A day in the life of a paediatric surgeon: A PAPSA research study

PAPSA Group

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: This study aimed to create a snapshot picture of the global workload of paediatric surgeons and identify differences between countries. Methods: Surgeons from 13 paediatric surgical units in different countries across the world were asked to record the number and type of admissions to the paediatric surgery service over a 24-h period from 8 a.m. on 23 May 2012. Results: Data were recorded for 13 units from 13 countries: 11 low and middle income countries (LMICs) and two high-income countries (HICs). Dar es Salaam, Tanzania, had the greatest number of admissions. Two units in HICs had the lowest number of admissions, other than the Nigerian unit, which only had three admissions due to a hospital strike on the day surveyed. The percentage of emergency admissions ranged from 38 to 83%. Those units with the highest number of total admissions tended to also have the highest proportion of emergencies. Trauma was the most frequently reported admission reason, accounting for 18% of admissions. However, there were no cases of trauma in HIC units. Conclusion: The spectrum of paediatric surgery differs between countries, in particular between LMICs and HICs. Units in LMICs tend to have a greater number of admissions, including a wider variety of conditions and a higher proportion of emergency work. Paediatric surgery in LMICs faces many challenges. This highlights the importance of training specialist paediatric surgeons in these countries. Further data are still needed to fully outline the burden of disease in paediatric surgery, especially in LMICs.

Original languageEnglish (US)
Pages (from-to)29-35
Number of pages7
JournalAnnals of Pediatric Surgery
Volume12
Issue number2
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Fingerprint

Pediatrics
Research
Emergencies
Surgeons
Tanzania
Wounds and Injuries
Workload

Keywords

  • epidemiology
  • global surgery
  • paediatric surgery

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

A day in the life of a paediatric surgeon : A PAPSA research study. / PAPSA Group.

In: Annals of Pediatric Surgery, Vol. 12, No. 2, 01.01.2016, p. 29-35.

Research output: Contribution to journalArticle

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abstract = "Objectives: This study aimed to create a snapshot picture of the global workload of paediatric surgeons and identify differences between countries. Methods: Surgeons from 13 paediatric surgical units in different countries across the world were asked to record the number and type of admissions to the paediatric surgery service over a 24-h period from 8 a.m. on 23 May 2012. Results: Data were recorded for 13 units from 13 countries: 11 low and middle income countries (LMICs) and two high-income countries (HICs). Dar es Salaam, Tanzania, had the greatest number of admissions. Two units in HICs had the lowest number of admissions, other than the Nigerian unit, which only had three admissions due to a hospital strike on the day surveyed. The percentage of emergency admissions ranged from 38 to 83{\%}. Those units with the highest number of total admissions tended to also have the highest proportion of emergencies. Trauma was the most frequently reported admission reason, accounting for 18{\%} of admissions. However, there were no cases of trauma in HIC units. Conclusion: The spectrum of paediatric surgery differs between countries, in particular between LMICs and HICs. Units in LMICs tend to have a greater number of admissions, including a wider variety of conditions and a higher proportion of emergency work. Paediatric surgery in LMICs faces many challenges. This highlights the importance of training specialist paediatric surgeons in these countries. Further data are still needed to fully outline the burden of disease in paediatric surgery, especially in LMICs.",
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author = "{PAPSA Group} and Bradshaw, {Catherine J.} and Kokila Lakhoo and Emmanuel Ameh and Tahmina Banu and Eric Borgstein and David Croaker and Milliard Derbew and Essam Elhalaby and Erik Hansen and Afua Hesse and Catherine Mngongo and Alp Numanoglu and Bankole Rouma and Shilpa Sharma",
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AU - Banu, Tahmina

AU - Borgstein, Eric

AU - Croaker, David

AU - Derbew, Milliard

AU - Elhalaby, Essam

AU - Hansen, Erik

AU - Hesse, Afua

AU - Mngongo, Catherine

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AU - Rouma, Bankole

AU - Sharma, Shilpa

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AB - Objectives: This study aimed to create a snapshot picture of the global workload of paediatric surgeons and identify differences between countries. Methods: Surgeons from 13 paediatric surgical units in different countries across the world were asked to record the number and type of admissions to the paediatric surgery service over a 24-h period from 8 a.m. on 23 May 2012. Results: Data were recorded for 13 units from 13 countries: 11 low and middle income countries (LMICs) and two high-income countries (HICs). Dar es Salaam, Tanzania, had the greatest number of admissions. Two units in HICs had the lowest number of admissions, other than the Nigerian unit, which only had three admissions due to a hospital strike on the day surveyed. The percentage of emergency admissions ranged from 38 to 83%. Those units with the highest number of total admissions tended to also have the highest proportion of emergencies. Trauma was the most frequently reported admission reason, accounting for 18% of admissions. However, there were no cases of trauma in HIC units. Conclusion: The spectrum of paediatric surgery differs between countries, in particular between LMICs and HICs. Units in LMICs tend to have a greater number of admissions, including a wider variety of conditions and a higher proportion of emergency work. Paediatric surgery in LMICs faces many challenges. This highlights the importance of training specialist paediatric surgeons in these countries. Further data are still needed to fully outline the burden of disease in paediatric surgery, especially in LMICs.

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