9 research outputs found
Global economic burden of unmet surgical need for appendicitis
- Author
- Aahlin E. K.
- Aamer A.
- Aaniana K.
- Ababneh A.
- Abaliksta T.
- Abantanga F.
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- Publication venue
- Oxford University Press
- Publication date
- 01/01/2022
- Field of study
Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
- Author
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- El Shoura Y
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- Elena G
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- Elfouly Y
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- Elhadad A
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- Elhalawany E
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- Elhelbawy MS
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- Elhoseny G
- Elhusseiny AAE
- Elizabeth Lopez C
- Elkadsh I
- Elkady F
- Elkelany A
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- Elkhadrawi M
- Elkhalek EA
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- Elsherbiny AS
- Elsherif FA
- Elshobary M
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- Elsorogy DEAA
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- Elzahed N
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- Elzowawi F
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- Eng C
- English W
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- Espin-Basany E
- Espinoza F
- Essam A
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- Farouk SAM
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- Farrugia A
- Farrugia A
- Faruq A
- Fathy AM
- Fattah AA
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- Faturoti O
- Faturoti O
- Faure A
- Fautz T
- Favero A
- Fawzy A
- Feidantsis T
- Felipe CO
- Fergany A
- Fergusson SJ
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- Jubran AF
- Juciute S
- Julaihi R
- Jurdell E
- Kaafarani H
- Kabariti R
- Kabariti R
- Kabba J
- Kabongo K
- Kache S
- Kaci AA
- Kadiwar S
- Kalakouti E
- Kalles V
- Kalles V
- Kalles V
- Kamarajah SK
- Kamarulzamil SNA
- Kamil R
- Kamya S
- Kanani A
- Kandil AM
- Kandil H
- Kang MK
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- Karabacak U
- Karabelias G
- Karabulut K
- Karahan SR
- Karakahya M
- Karandikar S
- Karandikar S
- Kariem N
- Karim A
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- Karismaningtyas H
- Karjiker P
- Karkeet M
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- Karlo R
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- Karousos D
- Karumnas P
- Kaselis N
- Kaselis N
- Kasem E
- Kasem EA
- Kasputyte S
- Kaul A
- Kazanavicius D
- Kedar A
- Kefalidi E
- Keke KR
- Kelany M
- Kenibar A
- Kennedy ED
- Kennedy M
- Kennedy R
- Keogh K
- Kerley R
- Kershaw S
- Kesinger M
- Khafagy T
- Khairy H
- Khairy H
- Khajanchi M
- Khaled H
- Khalifah E
- Khalili M
- Khalique A
- Khallaf S
- Khamajeet A
- Khan A
- Khan K
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- Khan ZA
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- Khatri C
- Khatri C
- Khattab K
- Khedr AE-RH
- Khoja A
- Khoja A
- Khokha D
- Khokha V
- Khosla S
- Khouri Ferreira SA
- Khreishi R
- Khreishi R
- Khulu LB
- Khyrallh A
- Kiasat A
- Kidd T
- Kielty P
- Kim MY-H
- Kim S-H
- Kim SB
- Kimaro M
- Kinandu K
- King R
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- Kiran RP
- Kirby A
- Kirishnan A
- Kirupagaran A
- Kiudelis M
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- Klappenbach R
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- Kojo ATT
- Kojo ATT
- Kojo ATT
- Kolosov A
- Komolafe O
- Kondrotas P
- Kong C
- Kong SN
- Kong V
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- Konstantina K
- Kontos M
- Kordorwu HEK
- Korkolis D
- Kosai NR
- Kosai NR
- Kose E
- Koskenvuo L
- Kostov E
- Kotb AHE-B
- Kotecha D
- Koto MZ
- Kotobi H
- Koumpa F
- Kouraklis G
- Kourdouli A
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- Kretzmann H
- Krishna K
- Kruspi S
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- Kushwaha S
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- Kwizera S
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- Kyriazanos I
- Kyrou G
- Kyziridis D
- L'Heveder A
- La Brocca A
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- Labib P
- Ladukas A
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- Lakhani SM
- Lakshmi HN
- Lam FY
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- Lam WH
- Lamanna GL
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- Landolfo G
- Lap G
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- Lasheen A
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- Latif A
- Laugzemys E
- Laugzemys E
- Laurie K
- Lauzikas G
- Law JH
- Lawal A
- Lawal AO
- Lawal T
- Lawal TA
- Lawani I
- Lawther R
- Lazzari G
- Lazzari V
- Lazzarini Cury AD
- Le VTH
- Leal A
- Leal M
- Leanne Almanon C
- Lecompte J-F
- Lee C
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- Lee F
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- Leppaniemi A
- Leppaniemi A
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- Leusink A
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- Li KKK
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- Liew I
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- Lilford R
- Lilford R
- Lim G
- Lim H
- Lim J
- Lim PJ
- Lim SJ
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- Lim SY
- Limache S
- Limaye N
- Limoges B
- Linares Delgado MSDFT
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- loaloa MR
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- Macchitella Y
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- Macfarlane A
- Machaca M
- Machain Vega GM
- Machain Vega GM
- Maciejec L
- Madiba T
- Madkor MH
- Madrid Barrientos LA
- Maffioli A
- Maffioli A
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- Manchego Bautista AC
- Manchego Bautista AC
- Manfreda S
- Mangan C
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- Manipal CE
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- Mano MJB
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- Marroquin Rodriguez DE
- Marshall DC
- Martian B-V
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- Mironescu A
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- Mirza A
- Mirza S
- Mistry A
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- Mitroudi M
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- Moe TT
- Mogan YP
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- Mohamed AM
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- Mohamed B
- Mohamed F
- Mohamed I
- Mohamed M
- Mohamed MA
- Mohamed MAEH
- Mohamed MM
- Mohamed O
- Mohamed SR
- Mohameden A
- Mohammad A
- Mohammad A
- Mohammed A
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- Mohammed H
- Mohammed MM
- Mohammed MMH
- Mohammed S
- Mohan H
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- Monteleone M
- Monteleone M
- Montes I
- Montes I
- Montoya Botero JA
- Montrimaite M
- Montrimaite M
- Moodley Y
- Moore R
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- Mora JJV
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- Moreira G
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- Morsi A
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- Mosalum O
- Mostafa HA
- Mostafa M
- Mostafa M
- Mousa M
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- Mshelbwala P
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- Negida A
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- Nepogodiev D
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- Nwabuoku E
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- Punja V
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- Ruiz-Tovar J
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- Runigamugabo E
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- Sahel S
- Saidbadr A
- Sakr A
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- Salah OM
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- Salma M
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- Salma U
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- Samaraweera DI
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- Samison LH
- Sammarco G
- Sammut K
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- Samy S
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- Sandoval Barrantes AM
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- Publication venue
- Publication date
- 15/10/2018
- Field of study
Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
