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An OxPLORE Initiative Evaluating Children's Surgery Resources Worldwide: A Cross-sectional Implementation of the

Krupa Ravi1, Annabel Killen1, Angus Alexander2

  • 1Medical Sciences Division, University of Oxford, Oxford, UK.

World Journal of Surgery
|November 30, 2021
PubMed

Insights

This study validated an audit tool based on Optimal Resources for Children

Area of Science:

  • Global Health
  • Pediatric Surgery
  • Healthcare Management

Background:

  • The Optimal Resources for Children's Surgery (OReCS) document outlines standards for pediatric surgical care in low-resource settings.
  • An audit tool was developed based on OReCS criteria and previously piloted in a high-income country.
  • This study aimed to validate the audit tool's global applicability in identifying children's surgery provision gaps.

Purpose of the Study:

  • To validate the use of the OReCS audit tool for identifying worldwide gaps in children's surgery.
  • To assess the tool's practicability and utility in diverse healthcare settings.
  • To provide recommendations for improving children's surgical care globally.

Main Methods:

  • The OReCS audit tool was implemented in 10 hospitals across eight countries.
  • Collaborators were recruited through the Oxford Paediatrics Linking Our Research with Electives (OxPLORE) network.
  • Data analysis included assessing essential criteria met and using the 'OxPLORE method' to level hospital specialties.

Main Results:

  • Significant variation was observed in the percentage of essential criteria met across hospitals.
  • Hospital-assigned specialty levels often did not align with OReCS-based assessments.
  • The User Evaluation Tool confirmed the audit tool's practicability in various settings.

Conclusions:

  • The OReCS criteria are recommended for identifying local improvements and informing national pediatric surgical plans.
  • The study suggests enhancements to increase the OReCS audit tool's usability.
  • Global validation confirms the tool's potential to guide improvements in children's surgical care worldwide.
Abstract

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