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December 15, 2011World Journal of Surgery

Development of a Surgical Capacity Index: Opportunities for Assessment and Improvement

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Key result

Novel surgical capacity index identifies lowest capacity in up to ~44% of hospitals across three countries.

  • n=35

Population

35 hospitals in Sierra Leone (n=10), Liberia (n=16), and the Solomon Islands (n=9)

Design

Cross-sectional

Authors

SKSteve KwonBoston UniversityTKT. Peter KinghamNorthwestern UniversityTKThaim B KamaraUniversity of Sierra Leone

Discussion

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Overview

Signals urgent capacity gaps in LMICs; leaves open whether the novel index can guide interventions without prospective validation.

Study Design

Type

Observational (n=35)

Multicenter

Yes

Structured PICO

P
Population
35 hospitals across Sierra Leone, Liberia, and the Solomon Islands assessed for surgical capacity using a newly developed scoring index.
E
Exposure
Development and application of a surgical capacity scoring index based on the WHO Tool for Situational Analysis to Assess Emergency and Essential Surgical Care
O
Outcome
Surgical capacity rating (levels 1 to 4 based on a 100-point scale)

A newly developed surgical capacity index can objectively measure and identify areas for improvement in surgical care provision in low- and middle-income countries.

Limitations

  • Pending pilot testing for reliability and validity

Cite This Study

Kwon et al. (2011) conducted an observational in Surgical capacity in low- and middle-income countries (n=35). Surgical capacity scoring index was evaluated on Surgical capacity rating (levels 1 to 4). Application of a novel surgical capacity index revealed that 44% of hospitals in Sierra Leone, 37.5% in Liberia, and 44.4% in the Solomon Islands had the lowest level of surgical capacity.

synapsesocial.com/papers/6aa8ec3eb7876cb3302c834bhttps://doi.org/10.1007/s00268-011-1385-z
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