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- de Leó
- De Leon MZP
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- Dell A
- Dempster E
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- Devadasar Gh
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- Elkorashy Am
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- Farouk Sam
- Farquharson A
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- Fattah Aa
- Fatuga A
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- Faturoti O
- Faure A
- Fautz T
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- Fawzy A
- Feidantsis T
- Felipe Co
- Fergany A
- Fergusson Sj
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- Kharsa S
- Khatri C
- Khatri C
- Khattab K
- Khedr Aeh
- Khg Li
- Khoja A
- Khoja A
- Khokha D
- Khokha V
- Khosla S
- Khreishi R
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- Khulu Lb
- Khyrallh A
- Kiasat A
- Kidd T
- Kielty P
- Kim My
- Kim Sb
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- Kinandu K
- King R
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- Kinnera Sv
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- Kirby A
- Kirishnan A
- Kirupagaran A
- Kiudelis M
- Kjellin A
- Kkk Li
- Klappenbach R
- Knight S
- Koay Kl
- Kobal Bb
- Koh C
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- Kojo Att
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- Kolosov A
- Komolafe O
- Kondrotas P
- Kong C
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- Kong V
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- Konstantina K
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- Kordorwu Hek
- Korkolis D
- Kosai Nr
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- Kose E
- Koskenvuo L
- Kostov E
- Kotb Ahe
- Kotecha D
- Koto Mz
- Kotobi H
- Koumpa F
- Kouraklis G
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- Kretzmann H
- Krishna K
- Kruspi S
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- Kumwenda D
- Kushwaha S
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- Kusi K
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- Kwakyeafriyie P
- Kwatiwani C
- Kwizera S
- Kwok Sh
- Kyereh M
- Kyriazanos I
- Kyrou G
- Kyziridis D
- Ló
- L&apos
- La Brocca A
- la Medina AR
- la Medina AR
- la Medina AR
- Labib P
- Ladukas A
- Lafferty K
- Lagunavicius K
- Lai Ac
- Lakhani Sm
- Lakshmi Hn
- Lam Fy
- Lam Jcy
- Lam Wh
- Lamanna Gl
- Lanau Miv
- Lando J
- Landolfo G
- Landolfo G
- Lap G
- Lapitan Mc
- Lapitan Mc
- Larsen Jw
- Lasek A
- Lasheen A
- Lasheen Kt
- Latif A
- Laufer Lav
- Laugzemys E
- Laugzemys E
- Laurie K
- Lauzikas G
- Law Jh
- Lawal A
- Lawal Ao
- Lawal T
- Lawal Ta
- Lawani I
- Lawther R
- Lazzari G
- Lazzari V
- Leal A
- Leal M
- Lecompte Jf
- Lee C
- Lee Ex
- Lee F
- Lee K
- Lee Kc
- Lee Ky
- Lee Tsb
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- Leone N
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- Leppä
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- Leung Kw
- Leung Mf
- Leusink A
- Lewis J
- Li Ws
- Licari L
- Lieske B
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- Liew I
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- Lilford R
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- Lim G
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- Lim J
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- Lim Sy
- Limache S
- Limaye N
- Limoges B
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- Lipnickas V
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- Livingston M
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- Lo Conte A
- Loaloa Mr
- Lockey J
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- Loizides S
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- Longstaff L
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- Lorenzon L
- Lossius Wj
- Loughran D
- Low X
- Luc Ar
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- Luck J
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- Luglio G
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- Lundgren Po
- Luque Gb
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- Lytras D
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- Má
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- Mabrouk M
- Macchiavello R
- Macchitella Y
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- Macdonald A
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- Maceviciute K
- Macfarlane A
- Machaca M
- Maciejec L
- Madiba T
- Madkor Mh
- Maffioli A
- Maffioli A
- Magdy A
- Magdy B
- Magdy E
- Magdy H
- Magdy M
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- Magee C
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- Margaritis M
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- Marinkovic B
- Marinos C
- Marks E
- Marples L
- Marret Jb
- Marshall Dc
- Martian Bv
- Martin A
- Mas R
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- Matheu A
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- Mendoza I
- Menegussi J
- Mensah E
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- Mentula P
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- Milligan W
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- Minocha A
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- Miranda C
- Mircea H
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- Mironescu A
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- Mirza A
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- Mistry A
- Mitrasinovic S
- Mitroudi M
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- Modolo Mm
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- Mogan Yp
- Moghazy Me
- Mohamed A
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- Mohamed Am
- Mohamed Ar
- Mohamed B
- Mohamed F
- Mohamed I
- Mohamed M
- Mohamed Ma
- Mohamed Maeh
- Mohamed Mm
- Mohamed O
- Mohamed Sr
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- Mohammad A
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- Mohammed H
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- Mohammed S
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- Molina G
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- Monaghan E
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- Monrad-Hansen Pw
- Montejo Msg
- Monteleone M
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- Montes I
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- Montrimaite M
- Montrimaite M
- Moodley Y
- Moore R
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- Mora Jjv
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- Mostafa Ha
- Mostafa M
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- Moussa O
- Moustafa A
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- Mowafy B
- Mphatsoe Am
- Mshelbwala P
- Msiska N
- Msosa V
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- Mukuzunga C
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- Nanthakumaran S
- Napolitano L
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- Naqvi Sa
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- Naranjo Aristizã
- Narayanan R
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- Ndegwa W
- Ndlovu Sr
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- Negida A
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- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
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- Nesaratnam A
- Nessa A
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- Nevieraite V
- Newton T
- Ng S
- Ng Yk
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- Nikoloudis N
- Nikoloudis N
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- Njokanma I
- Nnajiuba H
- Nocito A
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- Nofal E
- Noor F
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- Notarnicola M
- Notarnicola M
- Nouh T
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- Noukpozounkou B
- Novak A
- Nowers J
- Nsengimana Vjp
- Nsengiyumva C
- Ntirenganya F
- Nur&apos
- Nurqistan Hd
- Nwabuoku E
- Nwinee V
- Nwokoro C
- Nyberg J
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- O&apos
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- Odutola O
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- Ogunyemi A
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- Olaolorun A
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- Samaniego Cs
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- Publication venue
- 'Wiley'
- Publication date
- 27/11/2018
- Field of study
Background
End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection.
