PMID- 25084098
OWN - NLM
STAT- MEDLINE
DCOM- 20150707
LR  - 20211021
IS  - 1743-9159 (Electronic)
IS  - 1743-9191 (Print)
IS  - 1743-9159 (Linking)
VI  - 12
IP  - 9
DP  - 2014
TI  - Development of a ratio of emergent to total hernia repairs as a surgical capacity 
      metric.
PG  - 906-11
LID - S1743-9191(14)00226-X [pii]
LID - 10.1016/j.ijsu.2014.07.019 [doi]
AB  - INTRODUCTION: Non-communicable diseases including surgical conditions are gaining 
      attention in developing countries. Despite this there are few metrics for 
      surgical capacity. We hypothesized that (a) the ratio of emergent to total hernia 
      repairs (E/TH) would correlate with per capita health care expenditures for any 
      given country, and (b) the E/TH is easy to obtain in resource-poor settings. 
      METHODS: We performed a systematic review to identify the E/TH for as many 
      countries as possible (Prospero registry CRD42013004645). We screened 1285 
      English language publications since 1990; 23 met inclusion criteria. Primary data 
      was also collected from Kamuzu Central Hospital (KCH) in Lilongwe, Malawi. A 
      total of 13 countries were represented. Regression analysis was used to determine 
      the correlation between per capita health care spending and the E/TH. RESULTS: 
      There is a strong correlation between the log values of the ratio emergent to 
      total groin hernias and the per capita health care spending that is robust across 
      country income levels (R(2) = 0.823). Primary data from KCH was easily obtained 
      and demonstrated a similar correlation. CONCLUSIONS: The ratio of emergent to 
      total groin hernias is a potential measure of surgical capacity using data that 
      is easily attainable. Further studies should validate this metric against other 
      accepted health care capacity indicators. Systematic review registered with 
      Prospero (CRD42013004645).
CI  - Copyright (c) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights 
      reserved.
FAU - Samuel, Jonathan C
AU  - Samuel JC
AD  - NC Jaycee Burn Center, Department of Surgery, University of North Carolina, 101 
      Manning Drive CB 7600, Chapel Hill, NC 27759, USA. Electronic address: 
      jcsamuel@med.unc.edu.
FAU - Tyson, Anna F
AU  - Tyson AF
AD  - Department of Surgery, University of North Carolina, 4001 Burnett Womack Bldg CB 
      7050, Chapel Hill, NC 27599, USA.
FAU - Mabedi, Charles
AU  - Mabedi C
AD  - Department of Surgery, Kamuzu Central Hospital, PO Box 149, Lilongwe, Malawi.
FAU - Mulima, Gift
AU  - Mulima G
AD  - Department of Surgery, Kamuzu Central Hospital, PO Box 149, Lilongwe, Malawi.
FAU - Cairns, Bruce A
AU  - Cairns BA
AD  - NC Jaycee Burn Center, Department of Surgery, University of North Carolina, 101 
      Manning Drive CB 7600, Chapel Hill, NC 27759, USA.
FAU - Varela, Carlos
AU  - Varela C
AD  - Department of Surgery, Kamuzu Central Hospital, PO Box 149, Lilongwe, Malawi.
FAU - Charles, Anthony G
AU  - Charles AG
AD  - Department of Surgery, University of North Carolina, 4001 Burnett Womack Bldg CB 
      7050, Chapel Hill, NC 27599, USA.
LA  - eng
GR  - K01 TW009486/TW/FIC NIH HHS/United States
GR  - K01TW009486/TW/FIC NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20140729
PL  - United States
TA  - Int J Surg
JT  - International journal of surgery (London, England)
JID - 101228232
SB  - IM
MH  - *Developing Countries
MH  - Elective Surgical Procedures/economics/statistics & numerical data
MH  - Emergencies/economics/epidemiology
MH  - Health Expenditures/statistics & numerical data
MH  - Health Services Needs and Demand/economics/*statistics & numerical data
MH  - Hernia, Inguinal/economics/epidemiology/*surgery
MH  - Herniorrhaphy/economics/*statistics & numerical data
MH  - Humans
MH  - Malawi
PMC - PMC4165689
MID - NIHMS617588
OTO - NOTNLM
OT  - Developing countries
OT  - Hernia, inguinal
OT  - Malawi
OT  - Surgery
OT  - World health
EDAT- 2014/08/02 06:00
MHDA- 2015/07/08 06:00
PMCR- 2015/07/29
CRDT- 2014/08/02 06:00
PHST- 2013/08/08 00:00 [received]
PHST- 2014/06/05 00:00 [revised]
PHST- 2014/07/21 00:00 [accepted]
PHST- 2014/08/02 06:00 [entrez]
PHST- 2014/08/02 06:00 [pubmed]
PHST- 2015/07/08 06:00 [medline]
PHST- 2015/07/29 00:00 [pmc-release]
AID - S1743-9191(14)00226-X [pii]
AID - 10.1016/j.ijsu.2014.07.019 [doi]
PST - ppublish
SO  - Int J Surg. 2014;12(9):906-11. doi: 10.1016/j.ijsu.2014.07.019. Epub 2014 Jul 29.