PMID- 37841804
OWN - NLM
STAT- MEDLINE
DCOM- 20231031
LR  - 20231104
IS  - 2214-9996 (Electronic)
IS  - 2214-9996 (Linking)
VI  - 89
IP  - 1
DP  - 2023
TI  - Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic 
      Review.
PG  - 70
LID - 10.5334/aogh.4251 [doi]
LID - 70
AB  - BACKGROUND: Surgical volume is a surgical indicator that was described in the 
      Lancet Commission on Global Surgery (LCoGS) and the World Bank World Development 
      Indicators as an important metric for tracking the delivery of surgical care. 
      OBJECTIVES: We aimed to characterize the reports on surgical volume (SV) in the 
      existing literature by using a systematic review to assess studies that examine 
      surgical procedures as a ratio of a population (procedures/100,000 population). 
      METHODS: The PRISMA guideline was employed in the systematic review of articles 
      that addressed the measurement of SV in low- and middle-income countries (LMICs), 
      with the primary outcome of surgical procedures/100,000 population. FINDINGS: The 
      search result consisted of 6,657 preliminary studies. Following the title and 
      abstract screening, 6,464 articles were excluded, and the remaining 193 were 
      included in the full text review. From the full text review of the 193, only 26 
      of these articles defined SV as the ratio of number of procedures per population 
      of the catchment/geographical area. The reported SV was a mean of 765, with an SD 
      of 1260 operations per 100,000. The median SV was 180 (min = 0.900, max = 4470). 
      CONCLUSION: Our findings support the LCoGS assessment of the gap in surgical 
      care. The target for SV is 5000 per 100,000 population, compared to the average 
      of 765 per 100,000 population as found in this review. The challenges for 
      assessing surgical volume gaps are vast, including the nature of written records, 
      which limits SV reports to an absolute number of procedures per year without a 
      reference to the catchment population. For the purpose of tracking SV, we 
      recommend using proxies that account for the capacity of facilities to deliver 
      care regardless of the catchment population.
CI  - Copyright: (c) 2023 The Author(s).
FAU - Shoyombo, Ifeoluwa
AU  - Shoyombo I
AUID- ORCID: 0000-0002-6586-1990
AD  - Johns Hopkins University, Department of Surgery, 1800 Orleans St, Baltimore MD 
      21287, US.
FAU - Genetu, Abraham
AU  - Genetu A
AUID- ORCID: 0000-0003-4206-9009
AD  - Addis Ababa University, Department of Surgery, Cardiothoracic Unit, Zambia 
      Street, Addis Ababa, ET.
FAU - Wong, Lye-Yeng
AU  - Wong LY
AUID- ORCID: 0000-0003-1655-7754
AD  - Stanford Hospital, Department of Cardiothoracic Surgery, 870 Quarry Ext Rd, 
      Stanford, CA 94304, US.
FAU - Elhadi, Muhammed
AU  - Elhadi M
AUID- ORCID: 0000-0001-6406-4212
AD  - Faculty of Medicine, University of Tripoli, Tripoli, LY.
AD  - Furnaj, University Road, Tripoli, Libya, 13275, Tripoli, LY.
FAU - Twizeyimana, Eric
AU  - Twizeyimana E
AUID- ORCID: 0009-0000-8672-3901
AD  - Center for Equity in Global Surgery, University of Global Health Equity, Kigali 
      Heights, Plot 772, KG 7 Ave, 5th Floor, PO Box 6955, Kigali, RW.
FAU - Gwini, Grace Paidamoyo
AU  - Gwini GP
AUID- ORCID: 0000-0002-9001-3248
AD  - School of Public Health, Faculty of Health Sciences, University of Cape Town, 
      Observatory, 7925, ZA.
FAU - William, Rutikanga
AU  - William R
AD  - Kibungo Referral Hospital, RGMQ+QQ8, Kibungo, RW.
FAU - Hall, Timothy
AU  - Hall T
AUID- ORCID: 0000-0003-0722-4018
AD  - Waikato Hospital, Urology Department, 183 Pembroke Street, Hamilton 3204, NZ.
FAU - Khalil, Halimah
AU  - Khalil H
AUID- ORCID: 0000-0001-9512-9007
AD  - College of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
FAU - Sandrasagran, Siva Nyanamani
AU  - Sandrasagran SN
AUID- ORCID: 0009-0003-3001-0373
AD  - Mackay Base Hospital, 475 Bridge Road, West Mackay 4740 QLD, AU.
FAU - Langer, Monica
AU  - Langer M
AUID- ORCID: 0000-0001-7532-0269
AD  - Lurie Children's Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611, US.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20231011
PL  - United States
TA  - Ann Glob Health
JT  - Annals of global health
JID - 101620864
SB  - IM
MH  - Humans
MH  - *Developing Countries
MH  - *Surgical Procedures, Operative/statistics & numerical data
PMC - PMC10573813
OTO - NOTNLM
OT  - global surgery
OT  - low- and middle-income countries
OT  - surgical volume
COIS- The authors have no competing interests to declare.
EDAT- 2023/10/16 06:48
MHDA- 2023/10/23 01:18
PMCR- 2023/10/11
CRDT- 2023/10/16 04:41
PHST- 2023/07/19 00:00 [received]
PHST- 2023/09/17 00:00 [accepted]
PHST- 2023/10/23 01:18 [medline]
PHST- 2023/10/16 06:48 [pubmed]
PHST- 2023/10/16 04:41 [entrez]
PHST- 2023/10/11 00:00 [pmc-release]
AID - 10.5334/aogh.4251 [doi]
PST - epublish
SO  - Ann Glob Health. 2023 Oct 11;89(1):70. doi: 10.5334/aogh.4251. eCollection 2023.