Methods
This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model.
Results
In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001).
Conclusion
Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
Wetting behavior of plasma treated low-k films in dHF cleans solutions
- Author
- Publication venue
- Publication date
- 05/10/2014
- Field of study
Post-ash and post-etch cleaning of low-k structures require significant wetting of their surfaces. This work focuses on the interactions between dilute HF cleaning chemistries (dHF - 1:50 to 1:1000) on porous low-k surfaces (k = 2.3) as a function of time. Wetting of these solutions was measured by a contact angle goniometer within a high humidity environment. Because ashing low-k films can change their surface chemistry and structure, the contact angles of dHF on N2/H2 and O2 ashed porous low-k films were measured as well. Ellipsometry has shown that 1:50 HF removes an ash-damaged layer from the low-k. Based on thickness loss measurements (ellipsometry and profilometry), the composition of the dilute HF droplet changes minimally as it etches the dielectric surface. Under more concentrated dHF solutions, changes in contact angle, droplet radius, and volume indicate that the droplet spreads for an initial period and then reaches a steady state, perhaps due to the creation of an etch inclusion on the surface. The steady state volume changes show volume loss rates similar to those expected from evaporation; however, the total volume losses are less than expected from only evaporative processes. © 2014 Elsevier B.V. All rights reserved
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
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- Zulkifli A.
- Zumbuhl L.
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2019
- Field of study
Background: End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods: This study comprised an analysis of GlobalSurg-1 and-2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle-and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results: In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 percent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low-compared with middle-and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion: Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis
- Author
- Abantanga Francis Atindaana
- Abayomi Olukayode
- Abayomi Olukayode
- Abdulai Darling Ramatu
- Abdulai Ramatu Darling
- Abdullahi Lawal
- Abdullahi Lawal Barau LB
- Abdulsalam Moruf
- Abdur-Rahman Lukman
- Abdur-Rahman Lukman Olajide
- Abdus-Salam Rukiyat
- Abdus-Salam Rukiyat A
- Abubakari Fatao
- Abunimye Esther
- Acevedo Diego Luna
- Acheampong Dorcas Otuo
- Acheampong Dorcas Otuo
- Acquah Ato Oppong
- Acquah Ato Oppong
- Acquah Daniel Kwesi
- Acquah Daniel Kwesi
- Acquah Regina
- Acquah Regina
- Acquaye Jane
- Acquaye Jane
- Adagrah Luke Aniakwo
- Adam-Zakariah Leslie Issa
- Adam-Zakariah Leslie Issa
- Adams Mary Augusta
- Adams Mary Augusta
- Addo Kwame Gyambibi
- Adebayo Francis
- Adebayo Francis O
- Adebayo Sikiru
- Adebayo Sikiru Adekola
- Adebunmi Adeoluwa
- Adedotun Adesiyakan
- Adeleke Akeem
- Adeleke Nurudeen
- Adeleke Nurudeen Abiola
- Adeleye Victoria
- Adeleye Victoria
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Ademuyiwa Adesoji O
- Ademuyiwa Adesoji O
- Adenikinju Wilson
- Adeniran Abimbola
- Adeniyi Olumide
- Adeniyi Oluwafunmilayo
- Adeniyi Oluwafunmilayo
- Adepiti Akinfolarin
- Aderounmu Adewale
- Aderounmu Adewale A
- Adesanya Opeoluwa
- Adesola Muideen
- Adesunkanmi Abdulhafiz
- Adewunmi Abdus-sami
- Adinku Michael
- Adinku Michael
- Adisa Adewale
- Adisa Adewale O
- Adisa Adewale O
- Adjei Faisal
- Adjei-Acquah Esther
- Adjei-Acquah Esther
- Ado Khadija
- Ado Khadija A
- Adobea Vivian
- Adobea Vivian
- Adu-Aryee Nii Armah
- Adu-Aryee Nii Armah
- Adu-Brobbey Raphael
- Adu-Brobbey Raphael
- Afolabi Rafiat
- Afolabi Rafiat Tinuola
- Agbedinu Kwabena
- Agbeko Anita Eseenam
- Agbeko Anita Eseenam
- Agboadoh Nelson
- Agboton Gerard
- Aggarwal Manisha
- Agodirin Sulaiman
- Aguirre Celina Cuellar
- Aguirre Laura Reyes
- Aguirre Laura Reyes
- Agyekum Vera
- Agyekum Vera
- Agyemang Eric
- Agyemang Eric
- Ahmed Hafsa Imtiyaz
- Ahossi Rene
- Aisuodionoe-Shadrach Oseremen
- Aisuodionoe-Shadrach Oseremen
- Ajai Olalekan
- Ajai Olalekan T
- Ajao Akinlabi
- Ajao Akinlabi E
- Ajekwu Samuel
- Ajenjfuja Olusegun
- Akaba Godwin
- Akaba Godwin O
- Akande Olukemi
- Akesseh Rebecca Adjeibah
- Akinajo Opeyemi
- Akinajo Opeyemi
- Akinboyewa David
- Akinboyewa David
- Akindojutimi Jerrie
- Akinkuolie Akinbolaji
- Akosa Enoch Appiah
- Akoto Erica
- Akpla Marcelin
- Alakaloko Felix
- Alakaloko Felix
- Alasi Iyabo
- Alasi Iyabo
- Alatise Olusegun
- Alexander Philip
- Alexander Philip V
- Alhassan Bin Baaba Alhaji
- Alhassan Shamudeen Mohammed
- Aliyu Salele Mohammed AS
- Aliyu Mohammed
- Allen Olubukola
- Ally Zain
- Ally Zain
- Alpheus Rahul
- Amankwa Emmanuel Gyimah
- Amao Olayide Michael
- Ameh Lazarus
- Ameh Lazarus
- Ameh Lazarus
- Ametefe Elikem
- Amoah George
- Amoah Michael
- Amoah Michael
- Amoako James
- Amoako James
- Amoako Joachim Kwaku
- Amoako-Boateng Mabel Pokuah
- Amoako-Boateng Mabel Pokuah
- Amosu Lukmon
- Amponsah-Manu Forster
- Amponsah-Manu Forster
- Amusat Olanrewaju
- Anachy Jeremiah P
- angeles Bueno Wenceslao G
- Ankomah James
- Ankomah James
- Anyanwu Lofty-John
- Anyawu Lofty-John Chukwuemeka LJC
- Appiah Akosua Dwamena
- Appiah Akosua Dwamena
- Appiah Anthony Baffour
- Appiah Anthony Baffour
- Appiah Juliana
- Appiah Juliana
- Archibong Micheal
- Arellano Ana Bogurin
- Aremu Isiaka
- Armah Ralph
- Armah Ralph
- Arowolo Olukayode
- Arthur Joshua
- Arthur Joshua
- Aruldas Neerav D
- Asabre Esther
- Asabre Esther
- Asante-Asamani Alvin
- Asare Christopher
- Asare Christopher
- Aseti Mark
- Ashley Christiana
- Assah-Adjei Frank
- Assah-Adjei Frank
- Assouto Pamphile
- Atobatele Kazeem
- Atoyebi Oluwole
- Atoyebi Oluwole
- Attepor Godsway Solomon
- Avendano Alejandro Cuevas
- Awonuga David
- Ayandipo Omobolaji
- Ayandipo Omobolaji O
- Ayantona Deborah
- Ayim Alex
- Ayinde Ademola
- Ayingayure Emmanuel
- Ayingayure Emmanuel
- Ayodeji Emmanuel Kafui
- Ayodeji Emmanuel Kafui
- Badejoko Olusegun
- Badmus Tajudeen
- Ballu Cletus
- Ballu Cletus
- Balogun Olanrewaju
- Balogun Olanrewaju
- Baltazar Gomez Isaac
- Banka Charles
- Barbosa Camacho Francisco J
- Barimah Charles Gyamfi
- Barimah Charles Gyamfi
- Barreto Gallo Mariana E
- Bassey Edet Glory
- Behanzin Hulrich
- Behanzin Hulrich
- Belie Orimisan
- Belie Orimisan
- Bello Jibril
- Bello Jibril Oyekunle
- Belmontes Kevin Pintor
- Bennin Amos
- Bernal Hernandez Aldo
- Bhangu Aneel
- Bhangu Aneel
- Bhangu Aneel
- Bhangu Aneel
- Bhatt Alisha
- Bhatt Alisha
- Bhatti Dimple
- Bhatti William
- Biccard Bruce
- Biccard Bruce
- Bir Karan
- Birtles Cheryl
- Bisimwa Nathan
- Bismark Kontor Effah
- Blazeby Jane
- Boakye Anthony Appiah
- Boakye Appiah Anthony
- Boakye Benedict
- Boakye Benedict
- Boakye Percy
- Boakye-Yiadom Jonathan
- Boakye-Yiadom Jonathan
- Boateng Edward Amoah
- Boateng Edward Amoah
- Boateng Guy Casskey
- Boateng Ruby Acheampong
- Boateng Ruby Acheampong
- Bode Christopher
- Bode Christopher
- Bogurin Arellano Ana L
- Brant Felicity
- Brian Gyamfi
- Brocklehurst Peter
- Brocklehurst Peter
- Brocklehurst Peter
- Brown George Darko
- Brown Julia
- Bucyibaruta Georges
- Bueno Wenceslao Angeles
- Bunogerane Gisele Juru
- Camacho Francisco Barbosa
- Cerdan Claudia Caballero
- Cervantes Ortiz Reyes J
- Cervantes Reyes Ortiz
- Chakrabortee Sohini
- Chakrabortee Sohini
- Chakrabortee Sohini
- Chiejina Godwin
- Chiejina Godwin O
- Chobli Hugues Herve
- Choudhrie Ashish
- Chowdri Nisar A
- Christian Kyeremeh
- Cook Jonathan
- Coompson Christian Larbi
- Coompson Christian Larbi
- Cortes Flores Ana O
- Cortes Torres Edgar J
- Cousens Simon
- Crawford Richard
- Cuellar Aguirre Celina
- Cuevas Avendano Alejandro
- Dadzie Samuel
- Dadzie Samuel
- Dally Charles
- Dally Charles
- Daniel Esther
- Daniel Swati
- Dankwah Fred
- Dankwah Fred
- Dasari Amos
- Davor Anthony
- Davor Anthony
- de Dieu Haragirimana Jean
- de Dieu Haragirimana Jean
- de la Fuente Alejandra Nayen Sainz
- de la Fuente Alejandra Nayen Sainz
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de la Medina Antonio Ramos
- de Rojas Erick Gonzalez Garcia
- Debrah Samuel A
- Debrah Samuel A
- del Campo Laura Urdapilleta Gomez
- Dhamija Parth
- Dhar Tapasya
- Dhiman Jyoti
- Dhiman Jyoti
- Doe Stanley
- Dokponou Mireille
- Dominguez Sansores Luis A
- Dominguez Solano David R
- Doris Emily
- Dossou Francis Moise
