2023
Out-of-pocket costs and catastrophic healthcare expenditure for families of children requiring surgery in sub-Saharan Africa
Yap A, Olatunji B, Negash S, Mweru D, Kisembo S, Masumbuko F, Ameh E, Lebbie A, Bvulani B, Hansen E, Philipo G, Carroll M, Hsu P, Bryce E, Cheung M, Fedatto M, Laverde R, Ozgediz D. Out-of-pocket costs and catastrophic healthcare expenditure for families of children requiring surgery in sub-Saharan Africa. Surgery 2023, 174: 567-573. PMID: 37385869, DOI: 10.1016/j.surg.2023.05.010.Peer-Reviewed Original ResearchConceptsCatastrophic healthcare expenditureFamilies of childrenHealthcare expendituresChildren's surgeryPocket costsPediatric surgical patientsMultivariate logistic regressionPediatric operating roomIntensive resource utilizationPocket healthcare costsUniversal healthcare coverageChart reviewSurgical patientsSubgroup analysisClinical dataAfrican hospitalsHealthcare costsEconomic burdenMedian annual incomeSurgeryOlder ageLogistic regressionHealthcare coverageOperating roomOlder children
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
Development of an Operative Trauma Course in Uganda—A Report of a Three-Year Experience
Ullrich SJ, DeWane MP, Cheung M, Fleming M, Namugga MM, Fu W, Kurigamba G, Kabuye R, Mabweijano J, Galukande M, Ozgediz D, Pei KY. Development of an Operative Trauma Course in Uganda—A Report of a Three-Year Experience. Journal Of Surgical Research 2020, 256: 520-527. PMID: 32799000, DOI: 10.1016/j.jss.2020.07.024.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultChildChild, PreschoolClinical CompetenceCurriculumFemaleHealth ResourcesHumansInjury Severity ScoreInterdisciplinary PlacementInternship and ResidencyMaleMiddle AgedSurgeonsSurgical Procedures, OperativeSurveys and QuestionnairesTraumatologyTreatment OutcomeUgandaWounds and InjuriesYoung AdultConceptsOperative techniqueTrauma courseInitial patient evaluationThree-year experienceLow-resource settingsHealth care systemBedside interventionsRoad traffic crashesPatient demographicsClinical outcomesPatient evaluationLiver repairHead CTLeading causePractice patternsDiagnostic imagingLow-income countriesSecond-year surgical residentsStudy periodCare systemResident practiceSurgical residentsLaparotomySignificant differencesPatients
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 diseaseBarriers 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 countriesCareBest Buy in Public Health or Luxury Expense?
Yap A, Cheung M, Muzira A, Healy J, Kakembo N, Kisa P, Cunningham D, Youngson G, Sekabira J, Yaesoubi R, Ozgediz D. Best Buy in Public Health or Luxury Expense? Annals Of Surgery 2019, Publish Ahead of Print: &na;. PMID: 30907755, PMCID: PMC6752983, DOI: 10.1097/sla.0000000000003263.Peer-Reviewed Original ResearchConceptsIncremental cost-effectiveness ratioPediatric operating roomOperating roomLife yearsPatient outcome dataPediatric surgical diseasesCost-effectiveness ratioProbabilistic sensitivity analysesDefinitive treatmentPreventable morbiditySaharan AfricaSurgical diseasePatient's perspectiveOutcome dataSurgical infrastructureSocietal perspectiveLow-income countriesPublic healthPediatricsBest buyInterventionDisabilityHospital spaceHeavy burdenYears
2018
A Cost-Effectiveness Analysis of a Pediatric Operating Room in Uganda
Yap A, Muzira A, Cheung M, Healy J, Kakembo N, Kisa P, Cunningham D, Youngson G, Sekabira J, Yaesoubi R, Ozgediz D. A Cost-Effectiveness Analysis of a Pediatric Operating Room in Uganda. Surgery 2018, 164: 953-959. PMID: 29801729, PMCID: PMC6399742, DOI: 10.1016/j.surg.2018.03.023.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildChild, PreschoolCost-Benefit AnalysisDecision Making, OrganizationalDecision TreesFemaleHealth Services AccessibilityHealth Services Needs and DemandHumansInfantInfant, NewbornLife ExpectancyMaleModels, EconomicMonte Carlo MethodOperating RoomsQuality-Adjusted Life YearsSurgical Procedures, OperativeTreatment OutcomeUgandaConceptsIncremental cost-effectiveness ratioProbabilistic sensitivity analysesCost-effectiveness ratioPediatric operating roomDisability-adjusted life-year avertedStatistical life approachNet economic benefitsCost-effectiveness thresholdLife-year avertedCost-effectiveness analysisAverage life expectancySub-Saharan AfricaMonetary benefitsSensitivity analysisWorthwhile investmentEconomic benefitsOne-wayLow-income settingsTree templatePediatric surgical capacityLife approachFuture decisionsLife expectancyCostInvestment
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 Commission