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Article
GAPS phase II: development and pilot results of the global assessment in pediatric surgery, an evidence-based pediatric surgical capacity assessment tool for low-resource settings
Pediatric surgical care in low- and middle-income countries is often hindered by systemic gaps in healthcare resources, infrastructure, training, and organization. This study aims to develop and validate the G...
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Article
Open AccessEssential surgery delivery in the Northern Kivu Province of the Democratic Republic of the Congo
Surgical services are an essential part of a functional healthcare system, but the Lancet Commission of Global Surgery (LCoGS) indicators of surgical capacity such as perioperative workforce and surgical volum...
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Article
Defining Feasibility as a Criterion for Essential Surgery: A Qualitative Study with Global Children’s Surgery Experts
The Disease Control Priorities (DCP-3) group defines surgery as essential if it addresses a significant burden, is cost-effective, and is feasible—yet the feasibility component remains largely unexplored. The ...
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Article
The evidence mismatch in pediatric surgical practice
Outpatient pediatric surgical practice often involves conditions of limited morbidity but significant parental concern. We explore existing evidence-based management recommendations and the mismatch with pract...
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Article
Leveraging ChatGPT to Democratize and Decolonize Global Surgery: Large Language Models for Small Healthcare Budgets
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Article
Modeling the Scale-up of Surgical Services for Children with Surgically Treatable Congenital Conditions in Somaliland
Congenital conditions comprise a significant portion of the global burden of surgical conditions in children. In Somaliland, over 250,000 children do not receive required surgical care annually, although the e...
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Article
Teaching Trauma in Resource-Limited Settings: A Sco** Review of Pediatric Trauma Courses
Injury remains an important cause of death and disability globally, with 95% of all childhood injury deaths occurring in low- and lower-middle-income countries (LMICs). Pediatric trauma training, tailored to t...
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Article
Potentially Avertable Child Mortality Associated with Surgical Workforce Scale-up in Low- and Middle-Income Countries: A Global Study
Expansion of access to surgical care can improve health outcomes, although the impact that scale-up of the surgical workforce will have on child mortality is poorly defined. In this study, we estimate the numb...
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Article
Inclusion of Children’s Surgery in National Surgical Plans and Child Health Programmes: the need and roadmap from Global Initiative for Children’s Surgery
About 1.7 billion children and adolescents, mostly in low- and middle-income countries (LMICs) lack access to surgical care. While some of these countries have developed surgical plans and others are in the pr...
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Article
Reduction of spondylolisthesis and sagittal balance correction by anterior lumbar interbody fusion (ALIF)
Long time recognized as a cause of lumbar stenosis, degenerative spondylolisthesis has an evolution in interrelation with sagittal balance. This study aimed to assess the role of ALIF in correcting the sagitta...
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Article
Shared Decision Making in Surgery: A Meta-Analysis of Existing Literature
Shared decision making (SDM) is a popular care paradigm between patients and clinicians to facilitate treatment agreement by building consensus and sharing information. Decisional aids (DAs) are tools frequent...
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Article
Geospatial Map** of Pediatric Surgical Capacity in North Kivu, Democratic Republic of Congo
Despite recent attention to the provision of healthcare in low- and middle-income countries, improvements in access to surgical services have been disproportionately lagging.
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Article
Comparison of the Pediatric Resuscitation and Trauma Outcome (PRESTO) Model and Pediatric Trauma Scoring Systems in a Middle-Income Country
The pediatric resuscitation and trauma outcome (PRESTO) model was developed to aid comparisons of risk-adjusted mortality after injury in low- and middle-income countries (LMICs). We sought to validate PRESTO ...
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Article
Barriers to Surgical Care Among Children in Somaliland: An Application of the Three Delays Framework
There are complex barriers that increase delays to surgical care in low- and middle-income countries, particularly among the vulnerable population of children. Understanding these barriers to surgical care can...
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Article
Waiting Too Long: The Contribution of Delayed Surgical Access to Pediatric Disease Burden in Somaliland
Delayed access to surgical care for congenital conditions in low- and middle-income countries is associated with increased risk of death and life-long disabilities, although the actual burden of delayed access...
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Chapter
Disorders of the Umbilicus
A variety of congenital and acquired umbilical disorders present to the pediatric surgeon, including umbilical hernia, granulomas, polyps, omphalomesenteric duct, and urachal remnants. The burden of some of th...
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Chapter
Neurodisability
Children with urgent neurosurgical conditions such as hydrocephalus and spina bifida suffer significantly in resource-constrained settings from delayed and impaired access to care, resulting in a large surgica...
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Article
Provision of Surgical Care for Children Across Somaliland: Challenges and Policy Guidance
Existing data suggest a large burden of surgical conditions in low- and middle-income countries (LMICs). However, surgical care for children in LMICs remains poorly understood. Our goal was to define the hospi...
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Article
Open AccessAssessing trauma care health systems in low- and middle-income countries, a protocol for a systematic literature review and narrative synthesis
Trauma represents a major global health problem projected to increase in importance over the next decade. The majority of deaths occur in low- and middle-income countries (LMICs) where survival rates are lower...
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Article
Develo** Metrics to Define Progress in Children’s Surgery
There is a need for relevant, valid, and practical metrics to better quantify both need and progress in global pediatric surgery and for monitoring systems performance. There are several existing surgical metr...
