肯尼亚农村地区整形外科的负担:卡普索瓦医院的经验。

IF 1.5 Q3 SURGERY
Plastic and Reconstructive Surgery Global Open Pub Date : 2024-11-08 eCollection Date: 2024-11-01 DOI:10.1097/GOX.0000000000006289
Isaiah J Rhodes, Sophia Arbuiso, Ashley Zhang, Chase C Alston, Samuel J Medina, Matthew Liao, Joseph Nthumba, Patricia Chesang, Giles Hayden, William R Rhodes, David M Otterburn
{"title":"肯尼亚农村地区整形外科的负担:卡普索瓦医院的经验。","authors":"Isaiah J Rhodes, Sophia Arbuiso, Ashley Zhang, Chase C Alston, Samuel J Medina, Matthew Liao, Joseph Nthumba, Patricia Chesang, Giles Hayden, William R Rhodes, David M Otterburn","doi":"10.1097/GOX.0000000000006289","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Both governmental and nongovernmental training programs are expanding efforts to train the next generation of plastic surgeons who will work in low- and middle-income countries (LMICs). Sufficient training is dependent on acquiring the appropriate skillset for these contexts. Few studies have characterized the spectrum of practice of plastic surgeons in LMICs and their relative disparity.</p><p><strong>Methods: </strong>We performed a retrospective review on all patients who received plastic surgery at a single institution in rural western Kenya from 2021 to 2023. Data such as diagnoses, procedures, and home village/town of residence were collected. Patient home location was geomapped using an open-access distance matrix application programming interface to estimate travel time based on terrain and road quality, assuming patient access to a private vehicle and ideal traveling conditions. Descriptive statistics were performed.</p><p><strong>Results: </strong>A total of 296 patients received surgery. Common procedures included treatment of cleft lip/palate (CLP), burn reconstruction, and reconstruction for benign tumors of the head and neck. The average distance to treatment was 159.2 minutes. Increased travel time was not associated with time to CLP repair (<i>P</i> > 0.05). Increased travel time was associated with delayed treatment for burns (<i>P</i> = 0.005), maxillofacial trauma (<i>P</i> = 0.032), and hand trauma (<i>P</i> = 0.016).</p><p><strong>Conclusions: </strong>Training programs for plastic surgeons in LMICs should ensure competency in CLP, flaps, burn reconstruction, and head and neck reconstruction. Our novel use of an application programming interface indicates that international partnerships have been more successful in decreasing treatment delays for CLP patients, but not other reconstructive procedure patients. Expanded commitment from international partners to address these reconstructive burdens in LMICs is warranted.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"12 11","pages":"e6289"},"PeriodicalIF":1.5000,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548903/pdf/","citationCount":"0","resultStr":"{\"title\":\"The Burden of Plastic Surgery in Rural Kenya: The Kapsowar Hospital Experience.\",\"authors\":\"Isaiah J Rhodes, Sophia Arbuiso, Ashley Zhang, Chase C Alston, Samuel J Medina, Matthew Liao, Joseph Nthumba, Patricia Chesang, Giles Hayden, William R Rhodes, David M Otterburn\",\"doi\":\"10.1097/GOX.0000000000006289\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Both governmental and nongovernmental training programs are expanding efforts to train the next generation of plastic surgeons who will work in low- and middle-income countries (LMICs). Sufficient training is dependent on acquiring the appropriate skillset for these contexts. Few studies have characterized the spectrum of practice of plastic surgeons in LMICs and their relative disparity.</p><p><strong>Methods: </strong>We performed a retrospective review on all patients who received plastic surgery at a single institution in rural western Kenya from 2021 to 2023. Data such as diagnoses, procedures, and home village/town of residence were collected. Patient home location was geomapped using an open-access distance matrix application programming interface to estimate travel time based on terrain and road quality, assuming patient access to a private vehicle and ideal traveling conditions. Descriptive statistics were performed.</p><p><strong>Results: </strong>A total of 296 patients received surgery. Common procedures included treatment of cleft lip/palate (CLP), burn reconstruction, and reconstruction for benign tumors of the head and neck. The average distance to treatment was 159.2 minutes. Increased travel time was not associated with time to CLP repair (<i>P</i> > 0.05). Increased travel time was associated with delayed treatment for burns (<i>P</i> = 0.005), maxillofacial trauma (<i>P</i> = 0.032), and hand trauma (<i>P</i> = 0.016).</p><p><strong>Conclusions: </strong>Training programs for plastic surgeons in LMICs should ensure competency in CLP, flaps, burn reconstruction, and head and neck reconstruction. Our novel use of an application programming interface indicates that international partnerships have been more successful in decreasing treatment delays for CLP patients, but not other reconstructive procedure patients. Expanded commitment from international partners to address these reconstructive burdens in LMICs is warranted.</p>\",\"PeriodicalId\":20149,\"journal\":{\"name\":\"Plastic and Reconstructive Surgery Global Open\",\"volume\":\"12 11\",\"pages\":\"e6289\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-11-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11548903/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Plastic and Reconstructive Surgery Global Open\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/GOX.0000000000006289\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/11/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Plastic and Reconstructive Surgery Global Open","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/GOX.0000000000006289","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