- Dossou Francis Moise
- Dossou Francis Moise
- Duran Sanchez Iran I
- Duran Irani
- Duru Nnamdi Jonathan
- Dusabe Moses
- Dusabe Moses
- Dutta Rohini
- Dutta Rohini
- Dzemta Corinne
- Dzemta Corinne
- Ede Chikwendu Jeffrey
- Ede Jude
- Ede Jude K
- Edet Ekpo
- Edet Expo E
- Edwin Yenli
- Egbuchulem Kelvin
- Egbuchulem Kelvin I
- Egwuonwu Ochomma
- Egwuonwu Ochomma Amobi
- Eke Grace
- Ekenze Sebastian
- Ekenze Sebastian O
- Ekwesianya Andrew
- Ekwuazi Hyginus
- Ekwuazi Hyginus O
- Ekwunife Okechukwu
- Ekwunife Okechukwu Hyginus
- Elebute Olumide
- Elebute Olumide
- Elemile Peter
- Elemile Peter
- Elijah Mensah
- Emmanuel Owusu Abem
- Enemuo Vincent
- Enemuo Vincent C
- Enoch Akosa Appiah
- Enti Donald
- Enti Donald
- Essien Derick
- Etonyeaku Amarachukwu
- Eze Matthew
- Eze Matthew I
- Ezenwankwo Francis
- Ezenwankwo Francis
- Ezinne Uba
- Ezomike Uchechukwu
- Ezomike Uchechukwu O
- Faboya Omolara
- Faboya Omolara M
- Fasiku Olushola
- Fatuga Adedeji
- Fenu Benjamin
- Fiogbe Michel
- Flint Margot
- Flores Ana Cortes
- Flores Oscar Olvera
- Fosu Godfred
- Fosu Godfred
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- Mbadiwe Okezie M
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- Mbajiekwe Ndubuisi
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- Mistry Punam
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- Monahan Mark
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- Moore Rachel
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- Morna Martin Tangnaa
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- Munyaneza Aphrodis
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- Munyaneza Emmanuel
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- Muroruhirwe Piolette
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- Mutabazi Emmanuel
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- Ndegamiye Gibert
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- Tackie Enoch
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- Twerefour Emmanuel Yaw
- Uanikhoba Martins
- Uanikhoba Martins
- Uche Chisom
- Uche Chisom Faith
- Udie Gabriel
- Udie Gabriel U
- Udosen Joseph
- Udosen Joseph E
- Ugwu Aloy
- Ugwuanyi Kenneth
- Ugwunne Chuka
- Ukata Onyekachi
- Ukata Onyekachi G
- Urimubabo Christian
- Urimubabo Christian Jean
- Usang Usang
- Usang Usang E
- Uwimana Jean Claude
- Uwizeyimana Francine
- Uwizeyimana Francine
- Vaduneme Oriji
- Vakil Rakesh
- Valadez Michel Hernandez
- Valadez Michel Hernandez
- Varghese Rose
- Vazquez Diana S Gonzalez
- Vazquez Diana Samantha Gonzalez
- Veetil Sreejith
- Velasco Monica Jimenez
- Verjee Azmina
- Victor Abhulimen
- Vincent Agbulu Moses
- Wani Rauf A
- Williams Emmanuel
- Williams Emmanuel
- Williams Omolara
- Williams Omolara M
- Winkles Neil
- Wordui Theodore
- Wordui Theodore
- Wuraola Funmilola
- Wuraola Funmilola O
- Yakubu Mustapha
- Yamoah Francis Akwaw
- Yeboah Cynthia
- Yeboah Cynthia
- Yeboah Grace
- Yeboah Grace
- Yefieye Abiboye Cheduko
- Yenli Edwin Mwintiereh Taang
- Yorke Joseph
- Yorke Joseph
- Zechariah Pradeep
- Zechariah Pradeep
- Zirikana Job
- Zirikana Job
- Zounon Mack-Arthur
- Zume Marshall
- Zume Marshall
- Publication venue
- Oxford University Press (OUP)
- Publication date
- 01/01/2023
- Field of study
BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways
Management and Outcomes Following Surgery for Gastrointestinal Typhoid: An International, Prospective, Multicentre Cohort Study
- Author
- A O Ademuyiwa
- Abdul Khalique
- Abdul Rehman Alvi
- Abdul Wahid Anwar
- Abdulrahman Sheshe
- Abdulrasheed A Nasir
- Abdulrasheed Nasir
- Abdulrazzaq Lawal
- AbdulRazzaq Oluwagbemiga Lawal
- Abdurrahaman Sheshe
- Abdussemiu Abdurrazzaaq
- Abhishek Mittal
- Abiboye Yifieyeh
- Abid Bin Mahamood
- Abidemi Adesuyi
- Adam Gyedu
- Adedapo Osinowo
- Adedapo Osinowo
- Adedeji Fatuga
- Adeleke Adekoya
- Ademola Adebanjo
- Ademola Adebanjo
- Ademola Adeyeye
- Ademola Adeyeye
- Ademola Adeyeye
- Ademola Popoola
- Ademola Popoola
- Adesoji Ademuyiwa
- Adesoji Ademuyiwa
- Adesoji O Ademuyiwa
- Adesoji O Ademuyiwa
- Adesoji Tade
- Adewale Adeniyi
- Adewale Adeniyi
- Adewale O Adisa
- Afizah Salleh
- Agboola Taiwo
- Ahmad Bani-Sadar
- Ahmad Faraz
- Ahmad Uzair Qureshi
- Ahmad Uzair Qureshi
- Ahmed Adamu
- Ahmed Raza
- Ahsan Zil-E-Ali
- Ainhoa Costas-Chavarri
- Akin Olaolorun
- Akinlabi Ajao
- Akinlabi E Ajao
- Alaba Adesina
- Alaba Adesina
- Ali Khan Niazi
- Alphonse Zeta Mutabazi
- Alphonse Zeta Mutabazi
- Alvin Ee Zhiun Cheah
- Aminu Mohammad
- Aminu Mohammad
- Anam Rashid
- Anand Kirishnan
- Andre L Mihaljevic
- Aneel Bhangu
- Anjana Sreedharan
- Anthony Ajiboye
- Anthony Avoka
- Anthony Davor
- Antje Oosterkamp
- Antoinette Bediako-Bowan
- Antonio Ramos-De la Medina
- Anyomih Theophilus Teddy Kojo
- Anyomih Theophilus Teddy Kojo
- April Camilla Roslani
- Asdaq Ahmed
- Ashrarur Rahman Mitul
- Awais Raza
- Ayokunle Ogunyemi
- Babajide Adenekan
- Babatunde Odeyemi
- Babatunde Odeyemi
- Bakhtiar Nighat
- Bashir Bello
- Bruno Noukpozounkou
- Bylapudi Seshu Kumar
- Caranj Venugopal
- Catherine A Shaw
- Charles Dally
- Cheewei Gan
- Choy Ling Tan
- Chris Bode
- Christian Lari Coompson
- Christopher Bode
- Chu-Ann Chai
- Chui Yee Wong
- Clement Onuoha
- Collins Nwokoro
- Crystal Yern Nee Chow
- Cutting Edge Manipal
- Danjuma Sale
- Dansou Gaspard Gbessi
- Dayang Nita Abdul Aziz
- Dickson Bandoh
- Dieudonne Duhoranenayo
- Dion Morton
- Djifid Morel Seto
- Dmitri Nepogodiev
- Dulan Irusha Samaraweera
- Durvesh Lacthman Jethwani
- Ebenezer Takyi Atkins
- Ekow Mensah
- Elliot Akoto
- Emeka Nwabuoku
- Emmanuel Acquah
- Emmanuel Akatibo
- Enoch Dagoe
- Enoch Tackie
- Eric Ackom
- Eric Kofi Appiah
- Ernest Yemalin Stephane Ahounou
- Eu Xian Lee
- Ewen M Harrison
- Ewen M Harrison
- Fatai Balogun
- Fatima Baluch
- Faustin Ntirenganya
- Felix Alakaloko
- Felix Alakaloko
- Feng Yih Chai
- Fernande Djivoh
- Fitjerald Henry
- Florence Dedey
- Francesco Pata
- Francis Abantanga
- Francis Abantanga
- Francis Dossou
- Frank Enoch Gyamfi
- Frank Owusu
- Frank Owusu
- Fred Hodonou
- Gandau Naa Barnabas
- Garba Samson
- George Ihediwa
- Germain Ahlonsou
- Ghina Shamim Shamsi
- Ghina Shamsi
- Giuliano Borda-Luque
- Hafiz Hakim
- Halima Aliyu
- Hamza Asumah
- Harish Neelamraju Lakshmi
- Hasnain Abbas Dharamshi
- Henry Mendel
- Hian Ee Heng
- Hoong-Yin Chong
- Hope Edem Kofi Kordorwu
- Hope Glover-Addy
- Hosni Khairy Salem
- Hussein Mohammed
- Ibrahim Raza
- Iloba Njokanma
- Isaac Amole
- J C Allen Ingabire
- J C Allen Ingabire
- J Edward Fitzgerald
- J Edward Fitzgerald
- J Jeyakumar
- James Adeniran
- James Adeniran
- James Glasbey
- James Glasbey
- Jennifer Nowers
- Jennifer Rickard
- Jerry Makama
- Jesse Ron Swire Ting
- Jia Yng Siaw
- Jian Er Saw
- Jibran Abbasy
- Joachim Amoako
- Joe-Nat Clegg-Lampety
- Joe-Nat Clegg-Lamptey
- Jonathan Ajah
- Jonathan Dakubo
- Joseph Awuku-Asabre
- Justus Lando
- Kamran Faisal Bhopal
- Kamran Faisal Bhopal
- Kandasami Palayan
- Kazeem Atobatele
- Kean Leong Koay
- Keat-Seong Poh
- Kenneth Aaniana
- Kenneth Johnson
- Khalid Mahmud
- Khuzaimah Zahid Syibrah
- Kpèmahouton René Keke
- Kuet Jun Chung
- Kuhaendran Gunaseelan
- Kwabena Agbedinu
- Kwaku Boakye-Yiadom
- Kwame Maison
- Kwasi Asare-Bediako
- Kwasi Kusi
- Lalith Asanka Jayasooriya Jayasooriya Arachchige
- Lawal Abdullahi
- Lawani Ismaïl
- Lawani Ismaïl
- Lawani Ismaïl
- Lemuel Davies Bray
- Li Jing Yeang
- Ling Wilson
- Lofty-John Anyanwu
- Lofty-John Anyanwu
- M Mohan
- Mabel Amoako-Boateng
- Mahadevan Deva Tata
- Mahnoor Javaid
- Makafui Dayie
- Margub Hussain
- Maria Lorena Aguilera
- Marie Carmela Lapitan
- Martin Kyereh
- Maryam Ali Khan
- Masood Jawaid
- Mattew Ekow
- Max Dénakpo
- Michael Amoah
- Micheal Ohene-Yeboah
- Milaksh Kumar Nirumal
- Mobolaji Oludara
- Mobolaji Oludara
- Mohamed Rezal Abdul Aziz
- Mohammad Aliyu
- Mohammad Mohsin Arshad
- Mohammadasim Amjad
- Mohammed Bukari
- Mojolaoluwa Olugbemi
- Monty Khajanchi
- Muhammad Adil
- Muhammad Daniyan
- Muhammad Habib Ibrahim
- Muhammad Mohsin Furqan
- Muhammad Saqlain
- Muhammad Talha Butt
- Muhammad Taqiyuddin Yahaya
- Muhammad Waqar
- Musah Yakubu
- Muslimat Alada
- Mustafa Mohammed Taher
- Muthukumaran Rangarajan
- Najwa Nadeem
- Neel Limaye
- Neil Smart
- Nidhi Gyanchandani
- Niiarmah Adu-Aryee
- Nik Azim Nik Abdullah
- Nik Ritza Kosai
- Noman Shahzad
- Nora Abdul Aziz
- Norbert Uzabumwana
- Nur Zulaika Riswan
- Ogechukwu Taiwo
- Ogechukwu Taiwo
- Olabisi Osagie
- Olabode Oshodi
- Olajide Abiola
- Olalekan Ajai
- Olubukola Faturoti
- Olubukola Faturoti
- Olufemi Habeeb
- Olumide Elebute
- Olumide Elebute
- Oluseyi Ogunsua
