2024
Correlation of Pediatric Surgical Infrastructure With Clinical and Economic Outcomes: A Cohort Study
Negash S, Yap A, Stephens C, Nigussie B, Tefera R, Bryce E, Cheung M, Fedatto M, Laverde R, Ozgediz D, Tadesse A, Derbew M. Correlation of Pediatric Surgical Infrastructure With Clinical and Economic Outcomes: A Cohort Study. Journal Of Surgical Research 2024, 303: 215-223. PMID: 39369594, DOI: 10.1016/j.jss.2024.09.006.Peer-Reviewed Original ResearchDisability-adjusted life yearsSurgical infrastructureHealth benefitsCohort studyHousehold incomeCatastrophic healthcare expenditureMedian annual household incomeAnnual household incomeImprove equitable accessMiddle-income countriesEthiopian public hospitalsPatients' household incomePediatric operating roomHousehold annual incomeCompare patient outcomesPatients' caregiversRetrospective cohort studyChild healthEconomic outcomesPediatric ORPublic hospitalsHealthcare expendituresEthiopian hospitalsSurgical careOperating roomDevelopment and Internal-External Validation of a Post-Operative Mortality Risk Calculator for Pediatric Surgical Patients in Low- and Middle- Income Countries using Machine Learning
Eyler Dang L, Klazura G, Yap A, Ozgediz D, Bryce E, Cheung M, Fedatto M, Ameh E. Development and Internal-External Validation of a Post-Operative Mortality Risk Calculator for Pediatric Surgical Patients in Low- and Middle- Income Countries using Machine Learning. Journal Of Pediatric Surgery 2024, 161883. PMID: 39317568, DOI: 10.1016/j.jpedsurg.2024.161883.Peer-Reviewed Original ResearchMiddle-income countriesPost-operative mortality ratePost-operative mortalityPediatric surgical patientsRisk algorithmPediatric surgery patientsMortality risk calculatorInternal-external validationSurgery patientsEligible patientsSurgical patientsCalibration slopeHospital dischargePatientsType of studyMortality rateClinical practiceCross-validated AUCIncome countriesRisk calculatorAUCMortalityDischarge statusValidation AUC
2021
Access to pediatric surgery delivered by general surgeons and anesthesia providers in Uganda: Results from 2 rural regional hospitals
Grabski DF, Ajiko M, Kayima P, Ruzgar N, Nyeko D, Fitzgerald TN, Langer M, Cheung M, Cigliano B, D'Agostino S, Baird R, Duffy D, Tumukunde J, Nabukenya M, Ogwang M, Kisa P, Sekabira J, Kakembo N, Ozgediz D. Access to pediatric surgery delivered by general surgeons and anesthesia providers in Uganda: Results from 2 rural regional hospitals. Surgery 2021, 170: 1397-1404. PMID: 34130809, DOI: 10.1016/j.surg.2021.05.007.Peer-Reviewed Original ResearchConceptsPediatric surgical capacityRural regional hospitalGeneral surgeonsSurgical capacitySurgery admissionsMiddle-income countriesSurgical guidelinesRegional hospitalPediatric surgeryAnesthesia providersRegional Referral HospitalProspective clinical databasePediatric surgical servicesPediatric surgical careGeneral surgery casesMajority of casesHospital mortalityPrimary outcomeReferral hospitalSurgical infectionsClinical outcomesSurgery casesHernia repairSurgical careSurgical procedures
2020
Burden of emergency pediatric surgical procedures on surgical capacity in Uganda: a new metric for health system performance
Grabski D, Kakembo N, Situma M, Cheung M, Shikanda A, Okello I, Kisa P, Muzira A, Sekabira J, Ozgediz D. Burden of emergency pediatric surgical procedures on surgical capacity in Uganda: a new metric for health system performance. Surgery 2020, 167: 668-674. PMID: 31973913, DOI: 10.1016/j.surg.2019.12.002.Peer-Reviewed Original ResearchMeSH KeywordsBenchmarkingChild, PreschoolDatabases, FactualDigestive System AbnormalitiesEmergency Service, HospitalEmergency TreatmentFemaleHealth ResourcesHernia, InguinalHospital MortalityHumansInfantInfant, NewbornMaleProspective StudiesQuality Indicators, Health CareSurgical Procedures, OperativeUgandaConceptsMiddle-income countriesSurgical capacitySurgical acuityReferral hospitalElective casesInguinal herniaSurgical diseaseSurgical proceduresCongenital malformationsMulago National Referral HospitalMbarara Regional Referral HospitalPediatric surgical admissionsRatio of emergencyHealth metricsNational Referral HospitalRegional Referral HospitalPediatric surgical patientsPediatric surgical proceduresPediatric surgical capacityElective surgical casesTime of repairHealth system performanceSurgery groupSurgical admissionsDefinitive repair
2019
Burden of Surgical Infections in a Tertiary-Care Pediatric Surgery Service in Uganda
