Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review
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 vo...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-10-01
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| Series: | Annals of Global Health |
| Subjects: | |
| Online Access: | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4251 |
| _version_ | 1797504617216475136 |
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| author | Ifeoluwa Shoyombo Abraham Genetu Lye-Yeng Wong Muhammed Elhadi Eric Twizeyimana Grace Paidamoyo Gwini Rutikanga William Timothy Hall Halimah Khalil Siva Nyanamani Sandrasagran Monica Langer |
| author_facet | Ifeoluwa Shoyombo Abraham Genetu Lye-Yeng Wong Muhammed Elhadi Eric Twizeyimana Grace Paidamoyo Gwini Rutikanga William Timothy Hall Halimah Khalil Siva Nyanamani Sandrasagran Monica Langer |
| author_sort | Ifeoluwa Shoyombo |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T04:07:06Z |
| format | Article |
| id | doaj.art-4624cc6502d74f2c91b8d09d23675ab2 |
| institution | Directory Open Access Journal |
| issn | 2214-9996 |
| language | English |
| last_indexed | 2024-03-10T04:07:06Z |
| publishDate | 2023-10-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Annals of Global Health |
| spelling | doaj.art-4624cc6502d74f2c91b8d09d23675ab22023-11-23T08:20:32ZengUbiquity PressAnnals of Global Health2214-99962023-10-01891707010.5334/aogh.42514251Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic ReviewIfeoluwa Shoyombo0https://orcid.org/0000-0002-6586-1990Abraham Genetu1https://orcid.org/0000-0003-4206-9009Lye-Yeng Wong2https://orcid.org/0000-0003-1655-7754Muhammed Elhadi3https://orcid.org/0000-0001-6406-4212Eric Twizeyimana4https://orcid.org/0009-0000-8672-3901Grace Paidamoyo Gwini5https://orcid.org/0000-0002-9001-3248Rutikanga William6Timothy Hall7https://orcid.org/0000-0003-0722-4018Halimah Khalil8https://orcid.org/0000-0001-9512-9007Siva Nyanamani Sandrasagran9https://orcid.org/0009-0003-3001-0373Monica Langer10https://orcid.org/0000-0001-7532-0269Johns Hopkins University, Department of Surgery, 1800 Orleans St, Baltimore MD 21287Addis Ababa University, Department of Surgery, Cardiothoracic Unit, Zambia Street, Addis AbabaStanford Hospital, Department of Cardiothoracic Surgery, 870 Quarry Ext Rd, Stanford, CA 94304Faculty of Medicine, University of Tripoli, Tripoli, LY; Furnaj, University Road, Tripoli, Libya, 13275, TripoliCenter for Equity in Global Surgery, University of Global Health Equity, Kigali Heights, Plot 772, KG 7 Ave, 5th Floor, PO Box 6955, KigaliSchool of Public Health, Faculty of Health Sciences, University of Cape Town, Observatory, 7925Kibungo Referral Hospital, RGMQ+QQ8, KibungoWaikato Hospital, Urology Department, 183 Pembroke Street, Hamilton 3204College of Medical and Dental Sciences, University of Birmingham, BirminghamMackay Base Hospital, 475 Bridge Road, West Mackay 4740 QLDLurie Children’s Hospital of Chicago, 225 E Chicago Ave, Chicago, IL 60611Background: 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.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4251surgical volumeglobal surgerylow- and middle-income countries |
| spellingShingle | Ifeoluwa Shoyombo Abraham Genetu Lye-Yeng Wong Muhammed Elhadi Eric Twizeyimana Grace Paidamoyo Gwini Rutikanga William Timothy Hall Halimah Khalil Siva Nyanamani Sandrasagran Monica Langer Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review Annals of Global Health surgical volume global surgery low- and middle-income countries |
| title | Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review |
| title_full | Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review |
| title_fullStr | Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review |
| title_full_unstemmed | Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review |
| title_short | Measurements of Surgical Volume in Low- and Middle-Income Countries, a Systematic Review |
| title_sort | measurements of surgical volume in low and middle income countries a systematic review |
| topic | surgical volume global surgery low- and middle-income countries |
| url | https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4251 |
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