Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions

Background: Abdominal operations account for a majority of surgical volume in low-income countries, yet population-level prevalence data on surgically treatable abdominal conditions are scarce. Objective: In this study, our objective was to quantify the burden of surgically treatable abdominal condi...

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Autores principales:	Elissa K. Butler, Tu M. Tran, Anthony T. Fuller, Christine Muhumuza, Sarah Williams, Joao R. N. Vissoci, Samuel Luboga, Michael M. Haglund, Fredrick Makumbi, Moses Galukande, Jeffrey G. Chipman
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/0a2a81d2372649a99b935fa451137091
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spelling	oai:doaj.org-article:0a2a81d2372649a99b935fa4511370912021-12-02T03:17:52ZOptimizing Care for Ugandans with Untreated Abdominal Surgical Conditions2214-999610.5334/aogh.2427https://doaj.org/article/0a2a81d2372649a99b935fa4511370912019-04-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2427https://doaj.org/toc/2214-9996Background: Abdominal operations account for a majority of surgical volume in low-income countries, yet population-level prevalence data on surgically treatable abdominal conditions are scarce. Objective: In this study, our objective was to quantify the burden of surgically treatable abdominal conditions in Uganda. Methods: In 2014, we administered a two-stage cluster-randomized Surgeons OverSeas Assessment of Surgical Need survey to 4,248 individuals in 105 randomly selected clusters (representing the national population of Uganda). Findings: Of the 4,248 respondents, 185 reported at least one surgically treatable abdominal condition in their lifetime, giving an estimated lifetime prevalence of 3.7% (95% CI: 3.0 to 4.6%). Of those 185 respondents, 76 reported an untreated condition, giving an untreated prevalence of 1.7% (95% CI: 1.3 to 2.3%). Obstructed labor (52.9%) accounted for most of the 238 abdominal conditions reported and was untreated in only 5.6% of reported conditions. In contrast, 73.3% of reported abdominal masses were untreated. Conclusions: Individuals in Uganda with nonobstetric abdominal surgical conditions are disproportionately undertreated. Major health system investments in obstetric surgical capacity have been beneficial, but our data suggest that further investments should aim at matching overall surgical care capacity with surgical need, rather than focusing on a single operation for obstructed labor.Elissa K. ButlerTu M. TranAnthony T. FullerChristine MuhumuzaSarah WilliamsJoao R. N. VissociSamuel LubogaMichael M. HaglundFredrick MakumbiMoses GalukandeJeffrey G. ChipmanUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Elissa K. Butler Tu M. Tran Anthony T. Fuller Christine Muhumuza Sarah Williams Joao R. N. Vissoci Samuel Luboga Michael M. Haglund Fredrick Makumbi Moses Galukande Jeffrey G. Chipman Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
description	Background: Abdominal operations account for a majority of surgical volume in low-income countries, yet population-level prevalence data on surgically treatable abdominal conditions are scarce. Objective: In this study, our objective was to quantify the burden of surgically treatable abdominal conditions in Uganda. Methods: In 2014, we administered a two-stage cluster-randomized Surgeons OverSeas Assessment of Surgical Need survey to 4,248 individuals in 105 randomly selected clusters (representing the national population of Uganda). Findings: Of the 4,248 respondents, 185 reported at least one surgically treatable abdominal condition in their lifetime, giving an estimated lifetime prevalence of 3.7% (95% CI: 3.0 to 4.6%). Of those 185 respondents, 76 reported an untreated condition, giving an untreated prevalence of 1.7% (95% CI: 1.3 to 2.3%). Obstructed labor (52.9%) accounted for most of the 238 abdominal conditions reported and was untreated in only 5.6% of reported conditions. In contrast, 73.3% of reported abdominal masses were untreated. Conclusions: Individuals in Uganda with nonobstetric abdominal surgical conditions are disproportionately undertreated. Major health system investments in obstetric surgical capacity have been beneficial, but our data suggest that further investments should aim at matching overall surgical care capacity with surgical need, rather than focusing on a single operation for obstructed labor.
format	article
author	Elissa K. Butler Tu M. Tran Anthony T. Fuller Christine Muhumuza Sarah Williams Joao R. N. Vissoci Samuel Luboga Michael M. Haglund Fredrick Makumbi Moses Galukande Jeffrey G. Chipman
author_facet	Elissa K. Butler Tu M. Tran Anthony T. Fuller Christine Muhumuza Sarah Williams Joao R. N. Vissoci Samuel Luboga Michael M. Haglund Fredrick Makumbi Moses Galukande Jeffrey G. Chipman
author_sort	Elissa K. Butler
title	Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
title_short	Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
title_full	Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
title_fullStr	Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
title_full_unstemmed	Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions
title_sort	optimizing care for ugandans with untreated abdominal surgical conditions
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/0a2a81d2372649a99b935fa451137091
work_keys_str_mv	AT elissakbutler optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT tumtran optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT anthonytfuller optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT christinemuhumuza optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT sarahwilliams optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT joaornvissoci optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT samuelluboga optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT michaelmhaglund optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT fredrickmakumbi optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT mosesgalukande optimizingcareforugandanswithuntreatedabdominalsurgicalconditions AT jeffreygchipman optimizingcareforugandanswithuntreatedabdominalsurgicalconditions
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Optimizing Care for Ugandans with Untreated Abdominal Surgical Conditions

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