- Oluwaseyi Adebola
- Oluwatomi Odutola
- Omobolaji Ayandipo
- Omobolaji O Ayandipo
- Omolara Faboya
- Omolara Williams
- Omolara Williams
- Opeoluwa Adesanya
- Opeoluwa Adesanya
- Osman Imoro
- Owusu Emmanuel Abem
- Oyediran Kehinde Timothy
- Oyindamola Oshati
- Paul Wondoh
- Paul Wondoh
- Pei Ying Koh
- Philip Alexander
- Philip Mshelbwala
- Philip Taah Amoako
- Pigeneswaren Yoganathan
- Prasad Pitigala Arachchi
- Pratik Jain
- Prince Kwakyeafriyie
- Prisca A L Har
- Pui Xin Chin
- Puneet Malik
- R Goh Ern Tze
- Rajeev Satoskar
- Reynu Rajan
- Richard Lilford
- Richard Opoku-Agyeman
- Richard Spence
- Richmond Hagan
- Riinu Ots
- Riinu Ots
- Robert Parker
- Rokayah Julaihi
- Roland Osuoji
- Roland Osuoji
- Ross Coomber
- S S Prasad
- S Tabiri
- S V Kinnera
- Saiba Abdul-Latif
- Sam Debrah
- Samson Olori
- Samson Olori
- Samuel Essoun
- Samuel Osei-Nketiah
- Samuel S Y Sii
- Samuel Sani Ali
- Sandip Kumar
- Sani Ali Samuel
- Sara W Al-Saqqa
- Sarah Rayne
- Savni Satoskar
- Sebastian Shu
- Shamsudeen Aliyu
- Shravan Nadkarni
- Shu Ning Kong
- Shuang Yi Teo
- Shyang Yee Lim
- Sir Young Yam
- Siti Mohd Desa Asilah
- Sivasuriya Sivaganesh
- Siyaka Itopa Suleiman
- Srinivas Pai
- Sriram Bhat
- Stephen Kache
- Stephen Tabiri
- Stephen Tabiri
- Stephen Tabiri
- Stephen Tabiri
- Stephen Tabiri
- Stuart J Fergusson
- Suleiman Baba
- Sunil Kumar
- Susan Wndy Mathew
- Syed Abdul Wahhab Eusoffee Wan Ali
- Syed Asaat Ul Razi
- Taha Yusufali
- Tahir Muhammad Yaseen
- Tahir Yaseen
- Tahira Naqvi
- Taiwo Akeem Lawal
- Taiwo Lawal
- Tanzeela Gala
- Tanzeela Gala
- Tapan Kumar
- Theophilus T K Anyomih
- Thierry Alihonou
- Thomas M Drake
- Thomas M Drake
- Thomas Olagboyega Olajide
- Thomas Pinkney
- Tomas Poškus
- Tuan Nur'Azmah Tuan Mat
- Tunde Sholadoye
- Umar Muktar
- Victor Dassah
- Victor Etwire
- Victor Nwinee
- Vimalakanthan Thanusan
- Wahid Anwer
- Wairimu Ndegwa
- Wan Nurul 'Ain Wan Mohd Nasir
- Wanigasekara Senanayake Mudiyanselage Kithsiri Janakantha Senanayake
- William Appeadu-Mensah
- William Bonney
- Xinwei Low
- Ya Theng Neo
- Yacoubou Imorou Souaibou
- Yahaya Ukwenya
- Yee Wen Tan
- Yella Reddy
- Yi Koon Tan
- Yi Ting Mok
- Yih Jeng Cheong
- Yiing Yee Gan
- Yishan Der
- Yong Yong Tew
- Yong Yong Tew
- Zain Ali Khan
- Zainab Iftikhar
- Zainab Iftikhar
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2018
- Field of study
Background: Gastrointestinal perforation is the most serious complication of typhoid fever, with a high disease burden in low-income countries. Reliable, prospective, contemporary surgical outcome data are scarce in these settings. This study aimed to investigate surgical outcomes following surgery for intestinal typhoid. Methods: Two multicentre, international prospective cohort studies of consecutive patients undergoing surgery for gastrointestinal typhoid perforation were conducted. Outcomes were measured at 30 days and included mortality, surgical site infection, organ space infection and reintervention rate. Multilevel logistic regression models were used to adjust for clinically plausible explanatory variables. Effect estimates are expressed as odds ratios (ORs) alongside their corresponding 95% confidence intervals. Results: A total of 88 patients across the GlobalSurg 1 and GlobalSurg 2 studies were included, from 11 countries. Children comprised 38.6% (34/88) of included patients. Most patients (87/88) had intestinal perforation. The 30-day mortality rate was 9.1% (8/88), which was higher in children (14.7 vs. 5.6%). Surgical site infection was common, at 67.0% (59/88). Organ site infection was common, with 10.2% of patients affected. An ASA grade of III and above was a strong predictor of 30-day post-operative mortality, at the univariable level and following adjustment for explanatory variables (OR 15.82, 95% CI 1.53–163.57, p = 0.021). Conclusions: With high mortality and complication rates, outcomes from surgery for intestinal typhoid remain poor. Future studies in this area should focus on sustainable interventions which can reduce perioperative morbidity. At a policy level, improving these outcomes will require both surgical and public health system advances
Global economic burden of unmet surgical need for appendicitis
- Author
- Aahlin Eirik Kjus
- Aamer Ahmed
- Aaniana Kenneth
- Ababneh Ali
- Abaliksta Tomas
- Abantanga Francis
- Abbas Mohamed
- Abbasy Jibran
- Abbo Olivier
- Abbouch Meryem
- Abd-Elmawla Manar
- Abd-Elrasoul Yasmin
- Abdallah Emad
- Abdel-Aty Abdulrahman
- Abdel-Hameed Noran
- Abdel-Kader Sara Mahmoud
- Abdel-Wahab Nehal Yosri Elsayed
- Abdelaal Abdelaziz
- Abdelaty Mohamed
- Abdelazeam Anan Rady
- Abdelazim Galaleldin
- Abdelaziz Mohamed A
- Abdelbadeai Kholoud
- Abdelfatah Afnan
- AbdelFattah Ibrahim
- Abdelgelil Asmaa
- Abdelghany Sarah
- Abdelhady Samar
- Abdelhamed Rasha
- Abdelhamid Amina
- Abdelhaq Aram
- Abdelkader Mostafa
- Abdelkader Omar
- Abdelkareem Ahmed
- Abdelkhalek Mohamed
- Abdelmageed Eman
- Abdelmotaleb Ibrahem
- Abdelraheim Mohamed
- Abdelraouf Ahmed Mahmoud
- Abdelrouf Doaa Maher
- Abdelshafy Mahmoud
- Abdelshakour Mahmoud
- Abdrabou Abdulshafi Khaled
- Abdul-Latif Saiba
- Abdulaziz Hager
- Abdulbagi Omar
- Abdulgawad Mahmoud
- Abdulhakeem Eman Mahmoud
- Abdullah Mohamed Abozed
- Abdullah Nik Azim Nik
- Abdullah Noha
- Abdullahi Lawal
- Abdurrazzaaq Abdussemiu
- Abebe Nebiyou Seyoum
- Abebe Nebyou Seyoum
- Abem Owusu Emmanuel
- Abiola Olajide
- Aboarab Aya
- Aboelella Majed
- Aboelmagd Omnia
- Aboelsoud Moustafa R.
- Aboraya Metwally
- Aboraya Mohammad
- Abouelnasr Alaa
- Aboul-Naga Mariam Saad
- Abouzahra Amany
- Abouzaid Arwa
- Abozaid Mohamed
- Abozeid Khaled
- Abozyed Mahmoud Ahmed Fathi
- Abu-toyour Maram
- Abubakr Marwan
- Abudeeb Haytham
- Abuowda Yousef
- Abuqwaider Eman
- Abusalem Lana
- Abuseif Mohamed
- Abushamleh Soha
- Ackom Eric
- Acquah Emmanuel
- Adam Nourhan
- Adams Ryan
- Adamu Ahmed
- Adawi Ihdaa
- Adawi Mohammad
- Adebanjo Ademola
- Adebola Oluwaseyi
- Adedeji Adesina
- Adekoya Adeleke
- Adel Abdalrahman
- Adel Ahmed
- Adel Badr Eldin
- Adel Israa
- Adella Fidelis Jacklyn
- Adelshone Abdelrahman
- Ademuyiwa Adesoji O
- Adenekan Babajide
- Adeniran James
- Adeniyi Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesuyi Abidemi
- Adeyeye Ademola
- Adham Walid
- Adhitama Novia
- Adil Muhammad
- Adisa Adewale O
- Adnan Ahmad Bin
- Adu-Aryee Niiarmah
- Afana Samah
- Afandy Ahmed
- Afifi Ahmed Mohamed
- Africa South
- Agalianos Christos
- Agarwal Arnav
- Agbedinu Kwabena
- Agius Marija
- Aglan Amro
- Aguilar Wendy Leslie Messa
- Aguilar-Jimenez Jose
- Aguilera Maria Lorena
- Aguilera Omar
- Aguilera-Arevalo Maria-Lorena
- Ahlonsou Germain
- Ahlqvist Sandra
- Ahmed Ahmed
- Ahmed Asdaq
- Ahmed Ataa
- Ahmed Emad Ali
- Ahmed Hala
- Ahmed Hayam
- Ahmed Hussien
- Ahmed Lopna Ahmed Mohamed
- Ahmed Sara
- Ahmed Saraibrahim
- Ahmed Soliman Magdy
- Ahounou Ernest Yemalin Stephane
- Aigrain Yves
- Ajah Jonathan
- Ajai Olalekan
- Ajao Akinlabi E
- Ajiboye Anthony
- Akatibo Emmanuel
- Akeel Nouf
- Akoto Elliot
- Al-Aarag Asmaa Abdel-Rahman
- Al-Azraqi Israa Abdullah Aziz
- Al-Buhaisi Alaa
- Al-Dakka Emad
- Al-Faifi Jubran J
- Al-faqawi Maha
- Al-farram Hadeel
- Al-Hameedi Hasan Ismael Ibraheem
- Al-Hasani Ruqaya Kadhim Mohammed Jawad
- Al-khatib Ahmed
- Al-Mallah Abdullah
- Al-Marakby Dina
- Al-Mousa Mashael
- Al-Nahrawi Safwat
- Al-Obaedi Ossama
- Al-saqqa Sara
- Al-Saqqa Sara W
- Al-shammari Abeer
- Al-Slaibi Ibrahim
- Al-taher Taher
- Alada Muslimat
- Alahmady Omar
- Alakaloko Felix
- Alaloul Enas
- Alamin Shadid
- Alamoudi Mohammed
- Alamoudi Uthman
- Albeladi Bandar
- Albiety Adel
- Aldalaq Ahmad
- Aldhafeeri Salman
- Aledrisy Mohannad
- Alexander Philip
- Alexandre Challine
- Alfarsi Muayad Ahmed
- Alghamdi Ahmed
- Alghamdi Basim
- Alghamdi Masood
- Alghamdi Mohammed Saleh A.
- Algohary Osama
- Alhabli Ibrahim
- Alhady Khaled
- Alhassan Basmah
- Alhazmi Wedyan
- Alhendy Mohammed
- Alherz Mohammad
- Ali Ahmad
- Ali Ahmed
- Ali Ased
- Ali Citra Dewi Mohd
- Ali Elsayed
- Ali Farah Mahmoud
- Ali Hussein
- Ali Safia
- Ali Samuel Sani
- Ali Syed Abdul Wahhab Eusoffee Wan
- Ali Tebian Hassanein Ahmed
- Alihonou Thierry
- Alimi Quentin
- Aliyu Halima
- Aliyu Mohammad
- Aliyu Shamsudeen
- Aljboor Khaled
- Aljiffry Murad
- Aljohani Emad
- Aljohani Saud
- Alkaaki Aroub
- Alkammash Abdelrahman
- Alkelani Muhammad
- Alkhabbaz Dalia
- Allam Meran
- Allam Mostafa
- Allam Yomna
- Allegri Andrea
- Allen John Lee Y
- Almallah Ahmad
- Almanon Christel Leanne
- Almoflihi Abdullah
- Almuallem Sultan
- Almy Jack
- Alnaby Mohamed Hassab
- Alnawam Ehab
- Alnuqaydan Saleh A.
