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Systematic Review of Surgical Literature from Resource-Limited Countries: Developing Strategies for Success
Thierry Pauyo1, Haile T Debas, Patrick Kyamanywa
1Centre for Global Surgery, McGill University Health Centre, 1650 Cedar Ave, Montreal, QC, H3G 1A4, Canada, thierry.pauyo@mail.mcgill.ca.
World Journal of Surgery
|June 4, 2015
Summary
Enhancing surgical capacity in low-income countries (LICs) requires developing national journals and fostering research collaborations. Building on outcome-directed research is crucial for global surgery advancements.
Area of Science:
- Global Surgery
- Health Systems Research
- Low-Income Country Health
Background:
- Injuries and surgical diseases are significant global mortality contributors.
- Low-income countries (LICs) face challenges in surgical capacity and research.
Purpose of the Study:
- To identify successful strategies for augmenting surgical capacity and research in LICs.
- To analyze peer-reviewed literature on surgical endeavors in LICs.
Main Methods:
- Systematic review of literature from or pertaining to LICs (2002-2011).
- Analysis of intervention types, research methodologies, and publication demographics.
- Examined surgical specialty, partnerships, authorship, and publication venues.
Main Results:
- 2049 articles met inclusion criteria; case series (44%) and case reports (18%) were most common.
- 43% of publications lacked outcome measures; only 21% involved collaboration between LIC and developed country authors.
- Nepal and Bangladesh were the most represented countries and had national journals.
Conclusions:
- Stimulate surgical research via national peer-reviewed journals.
- Foster centers of excellence to enhance research competencies.
- Promote global surgery through cross-regional and institutional partnerships.
- Prioritize outcome-directed research for impactful advancements.
