surgical care in the pediatric population in Sierra Leone.MethodsWe analyzed results from a nationwide facility survey in Sierra Leone that collected data on surgical procedures from operation and anesthesia logbooks in all facilities performing surgery. We included data on all patients under the age of 16 years undergoing surgery. Primary outcomes were rate and volume of surgical procedures. We calculated the expected number of inguinal hernia in children and estimated the unmet need for hernia repair.ResultsIn 2012, a total of 2381 pediatric surgical procedures were performed in Sierra Leone. The rate of pediatric surgical procedures was 84 per 100,000 children 0–15 years of age. The most common pediatric surgical procedure was hernia repair (18%), corresponding to a rate of 16 per 100,000 children 0–15 years of age. The estimated unmet need for inguinal hernia repair was 88%.ConclusionsThe rate of pediatric surgery in Sierra Leone was very low, and inguinal hernia was the single most common procedure noted among children in Sierra Leone.

show abstract

Section: Discussionmentioning

confidence: 99%

The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Proportion of caesarean sections and hernias of all surgeries are indicative of a mature health system. A relationship between total volumes of surgery and the fraction of caesarean sections has also been described in the literature [ 25 , 26 ]. Caesarean sections and hernias together constitute a larger fraction of total surgeries in countries where low number of surgeries are observed overall [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Estimation of the National Surgical Needs in India by Enumerating the Surgical Procedures in an Urban Community Under Universal Health Coverage

Bhandarkar¹,

Gadgil²,

Patil³

et al. 2020

World j. surg.

View full text Add to dashboard Cite

Background 11% of the global burden of disease requires surgical care or anaesthesia management or both. Some studies have estimated this burden to be as high as 30%. The Lancet Commission for Global Surgery (LCoGS) estimated that 5000 surgeries are required to meet the surgical burden of disease for 100,000 people in LMICs. Studies from LMICs, estimating surgical burden based on enumeration of surgeries, are sparse. Method We performed this study in an urban population availing employees’ heath scheme in Mumbai, India. Surgical procedures performed in 2017 and 2018, under this free and equitable health scheme, were enumerated. We estimated the surgical needs for national population, based on age and sex distribution of surgeries and age standardization from our cohort. Result A total of 4642 surgeries were performed per year for a population of 88,273. Cataract (22.8%), Caesareans (3.8%), surgeries for fractures (3.27%) and hernia (2.86%) were the commonest surgeries. 44.2% of surgeries belonged to the essential surgeries. We estimated 3646 surgeries would be required per 100,000 Indian population per year. One-third of these surgeries would be needed for the age group 30–49 years, in the Indian population. Conclusion A total of 3646 surgeries were estimated annually to meet the surgical needs of Indian population as compared to the global estimate of 5000 surgeries per 100,000 people. Caesarean section, cataract, surgeries for fractures and hernia are the major contributors to the surgical needs. More enumeration-based studies are needed for better estimates from rural as well as other urban areas.

show abstract

“…To check if flood water affected access to healthcare facilities, and therefore was influencing the number of consultations and discharges at the healthcare facilities, additional analyses using the number of facility visits and deliveries as proxies for access were performed [ 18 ]. The total number of outpatient consultations per month was used as the dependent variable in the three-month distributed lag models, controlling for season and year.…”

Section: Methodsmentioning

confidence: 99%

The Effect of Seasonal Floods on Health: Analysis of Six Years of National Health Data and Flood Maps

Saulnier

Hanson

et al. 2018

IJERPH

Self Cite

View full text Add to dashboard Cite

There is limited knowledge on the effect of seasonal flooding on health over time. We quantified the short- and long-term effects of floods on selected health indicators at public healthcare facilities in 11 districts in Cambodia, a flood-prone setting. Counts of inpatient discharge diagnoses and outpatient consultations for diarrhea, acute respiratory infections, skin infections, injuries, noncommunicable diseases and vector-borne diseases were retrieved from public healthcare facilities for each month between January 2008 and December 2013. Flood water was mapped by month, in square kilometers, from satellite data. Poisson regression models with three lag months were constructed for the health problems in each district, controlled for seasonality and long-term trends. During times of flooding and three months after, there were small to moderate increases in visits to healthcare facilities for skin infections, acute respiratory infections, and diarrhea, while no association was seen at one to two months. The associations were small to moderate, and a few of our results were significant. We observed increases in care seeking for diarrhea, skin infections, and acute respiratory infections following floods, but the associations are uncertain. Additional research on previous exposure to flooding, using community- and facility-based data, would help identify expected health risks after floods in flood-prone settings.

show abstract

Assessing cesarean section and inguinal hernia repair as proxy indicators of the total number of surgeries performed in Sierra Leone in 2012

Cited by 12 publications

References 15 publications

The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap

The Met Needs for Pediatric Surgical Conditions in Sierra Leone: Estimating the Gap

Estimation of the National Surgical Needs in India by Enumerating the Surgical Procedures in an Urban Community Under Universal Health Coverage

The Effect of Seasonal Floods on Health: Analysis of Six Years of National Health Data and Flood Maps

Contact Info

Product

Resources

About