Why the study?
Does major general surgery performed by clinical officers alone have similar perioperative outcomes compared to surgery performed by surgeons in patients in Malawi?
Population
Patients undergoing major general surgical procedures at Zomba Central Hospital in Malawi (n=2931 procedures)
Comparison
Major general surgery performed by clinical… vs Major general surgery performed with surgeons…
Design
Cohort
Follow-up
perioperative
Authors
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Supports task-shifting to trained clinical officers in low-resource settings; leaves open need for randomized confirmation before practice change.
Does major general surgery performed by clinical officers alone have similar perioperative outcomes compared to surgery performed by surgeons in patients in Malawi?
Clinical officers can safely perform major general surgery when adequate training and supervision are provided, with similar perioperative outcomes to surgeons.
Wilhelm et al. (2011) studied this question.
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