World journal of surgery
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World journal of surgery · Dec 2014
Socioeconomic inequalities in relative survival of rectal cancer most obvious in stage III.
The association between socioeconomic status (SES) and relative survival of rectal cancer is little investigated. We hypothesized that the impact on risk of death by SES would be much smaller when differences in background mortality (comorbidity, lifestyle factors) were taken into account, i.e. in modelling relative survival of rectal cancer. ⋯ Large and clinically relevant socioeconomic inequalities remained in stage-adjusted analyses of relative survival, also in a setting of universal healthcare and no screening program operating.
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World journal of surgery · Dec 2014
Preventable and potentially preventable deaths in severely injured elderly patients: a single-center retrospective data analysis of a German trauma center.
Due to widespread demographic changes, populations in industrial countries are ageing. A common tool for quality improvement of trauma care is the analysis of deaths in trauma patients. This study focuses on preventable or potentially preventable deaths, and on patterns of errors in severely injured elderly patients, a group that is under-represented in the literature. ⋯ The rate of preventable or potentially preventable deaths in severely injured elderly patients is similar to that reported for other age groups. Thus, most errors were human judgment errors or human treatment errors; therefore, education and training in the treatment of severely injured patients is extremely important.
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World journal of surgery · Dec 2014
Surgical needs of Nepal: pilot study of population based survey in Pokhara, Nepal.
The Surgeons OverSeas assessment of surgical need (SOSAS) tool, a population-based survey on surgical conditions in low- and middle-income countries (LMICs), was performed in Sierra Leone and Rwanda. This pilot study in Nepal is the initial implementation of the SOSAS survey in South Asia. ⋯ The SOSAS pilot study in Nepal was successfully conducted, demonstrating the feasibility of performing SOSAS in South Asia. The estimated 5 % current unmet surgical need will be used for sample size calculation for the full country survey. Utilizing and improving on the SOSAS tool to measure the prevalence of surgical conditions in Nepal will help enumerate the global surgical burden of disease.
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World journal of surgery · Dec 2014
EditorialA proposed matrix for planning global surgery interventions.
The concept of surgery and global health is gaining acceptance; however, a great deal of confusion still exists as to what constitutes global surgery. To facilitate the overall view of how surgical care in a low resource setting can be integrated into a health system, a matrix for planning global surgery interventions has been developed. ⋯ The matrix also allows for the inclusion of information on surgical capacity for personnel, infrastructure, procedure, equipment, and supplies. This simple tool can assist researchers, program implementers, policy makers, and donors understand how to improve the delivery of surgical care to the billions of people around the world in need.
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World journal of surgery · Nov 2014
First 100 laparoscopic surgeries in a predominantly rural Nigerian population: a template for future growth.
Minimal access surgery has revolutionized surgery practice. Its proven advantages, such as reduced postoperative pain, early return to unrestricted activities, and better cosmesis, have become important drivers for its rapid development. In sub-Saharan Africa this development has been slow. The aim of the current study was to describe the challenges and outcomes of laparoscopic procedures in a public hospital that caters to a predominantly rural population. ⋯ Our study suggests that basic laparoscopic procedures could be offered safely to our resource-poor rural population. It is a platform on which we can hopefully introduce advanced laparoscopic surgical operations.