Sacha Williams, Olivia Serhan, Jenny Wang, Christian Guindi, Elena Guadagno, Maeve Trudeau, Emmanuel Ameh, Kokila Lakhoo, Dan Poenaru
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引用次数: 0
摘要
女孩的护理往往受到性别不平等障碍的影响，手术结果不佳的风险可能更高。本研究探讨了性别对非洲儿科外科护理的影响。方法：对男孩和女孩在获得护理和临床结果方面的差异进行了检查，以确定没有生理性别差异的儿科外科条件。随后对非洲儿科外科研究进行了系统回顾，随后进行了随机效应荟萃分析和偏倚风险评估。结果：在检索到的12,281条记录中，选择了54条进行审查。大多数研究是回顾性研究（57.4%），单地点研究（94.4%），来自埃及、尼日利亚、加纳或埃塞俄比亚（55.6%），关注胃肠道疾病（63.0%），发表于2010年或更早（85.1%），研究持续时间为5年或更短（68.5%），队列少于200名儿童（57.4%）。60%的人报告了死亡结果。meta分析优势比显示，男孩接受手术的频率是男孩的3.6倍（95% CI 2.6, 4.9）；女孩的死亡率是女孩的1.6倍（95% CI 1.3, 2.0）。结论：非洲女孩在儿科外科护理中似乎面临性别不平等。研究结果将在混合方法研究中进一步探讨。证据等级：1。
The impact of gender on pediatric surgical access and outcomes in Africa.
Introduction: Girls, whose care is often affected by barriers steeped in gender inequity, may be at higher risk of poor surgical outcomes. This study explored the impact of gender on pediatric surgical care in Africa.
Methods: Differences in access to care and clinical outcomes for boys and girls were examined for pediatric surgical conditions that do not differ by physiological sex. A systematic review of African pediatric surgical studies ensued, followed by a random effects meta-analysis, and risk of bias assessment.
Results: Of the 12,281 records retrieved, 54 were selected for review. Most studies were retrospective (57.4%), single-site (94.4%), from Egypt, Nigeria, Ghana, or Ethiopia (55.6%), focused on gastrointestinal conditions (63.0%), published in 2010 or sooner (85.1%), had study durations of 5 years or less (68.5%), and cohorts of less than 200 children (57.4%). Sixty percent reported the outcome of mortality. Meta-analysis odds ratios revealed surgery was performed 3.6 times more often on boys (95% CI 2.6, 4.9); and mortality was 1.6 times greater for girls (95% CI 1.3, 2.0).
Conclusion: African girls appear to face gender inequities in pediatric surgical care. Findings will be further explored in a mixed-methods study.
期刊介绍：
Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children.
The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include:
-Review articles-
Original articles-
Technical innovations-
Letters to the editor
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