- Alnusairat Aseel
- Alomar Ibrahim N.
- Alqahtani Enas
- Alqahtani Saleh
- Alrahawy Mahmoud
- Alrajraji Mawaddah
- Alrifaie Ahmad
- AlRowais Mohammed
- Alsaggaf Mohammed
- Alsaggaf Mohammed Ubaid
- Alser Osaid H.
- Alshareef Reham
- Altaf Abdulmalik
- Altamimi Abdullah
- Altamimi Afnan
- Altamini Afnan
- Altarayra Marwa
- Althwainy Amani
- Altibi Ahmed
- Altinel Yuksel
- Altoe Fernanda
- Altwigry Abdulrahman M.
- Altwijri Abdulaziz
- Alvarez Ismael Isaac Zelada
- Alvi Abdul Rehman
- Alwafai Mohammad Ghassan
- Aly Abouelatta Khairy
- Aly Mohammed Yahia Mohamed
- Alyacoubi Said
- Alyahya Reem
- Alyami Rifan
- AlYoussef Ibrahim
- Alzahrani Ahmed
- Alzahrani Mohammed
- Alzayat Thuraya
- Aman Nowrin F.
- Amandito Radhian
- Ambrozeviciute Viktorija
- Ameen Mohamed
- Amer Mohamed A
- Amin Hager Abdul Aziz
- Amin Jasim
- Amin Shadid Al
- Amjad Mohammadasim
- Ammar Mohamed
- Ammar Mohamed Sabry
- Amoah Michael
- Amoako Joachim
- Amoako Philip Taah
- Amoako-Boateng Mabel
- Amole Isaac
- Amreia Mahmoud
- Anderson-Knight Hannah
- Andersson Linda
- Andika Ferry Fitriya Ayu
- Andreotti Dario
- Angelieri Daniele
- Anis Echaieb
- Ansaloni Luca
- Antar Sarah
- Antezana Diego
- Anthoulakis Christos
- Antoniozzi Angelo
- Anwar Abdul Wahid
- Anwar Nourhan
- Anwer Wahid
- Anyanwu Lofty-John
- Aonzo Paolo
- Appeadu-Mensah William
- Appiah Eric Kofi
- Aql Shaimaa
- Aquilino Fabrizio
- Arachchi Prasad Pitigala
- Arachchige Lalith Asanka Jayasooriya Jayasooriya
- Arafa Omar
- Arafa Sara
- Arango Maria Clara Mendoza
- Araujo Rafael
- Arcudi Claudio
- Ardley Rohan
- Arenas Andy
- Aristizã¡bal Fred Alexander Naranjo
- Arman Sam
- Armellini Andrea
- Arnaud Alexis Pierre
- Arshad Mohammad Mohsin
- Arsyad Hasbi Maulana
- Arthur Tom
- Arulampalam Tan
- Aruldas Neerav
- Asal Mohamed
- Asar Yomna Hosny
- Asare-Bediako Kwasi
- Asele Frehun Ayele
- Ashal Gehad El
- Ashour Ahmad
- Ashour Khlood
- Ashtari Morvarid
- Ashton Annelisse
- Asi Fatema
- Asilah Siti Mohd Desa
- Assal Abdelrahman
- Assouto Pamphile A
- Asturias Sabrina
- Asumah Hamza
- Ata Ahmed
- Ata Ali Amin Ahmed
- Ata Aya Yehia
- Atiyeh Anwar
- Atkins Ebenezer Takyi
- Atkinson Kieran
- Atobatele Kazeem
- Attallah Noura A.
- Attar Samaa Mahmoud Al
- Attard Myranda
- Attia Attia
- Attia Attia Mohamed
- Augestad Knut Magne
- Aung Kyaw Phyo
- Austraite Aiste
- Aviles Susan
- Avoka Anthony
- Awad Israa
- Awad Sawsan Adel
- Awuku-Asabre Joseph
- Awwad Saad Al
- Ayad Sara
- Ayandipo Omobolaji O
- Ayyar Shruti
- Aziz Dayang Nita Abdul
- Aziz Mohamed Rezal Abdul
- Aziz Nora Abdul
- Azizeldine Mohammed G.
- Azmitia José René Arévalo
- Azzie Georges
- Azzis Olivier
- Baba Suleiman
- Bachri Houda
- Badawy Mahmoud
- Badenjki Mohamed Adel
- Badr Ahmed
- Badr Mohamed Fawzy Mahrous
- Badwi Nermin M
- Badwi Nermin Mohamed
- Badwy Assmaa
- Bahar Suraya
- Baheeg Mohamad
- Bailey Karen
- Baird Alan
- Bakhaidar Mohamad
- Bakr Ahmad
- Bakry Hesham Mohammed
- Bala Miklosh
- Balalis Dimitrios
- Baldacchino Matthew
- Balducci Genoveffa
- Balila Reem Mohammed Hassan
- Balkan Ali Zeynel Abidin
- Ball Alasdair
- Ballouhey Quentin
- Balmaceda Rubén
- Balogun Fatai
- Baltrunas Robertas
- Baluch Fatima
- Bamicha Anastasia
- Bamicha Athanasia
- Banaitis Vincas Jonas
- Bandoh Dickson
- Bani-Sadar Ahmad
- Banipal Gurpreet Singh
- Baraka Heba
- Barakat Sara Abd Elmageed
- Barendegere Venerand
- Barkolias Christos
- Barnabas Gandau Naa
- Barneo Luis
- Barrantes Ana Maria Sandoval
- Barrawi Fayez Elian Al
- Barreda Luis Miguel Alvarez
- Barrientos Linda Alvi Madrid
- Barrios Emanuel
- Barrios Emmanuel
- Basilicò Silvia
- Basir Elissa Rifhan Mohd
- Bassem Monica
- Bassit Khalil Abdul
- Basso Celeste Del
- Basso Stefano M. M
- Bastawis Fatema Al
- Basto Carlos Alejandro Arroyo
- Bautista Ana Cecilia Manchego
- Beasley William
- Bedada Alemayehu Ginbo
- Bediako-Bowan Antoinette
- Behar Nebil
- Beisa Virgilijus
- Bekhet Amira Hassan
- Bekhet Nada Mohamed
- Beleño Alvaro Enrique Mendoza
- Belkouchi Abdelkader
- Belli Andrea
- Bello Bashir
- Benammi Sarah
- Benevento Angelo
- Bennai Redouane Mammar
- Bentounsi Zineb
- Benyaiche Chaymae
- Bermúdez Ysabel Esthefany Alejos
- Berti Stefano
- Bertuello Isaac
- Beuran Mircea
- Bezzina Maureen
- Bhangu Aneel
- Bhat Sriram
- Bhatnagar Ankur
- Bhopal Kamran Faisal
- Bianco Federica
- Bigaran Annamaria
- Billy Matthew
- Birindelli Arianna
- Birring Amerdip
- Björklund Ida
- Blanco Ruth
- Blencowe Natalie
- Bliksøen Marte
- Blower Emma
- Boakye-Yiadom Kwaku
- Bocchetti Tommaso
- Bode Chris
- Bode Christopher
- Boijsen Magnus
- Bonavia Karl
- Bonavina Luigi
- Bondin John
- Bondurri Andrea
- Boni Davide De
- Boni Silvia
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- Bonney William
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- Chapman Stephen J
- Charles Angeline
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- Conci Simone
- Confalonieri Gianmaria
- Conlon Kevin C.
- Connor Katie
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- Corbellini Carlo
- Corbellino Mario
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- Cury Alyne Daltri Lazzarini
- D'aguzan Nicole
- D'amours Scott K
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- Dabboor Majd
- Dabbour Kareem
- Dabessa Daniel
- Dablouk Mohamed
- Dablouk Mohammed Osman
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- Dahab Ali Abo El
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- Dan Ionasc
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- Dar Manzoor
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- Darweesh Mariam
- Darwish Abdelrhman KZ
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- Davies Justine
- Davor Anthony
- Dawnay Giles
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- Debrah Sam
- Deckelbaum Dan L
- Decoud Horacio Paredes
- Dedekind Britta
- Dedey Florence
- Deen Khaled Naser El
- Deichsel Fabian
- Delforge Xavier
- Delgado Juan Marcelo
- Delgado Mitchelle Solange De Fã Tima Linares
- Dell Angela
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- Deputy Mohammed
- Der Yishan
- Dervenis Christos
- Despotidis Vasileios
- Desta Semay
- Deutschmann Peter
- Devadasar Giridhar H
- Dénakpo Max
- Dharamshi Hasnain Abbas
- Diab Ahmed
- Diaconescu Bogdan
- Diaconescu Ionut-Bogdan
- Dias Stephen
- Diaz-Zorrilla Carmina
- Dickfos Marilla
- Dijan Emilio
- Dimech Thea
- Dindyal Shiva
- Djivoh Fernande
- Domini Edgar
- Dorani Radin Mohd Nurrahman Radin
- Dossou Francis
- Dousset Bertrand
- Dragatas Deividas
- Drake Thomas M
- Driscoll Aoife
- Drungilas Mantas
- Dubois Andre
- Dueñas Carolina Guzmán
- Duhoranenayo Dieudonne
- Duinhouwer Lucia
- Dulskas Audrius
- Durand Susana Yrma Aranzabal
- Duren Bernard Van
- Dwydar Abdullah
- Ebdewi Hamdi
- Ebidy Mai
- Ebidy Mai Mohamed
- Ebrahim Osama Saadeldeen
- Eduard Pandi
- Edwards Joanne
- Edye Michael
- Eid Mostafa Mahmoud
- Eisner Lukas
- Ekow Mattew
- El-badawy Hager Ahmed
- El-Dien Khalid Salah
- El-Din Reham Alaa
- El-Din Shahinaz Alaa
- El-Gizawy Esraa
- El-Hamouly Ahmed Sabry
- El-Kashef Hussein
- El-Latif Nadia Khalid Abd
- El-Ma'doul Angham Solaiman
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- Elnajjar Mahmoud A.
