Challenges of management and outcome of neonatal surgery in Africa: a systematic review

Pediatric Surgery International
Sebastian O EkenzeBenedict C Nwomeh

Abstract

Disparity still exists in the outcome of neonatal surgery between high-income countries and low-income and middle-income countries. This study reviews publications on neonatal surgery in Africa over 20 years with a focus on challenges of management, trends in outcome, and potential interventions to improve outcome. We did a literature review by searching PubMed and African Index Medicus for original articles published in any language between January 1995 and September 2014. A data extraction sheet was used to collect information, including type of study, demographics, number of cases, outcome, challenges, and suggestions to improve outcome. A total of 51 studies from 11 countries met the inclusion criteria. The 16 studies in the first 10 years (1995-2004; group A) were compared with the 35 in the last 10 years (2005-2014; group B). Nigeria (n = 32; 62.7 %), South Africa (n = 7; 13.7 %), Tanzania (n = 2; 3.9 %), and Tunisia (n = 2; 3.9 %) were the predominant sources of the publications, which were retrospective in 38 (74.5 %) studies and prospective in 13 (25.5 %) studies. The mean sample size of the studies was 95.1 (range 5-640). Overall, 4849 neonates were studied, with median age of 6 days (range 1-30 days). Common neonatal...Continue Reading

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Citations

Jun 11, 2017·Journal of Paediatrics and Child Health·Sebastian O EkenzeJubril Sanusi
Dec 19, 2017·Journal of Tropical Pediatrics·Sebastian O EkenzeElochukwu P Nwankwo
Dec 17, 2019·Anesthesiology·Michael G Cooper
Mar 29, 2020·Pediatric Surgery International·Hossam S AlslaimNathan M Novotny
Dec 29, 2020·Clinical Case Reports·Okidi RonaldKomakech David

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