Guidelines and checklists for short-term missions in global pediatric surgery: Recommendations from the American Academy of Pediatrics Delivery of Surgical Care Global Health Subcommittee, American Pediatric Surgical Association Global Pediatric Surgery Committee, Society for Pediatric Anesthesia Committee on International Education and Service, and American Pediatric Surgical Nurses Association, Inc. Global Health Special Interest Group

Butler, Marilyn; Drum, Elizabeth T.; Evans, Faye M.; Fitzgerald, Tamara N.; Fraser, Jason D.; Holterman, Ai Xuan; Jen, Howard C.; Kynes, J. Matthew; Kreiss, Jenny; McClain, Craig D.; Newton, Mark; Nwomeh, Benedict C.; O’Neill, James A.; Ozgediz, Doruk; Politis, George D.; Rice, Henry E.; Rothstein, David H.; Sanchez, Julie; Singleton, Mark; Yudkowitz, Francine S.

doi:10.1016/j.jpedsurg.2017.11.037

Cited by 37 publications

(26 citation statements)

References 18 publications

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“…The Moore Center offers a model that blends the capabilities of a permanent facility offering both surgical services and follow‐up to a local population, with the financial and human capital resources offered by experienced visiting surgical teams. The Moore Center meets the guidelines recommended for short‐term global health activities and short‐term pediatric missions . This type of center has not been previously investigated as a potential improvement over the short‐term surgical mission model.…”

Section: Discussionmentioning

confidence: 99%

A prospective observational study of postoperative follow‐ups and outcomes at a nonprofit, internationally supported pediatric surgery center in Guatemala

Crockett

Zeigler

Kynes

et al. 2020

Pediatric Anesthesia

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Background: Global surgical access is unequally distributed, with the greatest surgical burden in low-and middle-income countries, where surgical care is often supplemented by nongovernmental organizations. Quality data from organizations providing this care are rarely collected or reported. The Moore Pediatric Surgery Center in Guatemala City, Guatemala, is unique in that it offers a permanently staffed, freestanding pediatric surgical center. Visiting surgical teams supplement the local permanent staff by providing a broad range of pediatric subspecialty surgical and anesthesia care. Aim: The aim of this study was to collect and report the incidence of completed postoperative follow-up visits and outcome measures at this nonprofit, internationally supported surgery center. Methods: De-identified demographic and postoperative outcome data were collected from each routinely scheduled, one-week pediatric surgical mission trip and incorporated into an electronic data collection system. Emphasis was placed on identification of completed postoperative visits and associated perioperative complications. After 27 months of data collection, results were analyzed to identify and quantify trends in patient follow-ups and postoperative outcomes. Results: Over 27 months, 1639 pediatric surgical procedures were performed and included in data analysis. The percentage of completed postoperative day-1 followup visits was 99.1%, and seven complications were identified out of these 1624 cases (postoperative complication rate of 0.4%). The percentage of completed first postoperative visits after discharge was 93.3%, and 67 complications were identified out of these 1530 cases (postoperative complication rate of 4.4%). Conclusion: Our data show a high rate of postoperative follow-up visits completed and low perioperative complication rates similar to those of high-income countries.Our data suggest that The Moore Surgery Center model of care offers an alternative to the short-term visiting surgical model by incorporating the local system and allows for improved follow-up, outcomes analysis, and high quality of care.

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Section: Discussionmentioning

confidence: 99%

A prospective observational study of postoperative follow‐ups and outcomes at a nonprofit, internationally supported pediatric surgery center in Guatemala

Crockett

Zeigler

Kynes

et al. 2020

Pediatric Anesthesia

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“…In hopes of maximizing care and safety of patients while minimizing cross-cultural misunderstandings, several groups have published recommendations for STMMs. [2,[26][27][28][29][30][31][32] Lasker et al enumerates themes across several guidelines, including preparation of volunteers, partnership with host organization as well as needs assessment, sustainability, legal and ethical conduct, and continued evaluation. [32] Without including these considerations, STMMs run the risk of wasting resources, or even negatively impacting the healthcare of the local population.…”

Section: Discussionmentioning

confidence: 99%

Urban Versus Rural: A Cross-Sectional Study of a Successful Peruvian Global Health Medical Mission

2019

ARC Journal of Public Health and Community Medicine

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Background:The purpose of this study is to characterize the health conditions of two Peruvian populations in Chincha Alta and Sacred Valley, during a short-term medical mission in order to improve future global health efforts. Existing literature on the disease prevalence in these specific communities have not been previously reported. Methods:The study team consisted of medical students and faculty from a United States-based academic medical institution. The study site in CA was a modern local outpatient clinic and in SV, health posts in various small towns. This is a cross-sectional study that utilized convenience sampling of patients who sought care at previously established and temporary health clinics. Descriptive and comparative statistics were used.Results: Over three weeks, 420 patients were seen (CA n=197; SV n=223). Among adult patients, musculoskeletal (P<.001), head/neck (P<.001), neurologic (P<.001), gastrointestinal (P<.001), and genitourinary (P=.004) complaints were more common in SV than CA. Adult diagnoses of chronic musculoskeletal pain (P<.001), genitourinary infection (P=.03), gastritis (P=.01), and dehydration (P=.02) were more frequent in SV with lower respiratory infection (P=.002) and obesity (P=.009) being more frequent in CA. Conclusions:This study demonstrates the need for future STMMs to these Peruvian communities to refine prevention and management strategies.

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“…A particular challenge for HCC is the requirement of most HCCs for ancillary disciplines including anesthesia ( 58 , 59 ), pediatric surgery ( 59 ), medical imaging, etc.—each of these services is frequently required to implement HCC, and all are under pressure, individual HCC may be difficult to implement.…”

Section: Ethical Principles To Be Appliedmentioning

confidence: 99%

Considerations for Assessing the Appropriateness of High-Cost Pediatric Care in Low-Income Regions

Argent

2018

Front. Pediatr.

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It may be difficult to predict the consequences of provision of high-cost pediatric care (HCC) in low- and middle-income countries (LMICs), and these consequences may be different to those experienced in high-income countries. An evaluation of the implications of HCC in LMICs must incorporate considerations of the specific context in that country (population age profile, profile of disease, resources available), likely costs of the HCC, likely benefits that can be gained versus the costs that will be incurred. Ideally, the process that is followed in decision making around HCC should be transparent and should involve the communities that will be most affected by those decisions. It is essential that the impacts of provision of HCC are carefully monitored so that informed decisions can be made about future provision medical interventions.

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Cited by 37 publications

References 18 publications

A prospective observational study of postoperative follow‐ups and outcomes at a nonprofit, internationally supported pediatric surgery center in Guatemala

A prospective observational study of postoperative follow‐ups and outcomes at a nonprofit, internationally supported pediatric surgery center in Guatemala

Urban Versus Rural: A Cross-Sectional Study of a Successful Peruvian Global Health Medical Mission

Considerations for Assessing the Appropriateness of High-Cost Pediatric Care in Low-Income Regions

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