Abstract
Validated, community-based surveillance methods to monitor epidemiologic progress in surgery have not yet been employed for surgical capacity building. The goal of this study was to create and assess the validity of a community-based questionnaire collecting data on untreated surgically correctable disease throughout Burera District, Rwanda, to accurately plan for surgical services at a district hospital. A structured interview to assess for 10 index surgically treatable conditions was created and underwent local focus group and pilot testing. Using a 2-stage cluster sampling design, Rwandan data collectors conducted the structured interview in 30 villages throughout the Burera District. Rwandan physicians revisited the surveyed households to perform physical examinations on all household members, used as the gold standard to validate the structured interview. A total of 2,990 individuals were surveyed and 2,094 (70%) were available for physical examination. The calculated sensitivity and specificity of the survey tool were 44.5% (95% CI, 38.9-50.2%) and 97.7% (95% CI, 96.9-98.3%), respectively. The conditions with the highest sensitivity and specificity were hydrocephalus, clubfoot, and injuries/infections. Injuries/infections...Continue Reading
References
May 24, 1997·Lancet·C J Murray, A D Lopez
Aug 6, 1998·Transactions of the Royal Society of Tropical Medicine and Hygiene·J O GyapongS Bennett
Apr 16, 2002·BMJ : British Medical Journal·Amartya Sen
May 21, 2005·Injury Control and Safety Promotion·Kara McGeeShakiba Habibula
Mar 4, 2008·World Journal of Surgery·Paul E Farmer, Jim Y Kim
Jun 28, 2008·Lancet·Thomas G WeiserAtul A Gawande
Nov 26, 2008·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Alice X Zheng, Frank W J Anderson
Mar 26, 2009·World Journal of Surgery·Andrew N KingsnorthSamuel D Shillcutt
Oct 29, 2009·World Journal of Surgery·Stephen BicklerDean Jamison
Oct 31, 2009·World Journal of Surgery·Stephen W Bickler, David Spiegel
Mar 17, 2010·PLoS Medicine·Margaret E KrukSarah B Macfarlane
Mar 17, 2010·PLoS Medicine·Moses GalukandeSarah B Macfarlane
Apr 22, 2010·Hormone Research in Pædiatrics·I MazenM El-Gammal
Apr 30, 2010·Bulletin of the World Health Organization·S V SubramanianMauricio Avendano
Jul 6, 2010·Lancet·Luke M FunkAtul A Gawande
Jul 29, 2010·Reproductive Health·Joao P SouzaMaria H Sousa
Jul 26, 2011·Surgery·Laura A GrahamMary T Hawn
Sep 14, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Shigeru KurimotoHitoshi Hirata
Jan 13, 2012·The British Journal of Surgery·R T PetrozeJ F Calland
Jul 14, 2012·Journal of the International AIDS Society·Gitau MburuFred Muwanga
Aug 18, 2012·Lancet·Reinou S GroenAdam L Kushner
Dec 12, 2012·World Journal of Surgery·Jessica H BeardHobart W Harris
Dec 21, 2012·Surgery·Robin T PetrozeJ Forrest Calland
Jan 4, 2013·BMC Cancer·Frehiwot GetahunZelalem Birhanu
Dec 19, 2013·PloS One·Ari D JohnsonJoia Mukherjee
May 29, 2014·World Journal of Surgery·Robin T PetrozeJ Forrest Calland
Jul 19, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nicholas C Van BurenJeremy D Meier
Aug 5, 2014·Journal of Surgical Oncology·Faustin NtirenganyaT Peter Kingham
Sep 6, 2014·World Journal of Surgery·Shailvi GuptaAdam L Kushner
Citations
Mar 23, 2017·Academic Medicine : Journal of the Association of American Medical Colleges·Corrado CanceddaDavid E Golan
Sep 10, 2016·Annals of Surgery·Tu M TranMichael M Haglund
Jan 9, 2019·The British Journal of Surgery·B L Hedt-GauthierF Kateera
Apr 5, 2019·World Journal of Surgery·Christophe MpirimbanyiJennifer Rickard
Apr 22, 2016·World Journal of Surgery·Ernest MuhirwaRobert Riviello
Apr 6, 2019·Annals of Global Health·Elissa K ButlerJeffrey G Chipman