- Elnemr Abdelrhman Essam
- Elrazek Aly Abd
- Elsabbagh Nourhan
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- Elsawy Amira
- Elsayed Makki
- Elsayed Mohammed
- Elsayed Nada Ahmed Reda
- Elsayed Nadin
- Elsayed Zaynab M
- Elsebaaye Abdelrhman Osama
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- Elsemelawy Rofida
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- Velásquez Armando José Román
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- Walsh Michael
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- Weber Per
- Weiser Thomas G
- Wheeler James
- Whitaker John
- White Timothy
- Whitehurst Katharine
- Wiborg Joachim
- Widiastini T Ariani
- Wild Jonathan R L
- Williams Omolara
- Wilson Ling
- Wilson Michael
- Witherspoon Paul
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- Woin Evelina
- Wold Trude Beate
- Wolf Bernhard
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- Woodward Helen
- Worku Mengistu
- Worku Tewodros
- Wredberg Cecilia
- Wright Naomi J
- Xerri Thelma
- Yahaya Muhammad Taqiyuddin
- Yakubu Musah
- Yam Sir Young
- Yang James
- Yaseen Tahir
- Yaseen Tahir Muhammad
- Yavuz Mehmet Ali
- Ye Joselyn
- Yeang Li Jing
- Yeo Lee Shi
- Yeung Man Hon Andrew
- Yifieyeh Abiboye
- Yip Chingwan
- Yip Sebastian Bernardo Shu
- Ymeri Shpetim
- Yoganathan Pigeneswaren
- Yong Cheryl Ou
- Yong Guo Liang
- Youssef Daniel
- Youssef Haney
- Youssef Mohamed
- Youssif Jehad Hassan
- Yuksek Mahmut Arif
- Yusufali Taha
- Zaa'treh Rula
- Zachariades Dimitris-Christos
- Zadoroznas Antanas
- Zahran Diaaaldin
- Zakaria Esraay
- Zakaria Mahmoud
- Zakaria Yehia
- Zaki Ahmed
- Zalabia Mohamed F
- Zamarin Kresimir
- Zammit Stefan
- Zampitis Nikolaos
- Zani Augusto
- Zanini Nicola
- Zapata Felipe
- Zarb Ciskje
- Zardab Ali
- Zegarra Sergio
- Zerihun Abebe Bekele
- Zhang Zhongtao
- Zheng Fei
- Zidan Hagar
- Zidan Mohamed
- Ziff Oliver
- Zil-E-Ali Ahsan
- Zohair Ahmed
- Zuber Markus
- Zulkifli Athirah
- Žilinskas Justas
- Žilinskienė Reda
- Žiubrytė Greta
- Publication venue
- Publication date
- 01/01/2022
- Field of study
Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
Global economic burden of unmet surgical need for appendicitis
- Author
- A A Essam
- Abd El-Rahman Hegazy Khedr
- Abd Elkhalek Sallam
- Abd Elrahman Elshafay
- Abdalla Gamal Saad
- Abdalla Gharib
- Abdalla Kenibar
- Abdallah Salah Elsherbiny
- Abdalrahman Adel
- Abdelaziz Abdelaal
- Abdelaziz Osman Abdelaziz Elhendawy
- Abdelfatah Hussein
- Abdelkader Belkouchi
- Abdelmalek Hrora
- Abdelrahman Adelshone
- Abdelrahman Alkammash
- Abdelrahman Assal
- Abdelrahman Geuoshy
- Abdelrahman Haroun
- Abdelrahman Mohammed
- Abdelrahman Sayed
- Abdelrahman Soliman
- Abdelrhman Essam Elnemr
- Abdelrhman Kz Darwish
- Abdelrhman Osama Elsebaaye
- Abdul Khalique
- Abdul Rehman Alvi
- Abdul Wahid Anwar
- Abdulaziz Altwijri
- Abdullah Al-Mallah
- Abdullah Almoflihi
- Abdullah Altamimi
- Abdullah Daqeeq
- Abdullah Dwydar
- Abdullah Gouda
- Abdullah Hashim
- Abdulmalik Altaf
- Abdulmalik Huwait
- Abdulrahman Abdel-Aty
- Abdulrahman M Altwigry
- Abdulrahman Sheshe
- Abdulrasheed A Nasir
- AbdulRazzaq Oluwagbemiga Lawal
- Abdulshafi Khaled Abdrabou
- Abdurrahaman Sheshe
- Abdussemiu Abdurrazzaaq
- Abebe Bekele Zerihun
- Abeer Al-Shammari
- Abeer El Gendy
- Abeer Esam
- Abeer Marey
- Abhishek Mittal
- Abiboye Yifieyeh
- Abid Bin Mahamood
- Abidemi Adesuyi
- Abouelatta Khairy Aly
- Abrar Nawawi
- Adam Gyedu
- Ade Waterman
- Adedapo Osinowo
- Adedeji Fatuga
- Adel Albiety
- Adel B Hassanein
- Adel Denewar
- Adeleke Adekoya
- Ademola Adebanjo
- Ademola Adeyeye
- Ademola Popoola
- Adesina Adedeji
- Adesoji O Ademuyiwa
- Adesoji Tade
- Adewale Adeniyi
- Adewale O Adisa
- Adham Tarek
- Adomas Ladukas
- Adrian F Palma
- Afifatun Hasanah
- Afizah Salleh
- Afnan Abdelfatah
- Afnan Altamimi
- Afnan Altamini
- Agazi Fitsum
- Agboola Taiwo
- Ahamed Hassan
- Ahed Ghaben
- Ahmad Abdel Fattah
- Ahmad Abdel Razaq Al Rafati
- Ahmad Aboelkassem Ibrahem
- Ahmad Aldalaq
- Ahmad Ali
- Ahmad Almallah
- Ahmad Alrifaie
- Ahmad Ashour
- Ahmad Bakr
- Ahmad Bani-Sadar
- Ahmad Bin Adnan
- Ahmad Elbatahgy
- Ahmad Faraz
- Ahmad Gudal
- Ahmad Hasan
- Ahmad Khaled Sabe
- Ahmad Khoja
- Ahmad Nashaat
- Ahmad Qaissieh
- Ahmad Sabe
- Ahmad Saber Sleem
- Ahmad Sakr
- Ahmad Shalabi
- Ahmad Uzair Qureshi
- Ahmed Aamer
- Ahmed Abd El Galeel
- Ahmed Abd Elmoen Elhusseiny
- Ahmed Abd Elsameea
- Ahmed Abdelkareem
- Ahmed Abdelmotaleb Ghazy
- Ahmed Abo El Magd
- Ahmed Abo Elazayem
- Ahmed Adamu
- Ahmed Adel
- Ahmed Afandy
- Ahmed Ahmed
- Ahmed Al-Khatib
- Ahmed Alghamdi
- Ahmed Ali
- Ahmed Altibi
- Ahmed Alzahrani
- Ahmed Ata
- Ahmed Badr
- Ahmed Dahy
- Ahmed Diab
- Ahmed El Kashash
- Ahmed El Kholy
- Ahmed El-Sehily
- Ahmed Elgaili Khalid Musa
- Ahmed Elgebaly
- Ahmed Elkelany
- Ahmed Elkholy
- Ahmed Essam
- Ahmed Fahiem
- Ahmed Farag
- Ahmed Fawzy
- Ahmed Fouad
- Ahmed Gad
- Ahmed Ghanem
- Ahmed Gheith
- Ahmed Gomaa
- Ahmed Hafez El-Badri Kotb
- Ahmed Hammad
- Ahmed Hassan
- Ahmed Hossam Eldin Fouad Rida
- Ahmed Ismail
- Ahmed Karim
- Ahmed Khyrallh
- Ahmed Lasheen
- Ahmed M Rashed
- Ahmed Magdy
- Ahmed Mahmoud Abdelraouf
- Ahmed Menshawy
- Ahmed Meshref
- Ahmed Mohamed Afifi
- Ahmed Mohamed Ibrahim
- Ahmed Mohameden
- Ahmed Mohammed
- Ahmed Mokhtar
- Ahmed Mosad
- Ahmed Moustafa
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- Samuel Sani Ali
- Sandip Kumar
- Sandra Ahlqvist
- Sandrine Kwizera
- Sandro Pasquali
- Sani Ali Samuel
- Sanju Sobnach
- Santiago Villalobos
- Sara Abd Elmageed Barakat
- Sara Ahmed
- Sara Al-Saqqa
- Sara Amr Mohamed Farouk
- Sara Arafa
- Sara Ayad
- Sara Elhamouly
- Sara Etienne
- Sara Ghanem
- Sara Kharsa
- Sara Mahmoud Abdel-Kader
- Sara Mamdouh Matter
- Sara María Contreras Mérida
- Sara Mehrez
- Sara Mohammed
- Sara W Al-Saqqa
- Sarah Abdelghany
- Sarah Antar
- Sarah Benammi
- Sarah Braungart
- Sarah Hafez
- Sarah Rayne
- Sarah Sahel
- Sarah Samy
- Saraibrahim Ahmed
- Saskia Highcock
- Saud Aljohani
- Saulius Bradulskis
- Saulius Mikalauskas
- Savino Occhionorelli
