Prevalence of surgically correctable conditions among children in a mixed urban-rural community in Nigeria using the SOSAS survey tool: Implications for paediatric surgical capacity-building

English version

Autoři: Adesoji O. Ademuyiwa ^aff001; Tinuola O. Odugbemi ^aff003; Christopher O. Bode ^aff001; Olumide A. Elebute ^aff001; Felix M. Alakaloko ^aff002; Eyitayo O. Alabi ^aff001; Olufemi Bankole ^aff001; Oluwaseun Ladipo-Ajayi ^aff002; Justina O. Seyi-Olajide ^aff002; Babasola Okusanya ^aff006; Ogechi Abazie ^aff008; Iyabo Y. Ademuyiwa ^aff008; Amanda Onwuka ^aff009; Tu Tran ^aff010; Ayomide Makanjuola ^aff002; Shailvi Gupta ^aff012; Riinu Ots ^aff013; Ewen M. Harrison ^aff013; Dan Poenaru ^aff014; Benedict C. Nwomeh ^aff015
Působiště autorů: Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria ^aff001; Paediatric Surgery Unit, Department of Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos, Nigeria ^aff002; Department of Community Health and Primary Care, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria ^aff003; Department of Orthopaedics and Trauma, Lagos University Teaching Hospital, Idi Araba, Lagos, Nigeria ^aff004; Neurosurgery Unit, Department of Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos, Nigeria ^aff005; Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria ^aff006; Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Idi Araba, Lagos, Nigeria ^aff007; Department of Nursing Science, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria ^aff008; Centre for Surgical Outcomes Research, and Centre for Innovation in Paediatric Practice, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio, United States of America ^aff009; SOSAS Uganda, Duke University Division of Global Neurosurgery, Durham, North Carolina, United States of America ^aff010; University of Minnesota Medical School, Minneapolis, Minnesota, United States of America ^aff011; University of California San Francisco East Bay; Surgeons Overseas; San Francisco, California, United States of America ^aff012; Department of Surgery, University of Edinburgh, Edinburgh, United Kingdom ^aff013; McGill University Health Centre and Montreal Children’s Hospital, Montreal, Canada ^aff014; Nationwide Children’s Hospital, Columbus, Ohio, United States of America ^aff015
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
prolekare.web.journal.doi_sk: https://doi.org/10.1371/journal.pone.0223423

Souhrn

Background

In many low- and middle-income countries, data on the prevalence of surgical diseases have been derived primarily from hospital-based studies, which may lead to an underestimation of disease burden within the community. Community-based prevalence studies may provide better estimates of surgical need to enable proper resource allocation and prioritization of needs. This study aims to assess the prevalence of common surgical conditions among children in a diverse rural and urban population in Nigeria.

Methods

Descriptive cross-sectional, community-based study to determine the prevalence of congenital and acquired surgical conditions among children in a diverse rural-urban area of Nigeria was conducted. Households, defined as one or more persons ‘who eat from the same pot’ or slept under the same roof the night before the interview, were randomized for inclusion in the study. Data was collected using an adapted and modified version of the interviewer-administered questionnaire—Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool and analysed using the REDCap web-based analytic application.

Main results

Eight-hundred-and-fifty-six households were surveyed, comprising 1,883 children. Eighty-one conditions were identified, the most common being umbilical hernias (20), inguinal hernias (13), and wound injuries to the extremities (9). The prevalence per 10,000 children was 85 for umbilical hernias (95% CI: 47, 123), and 61 for inguinal hernias (95% CI: 34, 88). The prevalence of hydroceles and undescended testes was comparable at 22 and 26 per 10,000 children, respectively. Children with surgical conditions had similar sociodemographic characteristics to healthy children in the study population.

Conclusion

The most common congenital surgical conditions in our setting were umbilical hernias, while injuries were the most common acquired conditions. From our study, it is estimated that there will be about 2.9 million children with surgically correctable conditions in the nation. This suggests an acute need for training more paediatric surgeons.

Klíčová slova:

Pediatrics – Children – Surgical and invasive medical procedures – Nigeria – Pediatric surgery – Surgeons – Hernia – Congenital disorders

Zdroje

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