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 room
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
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 careBarriers to Pediatric Surgical Care in Low-Income Countries: The Three Delays' Impact in Uganda
Kakembo N, Godier-Furnemont A, Nabirye A, Cheung M, Kisa P, Muzira A, Sekabira J, Ozgediz D. Barriers to Pediatric Surgical Care in Low-Income Countries: The Three Delays' Impact in Uganda. Journal Of Surgical Research 2019, 242: 193-199. PMID: 31085367, DOI: 10.1016/j.jss.2019.03.058.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolFemaleHealth ExpendituresHealth Services AccessibilityHealth Services Needs and DemandHospitals, PediatricHumansInfantInfant, NewbornMaleOutpatient Clinics, HospitalPatient Acceptance of Health CareProspective StudiesSocioeconomic FactorsSurgical Procedures, OperativeTertiary Care CentersTime-to-TreatmentUgandaConceptsPediatric surgery outpatient clinicPediatric surgical careSurgical careSurgery outpatient clinicMajority of patientsTime of presentationPosterior sagittal anorectoplastyDefinitive surgical careCatastrophic health expenditureColostomy closureHealthcare visitsPatient ageOutpatient databaseTertiary hospitalClinic patientsOutpatient clinicSagittal anorectoplastyDefinitive carePatient expendituresHealth facilitiesPatientsCurrent visitCurrent medical issuesLow-income countriesCare
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