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
2019
Pediatric intussusception in Uganda: differences in management and outcomes with high-income countries
Akello VV, Cheung M, Kurigamba G, Semakula D, Healy JM, Grabski D, Kakembo N, Ozgediz D, Sekabira J. Pediatric intussusception in Uganda: differences in management and outcomes with high-income countries. Journal Of Pediatric Surgery 2019, 55: 530-534. PMID: 31351705, DOI: 10.1016/j.jpedsurg.2019.07.003.Peer-Reviewed Original ResearchConceptsNon-referred patientsPediatric intussusceptionPrimary anastomosisHigh-income countriesTertiary referral hospitalProspective case seriesTreatment of intussusceptionGlobal pediatric surgeryIntussusception casesMedian durationFebrile patientsReferral hospitalSurgical treatmentCase seriesSurgical interventionManual reductionFemale ratioHealth facilitiesPediatric surgeryMortality ratePatientsHigh operativeIntussusceptionResectionAverage duration
2018
From procedure to poverty: out-of-pocket and catastrophic expenditure for pediatric surgery in Uganda
Yap A, Cheung M, Kakembo N, Kisa P, Muzira A, Sekabira J, Ozgediz D. From procedure to poverty: out-of-pocket and catastrophic expenditure for pediatric surgery in Uganda. Journal Of Surgical Research 2018, 232: 484-491. PMID: 30463761, DOI: 10.1016/j.jss.2018.05.077.Peer-Reviewed Original ResearchConceptsHospital stayCatastrophic health care expenditurePediatric populationPatient's familyIndirect costsMedian indirect costMedian OOP costsPediatric surgical wardDirect costsDirect medical costsPediatric surgical servicesMedian direct costPediatric surgical proceduresDirect nonmedical costsHealth care expendituresPercent of respondentsPostoperative patientsSurgical wardsMulago HospitalSurgical deliveryPercent of familiesSurgical proceduresPediatric surgeryNonmedical costsSurgical services