Estimating Pediatric Surgical Need in Developing Countries: A Household Survey in Rwanda

dc.contributor.authorPetroze, Robin T
dc.contributor.authorCalland, J Forrest
dc.contributor.authorNiyonkuru, Francine
dc.contributor.authorGroen, Reinou S
dc.contributor.authorKyamanywa, Patrick
dc.contributor.authorLi, Yue
dc.contributor.authorGuterbock, Thomas M
dc.contributor.authorRodgers, Bradley M
dc.contributor.authorRasmussen, Sara K
dc.date.accessioned2022-04-07T12:37:09Z
dc.date.available2022-04-07T12:37:09Z
dc.date.issued2014
dc.description.abstractPurpose Surgical services for children are often absent in resource-limited settings. Identifying the prevalence of surgical disease at the community level is important for developing evidence-based pediatric surgical services and training. We hypothesize that the untreated surgical conditions in the pediatric population are largely uncharacterized and that such burden is significant and poorly understood. Furthermore, no such data exist at the population level to describe this population. Methods We conducted a nationwide cross-sectional cluster-based population survey to estimate the magnitude of surgical disease in Rwanda. Conducted as a verbal questionnaire, questions included representative congenital, acquired, malignant and injury-related conditions. Pediatric responses were analyzed using descriptive statistics and univariate analysis. Results A total of 1626 households (3175 individuals) were sampled with a 99% response rate; 51.1% of all individuals surveyed were younger than age 18. An estimated 50.5% of the total current surgical need occurs in children. Of all Rwandan children, 6.3% (95% CI 5.4%–7.4%), an estimated 341,164 individuals, were identified to have a potentially treatable surgical condition at the time of the interview. The geographic distribution of surgical conditions significantly differed between adults and children (p < 0.001). Conclusions The results emphasize the magnitude of the pediatric surgery need as well as the need for improved education and resources. This may be useful in developing a collaborative local training program.en_US
dc.identifier.citationPetroze, R.T., Calland, J.F., Niyonkuru, F., Groen, R.S., Kyamanywa, P., Li, Y., Guterbock, T.M., Rodgers, B.M. and Rasmussen, S.K. (2014). Estimating pediatric surgical need in developing countries: a household survey in Rwanda. Journal of pediatric surgery, 49(7), pp.1092-1098.en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.urihttp://hdl.handle.net/20.500.12280/2925
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Inc , 1600 John F Kennedy Boulevard, Ste 1800, Philadelphia, Usa, Pa, 19103-2899en_US
dc.relation.ispartofseriesJournal of pediatric surgery;49(7)
dc.subjectPediatric surgicalen_US
dc.subjectSurgical needen_US
dc.subjectDeveloping countriesen_US
dc.subjectRwandaen_US
dc.titleEstimating Pediatric Surgical Need in Developing Countries: A Household Survey in Rwandaen_US
dc.typeArticleen_US

Files

Original bundle

Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Kyamanywa_VCO_ARTICLE_2014_Estimating.pdf
Size:
329.45 KB
Format:
Adobe Portable Document Format
Description:

License bundle

Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:

Collections