wow-inequalities/02-data/intermediate/wos_sample/8c3695c0dd3118efaf5b1a36b575f328-stewart-barclay-t./info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'Background: Herniorrhaphy is one of the most frequently performed
general surgical operations worldwide. However, most low- and
middle-income countries (LMICs) are unable to provide this essential
surgery to the general public, resulting in considerable morbidity and
mortality. This study aimed to estimate the prevalence, barriers to care
and disability of untreated hernias in Nepal. Methods: Nepal is a
low-income country in South Asia with rugged terrain, infrastructure
deficiencies and a severely under-resourced healthcare system resulting
in substantial unmet surgical need. A cluster randomized,
cross-sectional household survey was performed using the validated
Surgeons OverSeas Assessment of Surgical (SOSAS) tool. Fifteen
randomized clusters consisting of 30 households with two randomly
selected respondents each were sampled to estimate surgical need. The
prevalence of and disability from groin hernias and barriers to
herniorrhaphy were assessed. Results: The survey sampled 1350
households, totaling 2695 individuals (97\% response rate). There were
1434 males (53\%) with 1.5\% having a mass or swelling in the groin at
time of survey (95\% CI 1.8-4.0). The age-standardized rate for inguinal
hernias in men ranged from 1144 per 100,000 persons between age 5 and 49
years and 2941 per 100,000 persons age >= 50 years. Extrapolating
nationally, there are nearly 310,000 individuals with groin masses and
66,000 males with soft/reducible groin masses in need of evaluation in
Nepal. Twenty-nine respondents were not able to have surgery due to lack
of surgical services (31\%), fear or mistrust of the surgical system
(31\%) and inability to afford care (21\%). Twenty percent were unable
to work as previous or perform self-care due to their hernia.
Conclusions: Despite the lower than expected prevalence of inguinal
hernias, hundreds of thousands of people in Nepal are currently in need
of surgical evaluation. Given that essential surgery is a necessary
component in health systems, the prevalence of inguinal hernias and the
cost-effectiveness of herniorrhaphy, this disease is an important target
for LMICs planning surgical capacity improvements. (C) 2014 Surgical
Associates Ltd. Published by Elsevier Ltd. All rights reserved.'
affiliation: 'Stewart, BT (Corresponding Author), Univ Washington, Dept Surg, 1959
NE Pacific St,Suite BB 487,POB 356410, Seattle, WA 98195 USA.
Stewart, Barclay T., Univ Washington, Dept Surg, Seattle, WA 98195 USA.
Pathak, John, Kathmandu Med Coll, Kathmandu, Nepal.
Gupta, Shailvi; Nwomeh, Benedict C.; Kushner, Adam L., Surg OverSeas SOS, New York,
NY USA.
Gupta, Shailvi, Univ Calif San Francisco East Bay, Dept Surg, Oakland, CA USA.
Shrestha, Sunil, Nepal Med Coll, Dept Surg, Kathmandu, Nepal.
Groen, Reinou S., Johns Hopkins Univ Hosp, Dept Gynecol \& Obstet, Baltimore, MD
21287 USA.
Nwomeh, Benedict C., Nationwide Childrens Hosp, Dept Pediat Surg, Columbus, OH USA.
Kushner, Adam L., Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore,
MD USA.
Kushner, Adam L., Columbia Univ, Dept Surg, New York, NY USA.
McIntyre, Thomas, SUNY Downstate Med Sch, Kings Cty Hosp Ctr, Program Surg \& Publ
Hlth, Brooklyn, NY USA.'
author: Stewart, Barclay T. and Pathak, John and Gupta, Shailvi and Shrestha, Sunil
and Groen, Reinou S. and Nwomeh, Benedict C. and Kushner, Adam L. and McIntyre,
Thomas
author-email: stewarb@uw.edu
author_list:
- family: Stewart
given: Barclay T.
- family: Pathak
given: John
- family: Gupta
given: Shailvi
- family: Shrestha
given: Sunil
- family: Groen
given: Reinou S.
- family: Nwomeh
given: Benedict C.
- family: Kushner
given: Adam L.
- family: McIntyre
given: Thomas
da: '2023-09-28'
doi: 10.1016/j.ijsu.2014.12.003
eissn: 1743-9159
files: []
issn: 1743-9191
journal: INTERNATIONAL JOURNAL OF SURGERY
keywords: Hernia; Surgical capacity; Nepal; Low-income; Community assessment
keywords-plus: 'CATARACT SURGICAL COVERAGE; MIDDLE-INCOME COUNTRIES; INGUINAL-HERNIA;
SIERRA-LEONE; COST-EFFECTIVENESS; GROIN HERNIA; RISK-FACTORS; SURGERY;
BARRIERS; EPIDEMIOLOGY'
language: English
month: JAN
number-of-cited-references: '34'
orcid-numbers: 'Stewart, Barclay/0000-0002-8099-9218
Kushner, Adam/0000-0002-7797-4837'
pages: 111-114
papis_id: c6a219ef55cba23da084e9d398519569
ref: Stewart2015estimatehernia
times-cited: '11'
title: An estimate of hernia prevalence in Nepal from a countrywide community survey
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000348666000021
usage-count-last-180-days: '0'
usage-count-since-2013: '5'
volume: '13'
web-of-science-categories: Surgery
year: '2015'