Abstract:
BACKGROUND:The World Health Organization has a standardized tool to assess surgical capacity in low- and middle-income countries (LMICs), but it is often resource- and time-intensive. There currently exists no simple, evidence-based measure of surgical capacity in these settings. The proportion of cesarean deliveries in regard to the total operations (C/O ratio) has been suggested as a way to assess quickly the capacity for emergency and essential surgery in LMICs. This ratio has been estimated to be between 23.3 and 41.5 % in LMICs, but the tool's utility has not been replicated. METHODS:We reviewed operative logbooks for the Partners In Health/Zanmi Lasante hospital in Cange, Haiti. We recorded data on all consecutive surgical patients from July 2008 to 2010 and calculated the C/O ratio by dividing the number of cesarean deliveries by the total number of operations performed. We also analyzed surgical data by surgeon nationality to provide additional information about local surgical capacity. RESULTS:A total of 3,641 operations were performed between 2008 and 2010. The C/O ratio decreased significantly between 2008-2009 and 2009-2010 (13.4 vs. 10.7 %, p = 0.001) as the surgical volume and resources increased. Nationality analysis demonstrated that Haitian surgeons were able to provide a spectrum of general and specialist surgical care. CONCLUSIONS:In its inherent relation to essential surgical procedures and to the overall rate of cesarean deliveries in the region, the C/O ratio can provide an accessible assessment of regional surgical resources. In Haiti, the change in the C/O ratio demonstrated a relative increase in surgical capacity from 2008 to 2010. An additional analysis of surgeon nationality ensured that C/O ratio estimates more accurately reflect local practitioner activity, but deficiencies in the regional capacity to address the local burden of surgical disease may still exist.
journal_name
World J Surgjournal_title
World journal of surgeryauthors
Hughes CD,McClain CD,Hagander L,Pierre JH,Groen RS,Kushner AL,Meara JGdoi
10.1007/s00268-012-1794-7subject
Has Abstractpub_date
2013-07-01 00:00:00pages
1526-9issue
7eissn
0364-2313issn
1432-2323journal_volume
37pub_type
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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journal_title:World journal of surgery
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pub_type: 杂志文章,评审
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
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journal_title:World journal of surgery
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:1998-08-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
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更新日期:2008-07-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 杂志文章,评审
doi:10.1007/BF01670548
更新日期:1990-01-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
doi:10.1007/s00268-018-4698-3
更新日期:2018-12-01 00:00:00
abstract:BACKGROUND:The retained knife blade is an unusual and spectacular injury. The aim of this study was to review our experience with the management of such injuries. METHODS:A retrospective chart review of patients with retained knife blades treated at Groote Schuur Hospital Trauma Centre from January 1996 to December 20...
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pub_type: 杂志文章
doi:10.1007/s00268-010-0514-4
更新日期:2010-07-01 00:00:00
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journal_title:World journal of surgery
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更新日期:1994-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
pub_type: 临床试验,杂志文章
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更新日期:2012-05-01 00:00:00
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journal_title:World journal of surgery
pub_type: 杂志文章
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journal_title:World journal of surgery
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journal_title:World journal of surgery
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