Kakembo N, Grabski DF, Fitzgerald TN, Muzira A, Cheung M, Kisa P, Sekabira J, Ozgediz D. Burden of Surgical Infections in a Tertiary-Care Pediatric Surgery Service in Uganda. Surgical Infections 2019, 21: 130-135. PMID: 31560249, DOI: 10.1089/sur.2019.045.Peer-Reviewed Original ResearchConceptsHospital mortality rateMortality rateSurgical interventionSurgery departmentSurgical careChildren’s Surgery DepartmentProspective surgical databaseTyphoid intestinal perforationTertiary referral hospitalPediatric surgery serviceBurden of infectionChildren's surgical careHigh mortality rateAbdominal sepsisIntestinal perforationAspiration pneumoniaOperative interventionMiddle-income countriesReferral hospitalSurgical infectionsSurgery serviceSurgical databaseIleocolic intussusceptionPrimary infectionSurgical diseaseBurden and Outcomes of Neonatal Surgery in Uganda: Results of a Five-Year Prospective Study
Ullrich SJ, Kakembo N, Grabski DF, Cheung M, Kisa P, Nabukenya M, Tumukunde J, Fitzgerald TN, Langer M, Situma M, Sekabira J, Ozgediz D. Burden and Outcomes of Neonatal Surgery in Uganda: Results of a Five-Year Prospective Study. Journal Of Surgical Research 2019, 246: 93-99. PMID: 31562991, DOI: 10.1016/j.jss.2019.08.015.Peer-Reviewed Original ResearchMeSH KeywordsCost of IllnessCost-Benefit AnalysisFemaleHealth Services AccessibilityHealth Services Needs and DemandHealth WorkforceHospital MortalityHospitals, PediatricHumansInfant, NewbornInfant, Newborn, DiseasesMaleProspective StudiesQuality-Adjusted Life YearsSurgical Procedures, OperativeSurvival RateUgandaConceptsDisability-adjusted life yearsNeonatal surgeryUnmet needLife yearsFive-year prospective studyNeonatal surgical conditionsNeonatal surgical admissionsHealth care systemPotential additional benefitNeonatal admissionsPostoperative mortalitySurgical admissionsSurgical coverageImproved survivalMedian ageMiddle-income countriesOverall mortalityProspective studySurgical interventionAnorectal malformationsSurgical conditionsCongenital anomaliesHigh-income countriesPediatric anesthesiologistsSurgical careEpidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda
Cheung M, Kakembo N, Rizgar N, Grabski D, Ullrich S, Muzira A, Kisa P, Sekabira J, Ozgediz D. Epidemiology and mortality of pediatric surgical conditions: insights from a tertiary center in Uganda. Pediatric Surgery International 2019, 35: 1279-1289. PMID: 31324976, DOI: 10.1007/s00383-019-04520-2.Peer-Reviewed Original ResearchConceptsMortality rateTertiary centerCongenital anomaliesHigh-income countriesChild underwent surgeryCongenital anomaly groupsPediatric surgical admissionsPost-operative mortalityTertiary referral hospitalPediatric surgical conditionsPediatric surgical diseasesHigh mortality rateInfant congenital anomaliesSurgical admissionsUnderwent surgeryIntestinal atresiaMiddle-income countriesReferral hospitalCommon diagnosisAnorectal malformationsSurgical conditionsSurgical diseaseHigh burdenAnomaly groupOngoing quality improvement
2017
The Global Initiative for Children's Surgery: Optimal Resources for Improving Care
Goodman LF, St-Louis E, Yousef Y, Cheung M, Ure B, Ozgediz D, Ameh EA, Bickler S, Poenaru D, Oldham K, Farmer D, Lakhoo K. The Global Initiative for Children's Surgery: Optimal Resources for Improving Care. European Journal Of Pediatric Surgery 2017, 28: 051-059. PMID: 28806850, DOI: 10.1055/s-0037-1604399.Peer-Reviewed Original ResearchConceptsSurgical careChildren's surgical careChildren's surgerySurgical providersGlobal InitiativeSurgical specialtiesSurgical care providersNational surgical plansLevel of careAffordable surgical careSafe surgical careLow-resource settingsWorld Health OrganizationMiddle-income countriesChildren's HospitalReferral levelHospital careResearch support centerCare providersSurgerySurgical planDisease controlHealth OrganizationCareLancet CommissionSurgical Team Experiences
Cheung M, Hall M, Ozgediz D. Surgical Team Experiences. 2017, 177-188. DOI: 10.1201/9781315155210-20.Peer-Reviewed Original ResearchResource-poor areasLarge-scale public health programmesPublic health programsSurgical team experienceEmergency surgeryMiddle-income countriesGeneral HospitalSurgical conditionsObstetric emergenciesTrauma careSurgical careGlobal burdenService delivery programsClinical experienceCommunicable diseasesHealth programsSurgical communitySurgerySurgical electivesGlobal surgeryGlobal healthPublic healthSurgical workDelivery programsDisease