- Savni Satoskar
- Sawsan Adel Awad
- Sayed Sarwary
- Sayeda Nazmum Nahar
- Sayeeda Aktar Tori
- Sayinthen Vivekanantham
- Scott K D'amours
- Sean Mizzi
- Sebastian Bernardo Shu Yip
- Sebastian King
- Sebastian Shu
- Sebastian Sierra
- Sebastien Gaujoux
- Sebestian Shu
- Sefeldin Mahdi
- Selina Chiu
- Selina Man Yeng Chiu
- Semay Desta
- Serena Manfreda
- Serge Kapenda Tshisola
- Sergio Estupinian
- Sergio Ribaldi
- Sergio Zegarra
- Servio Tulio Torres Rodriguez
- Shadid Al Amin
- Shadid Alamin
- Shady Elhadry
- Shady Hussein
- Shady Mahmoud
- Shagorika Talukder
- Shahadatul Shaharuddin
- Shahinaz Alaa El-Din
- Shaimaa Aql
- Shalon Guevara Torres
- Shamsudeen Aliyu
- Sharad Karandikar
- Sharon Koh
- Shaza Rabie Mohamed
- Shereen Elsheikh
- Sherif Shehata
- Sherif Tariq
- Shimaa Gamal
- Shimaa Said Elkholy
- Shireen Gaafar
- Shirish Tewari
- Shiva Dindyal
- Shivanee Tharmalingam
- Shorouk El Mesery
- Shpetim Ymeri
- Shravan Nadkarni
- Shruti Ayyar
- Shu Ning Kong
- Shuang Yi Teo
- Shyam Gokani
- Shyang Yee Lim
- Silje Holte
- Silvia Basilicò
- Silvia Boni
- Silvia De Franciscis
- Simon George Gosling
- Simon Gosling
- Simon Ng
- Simon Stock
- Simona Juciute
- Simona Kasputyte
- Simone Conci
- Simone Sandler
- Simone Targa
- Sir Young Yam
- Siti Mohd Desa Asilah
- Siti Nur Alia Kamarulzamil
- Sivasuriya Sivaganesh
- Siyaka Itopa Suleiman
- Siyi Chung
- Soaad Elsobky
- Sofia Mouttalib
- Soha Abushamleh
- Sohaila Elmihy
- Soliman Magdy Ahmed
- Sondos Turkustani
- Sophian Hmila
- South Africa
- Srinivas Pai
- Sriram Bhat
- Stassen Paul
- Stavros Parasyris
- Stefan Botes
- Stefan Breitenstein
- Stefan Zammit
- Stefano Berti
- Stefano Cucumazzo
- Stefano M M Basso
- Stefano Roncali
- Stella Binna Kim
- Sten Saar
- Stephanie Hiu-Wai Kwok
- Stephanie Van Straten
- Stephen Dias
- Stephen J Chapman
- Stephen Kache
- Stephen Mcaleer
- Stephen R Knight
- Stephen Tabiri
- Steponas Petrikenas
- Stuart J Fergusson
- Styliani Parpoudi
- Stylianos Germanos
- Sudipta Roy
- Sukrit Suresh
- Sule Burger
- Suleiman Baba
- Sultan Almuallem
- Sung-Hee Kim
- Sunil Kumar
- Suparna Das
- Suraya Bahar
- Susan Aviles
- Susan Limache
- Susan Wndy Mathew
- Susana Yrma Aranzabal Durand
- Svetlana Doris Brincat
- Swantje Kruspi
- Swapnil Roy
- Syed Abdul Wahhab Eusoffee Wan Ali
- Syed Altaf Naqvi
- Syed Asaat Ul Razi
- Sylvia Batista Lemaire
- Sylvie Mochet
- Syrine Rekhis
- T Ariani Widiastini
- Tagang Ebogo Ngwa
- Taha Yusufali
- Taher Al-Taher
- Tahir Muhammad Yaseen
- Tahir Yaseen
- Tahira Naqvi
- Taiwo Akeem Lawal
- Taiwo Lawal
- Tan Arulampalam
- Tanzeela Gala
- Tapan Kumar
- Tara Grima
- Tarek Ezzat
- Tarek Razek
- Tasneem Idress
- Tasnia Hamid Kanta
- Tatsiana Shachykava
- Taufiq Khan
- Tebian Hassanein Ahmed Ali
- Tessa Fautz
- Tewodros Worku
- Thamer Nouh
- Thays Brunelli Pugliesi
- Thea Dimech
- Thelma Tembo
- Thelma Xerri
- Theodore Pezas
- Theodosios Theodosopoulos
- Thiago Fernandes Giuriato
- Thierry Alihonou
- Thomas Feidantsis
- Thomas Fozard
- Thomas G Weiser
- Thomas M Drake
- Thomas Olagboyega Olajide
- Thomas Pinkney
- Thomas Prudhomme
- Thomas Sherman
- Thomas Tetens Moe
- Thuraya Alzayat
- Thusitha Sampath Hettiarachchi
- Tien Seng Bryan Lee
- Timothy White
- Tina Gaarder
- Tobias Schuetz
- Todisoa Emmanuella Christina Tolotra
- Tolg Cecilia
- Tom Am Malik
- Tom Arthur
- Tom Falconer Hall
- Tomas Abaliksta
- Tomas Jankus
- Tomas Poškus
- Tommaso Bocchetti
- Tommaso Campagnaro
- Tommaso Fontana
- Tony Mak
- Toqa Khafagy
- Torhild Veen
- Trude Beate Wold
- Tsz-Yan Katie Chan
- Tuan Nur'Azmah Tuan Mat
- Tunde Sholadoye
- Twc Mak
- Tyler Rouse
- Tzu-Ling Chen
- Uday Muddebihal
- Ufuk Karabacak
- Ulf Gunnarsson
- Ulf Gustafsson
- Umar Muktar
- Umberto Tedeschi
- Umme Salma
- Usama Hantour
- Uthman Alamoudi
- Valdemaras Jotautas
- Valentine Parent
- Vanessa Dina Palomino Castillo
- Vanessa Msosa
- Vania Guglielmo
- Vania Silvestri
- Vasileios Despotidis
- Vasileios Kalles
- Vasiliki Soulou
- Vassilis Kalles
- Veereanna Shatkar
- Venerand Barendegere
- Veronica Grassi
- Veronica Lazzari
- Vicky Jennings
- Victor Dassah
- Victor Etwire
- Victor Kong
- Victor Manuel Quintero Riaza
- Victor Nwinee
- Victoria K Proctor
- Vijaid Upadhyaya
- Vijay Gadhvi
- Viktorija Ambrozeviciute
- Viktorija Nevieraite
- Ville Sallinen
- Vimalakanthan Thanusan
- Vincas Jonas Banaitis
- Virgilijus Beisa
- Viviana Sollazzo
- Vivien Graffieille
- Vizir Jean Paul Nsengimana
- Vladimir Khokha
- Vollmer Sebastian
- Vu Thanh Hien Le
- Vytautas Gaižauskas
- Vytautas Lipnickas
- Wahid Anwer
- Wai Cheong Soon
- Wai Him Lam
- Wairimu Ndegwa
- Waleed Thabet
- Walid Adham
- Walter Forno
- Walter Ruiz Panez
- Wan Nurul 'Ain Wan Mohd Nasir
- Wanigasekara Senanayake Mudiyanselage Kithsiri Janakantha Senanayake
- Ward Hamsho
- Wasim Dar
- Wedyan Alhazmi
- Wei Guo
- Weiguang Ho
- Weihei Dao
- Wendy Leslie Messa Aguilar
- Wennweoi Goh
- Wifanto Saditya Jeo
- Wilfredo Pino
- William Appeadu-Mensah
- William Beasley
- William Bonney
- William Hutch
- William J Lossius
- William Milligan
- Willy Alcca Ticona
- Wing Sum Li
- Witold Chachulski
- Xavier Delforge
- Xianelle Rodriguez
- Xinwei Low
- Xue Wei Chan
- Ya Theng Neo
- Yacoubou Imorou Souaibou
- Yahaya Ukwenya
- Yahya Salama
- Yaseen Rajjoub
- Yasmein Ibrahim
- Yasmin Abd-Elrasoul
- Yasmin Elfouly
- Yasmin Hegazy
- Yasmin Soliman
- Yasser Abd El Salam
- Yee Wen Tan
- Yehia Zakaria
- Yella Reddy
- Yi Koon Tan
- Yi Ting Mok
- Yih Jeng Cheong
- Yiing Yee Gan
- Yishan Der
- Yogendra Praveen Mogan
- Yomna Allam
- Yomna Hosny Asar
- Yong Yong Tew
- Yousef Abuowda
- Yousra El Shoura
- Ysabel Esthefany Alejos Bermúdez
- Yuk Hong Eric Cheung
- Yuksel Altinel
- Yung Kok Ng
- Yuri Macchitella
- Yves Aigrain
- Yücel Cengiz
- Zaher Mikwar
- Zahra Jaffry
- Zain Ali Khan
- Zainab Iftikhar
- Zaynab M Elsayed
- Zhongtao Zhang
- Zi Hao Sam
- Zigmantas Urniežius
- Zilvinas Dambrauskas
- Zineb Bentounsi
- Zygimantas Tverskis
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2022
- Field of study
Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially