Urologic disease in a resource-poor country
Manganiello, Marc ; Hughes, Christopher D. ; Hagander, Lars LU
; Bayne, David
; Pierre, Jean H.
; Buckley, Jill C.
and Meara, John G.
(2013)
In World Journal of Surgery
37(2).
p.8-344
- Abstract
- BACKGROUND: Understanding the role that urologic disease plays within central Haiti could lead to the development of sustainable and regionally appropriate urologic care. We aim to document the prevalence of urologic surgical disease presenting for treatment in central Haiti. METHODS: The present study is based on a retrospective review of surgical case logs at five Partners in Health and Zanmi Lasante hospitals in central Haiti. Data were collected from June 30, 2009, through July 29, 2010, and included patient demographics, disease processes, interventions required, surgeon name, and surgeon training (urologic trained versus non-urologic trained). RESULTS: Urologic surgical disease comprised 498/5,539 (9.0 %) of all surgical cases in... (More)
- BACKGROUND: Understanding the role that urologic disease plays within central Haiti could lead to the development of sustainable and regionally appropriate urologic care. We aim to document the prevalence of urologic surgical disease presenting for treatment in central Haiti. METHODS: The present study is based on a retrospective review of surgical case logs at five Partners in Health and Zanmi Lasante hospitals in central Haiti. Data were collected from June 30, 2009, through July 29, 2010, and included patient demographics, disease processes, interventions required, surgeon name, and surgeon training (urologic trained versus non-urologic trained). RESULTS: Urologic surgical disease comprised 498/5,539 (9.0 %) of all surgical cases in central Haiti from July 2009-July 2010. A total of 492 diagnoses and 498 urologic procedures on 469 patients were recorded. Most common diagnoses included hydrocele (33.3 %), phimosis (23.0 %), benign prostatic hyperplasia (10.8 %), and cryptorchidism (7.3 %). Hydrocelectomy was the most commonly performed procedure (160/498, 32.1 %), followed by circumcision (117/498, 23.4 %) and open prostatectomy (38/498, 7.6 %). Surgeon training (urologic versus non-urologic) was determined for 360/498 (72.3 %) of surgical cases. Urologic trained surgeons performed 55/360 (15.3 %) of all surgical procedures. Among patients who underwent prostatectomy, urology surgeons performed 14/31 (45.2 %) of open prostatectomies, and non-urology surgeons performed 17/31 (54.8 %). Urologists performed all transurethral resections of the prostate (9 vs. 0; p = 0.0051). CONCLUSIONS: Urologic surgical diseases comprise a substantial source of morbidity for patients in central Haiti. Understanding the scale and scope of urologic disease is important in developing health systems to adequately address the regional burden of surgical disease in limited-resource settings. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/4281610
- author
- Manganiello, Marc
; Hughes, Christopher D.
; Hagander, Lars
LU
; Bayne, David
; Pierre, Jean H.
; Buckley, Jill C.
and Meara, John G.
- publishing date
- 2013
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Prevalence, Retrospective Studies, Urinary Bladder Calculi/epidemiology/surgery, Nephrolithiasis/epidemiology/surgery, Middle Aged, Male, Newborn, Infant, Humans, Haiti/epidemiology, Male/*epidemiology/surgery, Genital Diseases, Female, Developing Countries, Cost of Illness, Preschool, Child, 80 and over, Adolescent, Aged, Adult, Urologic Diseases/*epidemiology/surgery, Urologic Surgical Procedures/*statistics & numerical data, Young Adult
- in
- World Journal of Surgery
- volume
- 37
- issue
- 2
- pages
- 8 - 344
- publisher
- Springer
- external identifiers
-
- scopus:84874115203
- pmid:23052811
- ISSN
- 1432-2323
- DOI
- 10.1007/s00268-012-1818-3
- language
- English
- LU publication?
- no
- additional info
- 2
- id
- fd46730f-78a2-471e-ac08-dd38dd47309f (old id 4281610)
- date added to LUP
- 2016-04-01 13:57:37
- date last changed
- 2022-02-19 08:25:07
@article{fd46730f-78a2-471e-ac08-dd38dd47309f,
abstract = {{BACKGROUND: Understanding the role that urologic disease plays within central Haiti could lead to the development of sustainable and regionally appropriate urologic care. We aim to document the prevalence of urologic surgical disease presenting for treatment in central Haiti. METHODS: The present study is based on a retrospective review of surgical case logs at five Partners in Health and Zanmi Lasante hospitals in central Haiti. Data were collected from June 30, 2009, through July 29, 2010, and included patient demographics, disease processes, interventions required, surgeon name, and surgeon training (urologic trained versus non-urologic trained). RESULTS: Urologic surgical disease comprised 498/5,539 (9.0 %) of all surgical cases in central Haiti from July 2009-July 2010. A total of 492 diagnoses and 498 urologic procedures on 469 patients were recorded. Most common diagnoses included hydrocele (33.3 %), phimosis (23.0 %), benign prostatic hyperplasia (10.8 %), and cryptorchidism (7.3 %). Hydrocelectomy was the most commonly performed procedure (160/498, 32.1 %), followed by circumcision (117/498, 23.4 %) and open prostatectomy (38/498, 7.6 %). Surgeon training (urologic versus non-urologic) was determined for 360/498 (72.3 %) of surgical cases. Urologic trained surgeons performed 55/360 (15.3 %) of all surgical procedures. Among patients who underwent prostatectomy, urology surgeons performed 14/31 (45.2 %) of open prostatectomies, and non-urology surgeons performed 17/31 (54.8 %). Urologists performed all transurethral resections of the prostate (9 vs. 0; p = 0.0051). CONCLUSIONS: Urologic surgical diseases comprise a substantial source of morbidity for patients in central Haiti. Understanding the scale and scope of urologic disease is important in developing health systems to adequately address the regional burden of surgical disease in limited-resource settings.}},
author = {{Manganiello, Marc and Hughes, Christopher D. and Hagander, Lars and Bayne, David and Pierre, Jean H. and Buckley, Jill C. and Meara, John G.}},
issn = {{1432-2323}},
keywords = {{Prevalence; Retrospective Studies; Urinary Bladder Calculi/epidemiology/surgery; Nephrolithiasis/epidemiology/surgery; Middle Aged; Male; Newborn; Infant; Humans; Haiti/epidemiology; Male/*epidemiology/surgery; Genital Diseases; Female; Developing Countries; Cost of Illness; Preschool; Child; 80 and over; Adolescent; Aged; Adult; Urologic Diseases/*epidemiology/surgery; Urologic Surgical Procedures/*statistics & numerical data; Young Adult}},
language = {{eng}},
number = {{2}},
pages = {{8--344}},
publisher = {{Springer}},
series = {{World Journal of Surgery}},
title = {{Urologic disease in a resource-poor country}},
url = {{http://dx.doi.org/10.1007/s00268-012-1818-3}},
doi = {{10.1007/s00268-012-1818-3}},
volume = {{37}},
year = {{2013}},
}