目的:政府和非政府培训计划都在加大力度,培训将在中低收入国家(LMIC)工作的下一代整形外科医生。充分的培训有赖于获得适应这些环境的适当技能。很少有研究描述了中低收入国家整形外科医生的执业范围及其相对差距:我们对 2021 年至 2023 年期间在肯尼亚西部农村地区一家医疗机构接受整形手术的所有患者进行了回顾性研究。我们收集了诊断、手术和居住地村镇等数据。使用开放访问的距离矩阵应用程序接口对患者的家庭位置进行地理测绘,根据地形和道路质量估算旅行时间,假设患者有私家车且旅行条件理想。对结果进行了描述性统计:共有 296 名患者接受了手术。常见手术包括唇腭裂(CLP)治疗、烧伤整形以及头颈部良性肿瘤整形。平均治疗距离为 159.2 分钟。旅行时间的增加与唇腭裂修复时间无关(P > 0.05)。旅行时间的增加与烧伤(P = 0.005)、颌面部创伤(P = 0.032)和手部创伤(P = 0.016)的治疗延迟有关:结论:低收入国家整形外科医生的培训计划应确保他们具备CLP、皮瓣、烧伤重建和头颈部重建的能力。我们对应用程序界面的新颖使用表明,国际合作在减少CLP患者的治疗延迟方面更为成功,但在减少其他整形手术患者的治疗延迟方面并不成功。国际合作伙伴有必要扩大承诺,以解决低收入国家的这些重建负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Burden of Plastic Surgery in Rural Kenya: The Kapsowar Hospital Experience.

Purpose: Both governmental and nongovernmental training programs are expanding efforts to train the next generation of plastic surgeons who will work in low- and middle-income countries (LMICs). Sufficient training is dependent on acquiring the appropriate skillset for these contexts. Few studies have characterized the spectrum of practice of plastic surgeons in LMICs and their relative disparity.

Methods: We performed a retrospective review on all patients who received plastic surgery at a single institution in rural western Kenya from 2021 to 2023. Data such as diagnoses, procedures, and home village/town of residence were collected. Patient home location was geomapped using an open-access distance matrix application programming interface to estimate travel time based on terrain and road quality, assuming patient access to a private vehicle and ideal traveling conditions. Descriptive statistics were performed.

Results: A total of 296 patients received surgery. Common procedures included treatment of cleft lip/palate (CLP), burn reconstruction, and reconstruction for benign tumors of the head and neck. The average distance to treatment was 159.2 minutes. Increased travel time was not associated with time to CLP repair (P > 0.05). Increased travel time was associated with delayed treatment for burns (P = 0.005), maxillofacial trauma (P = 0.032), and hand trauma (P = 0.016).

Conclusions: Training programs for plastic surgeons in LMICs should ensure competency in CLP, flaps, burn reconstruction, and head and neck reconstruction. Our novel use of an application programming interface indicates that international partnerships have been more successful in decreasing treatment delays for CLP patients, but not other reconstructive procedure patients. Expanded commitment from international partners to address these reconstructive burdens in LMICs is warranted.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
2.20
自引率
13.30%
发文量
1584
审稿时长
10 weeks
期刊介绍: Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types. Manuscript submission is open to all surgeons, researchers, and other health care providers world-wide who wish to communicate their research results on topics related to plastic and reconstructive surgery. Furthermore, Plastic and Reconstructive Surgery—Global Open, a complimentary journal to Plastic and Reconstructive Surgery, provides an open access venue for the publication of those research studies sponsored by private and public funding agencies that require open access publication of study results. Its mission is to disseminate high quality, peer reviewed research in plastic and reconstructive surgery to the widest possible global audience, through an open access platform. As an open access journal, Plastic and Reconstructive Surgery—Global Open offers its content for free to any viewer. Authors of articles retain their copyright to the materials published. Additionally, Plastic and Reconstructive Surgery—Global Open provides rapid review and publication of accepted papers.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信