Qualitative and Quantitative Analysis of Pediatric Post Neurosurgical Care in a Lower Middle-Income Country: The Zambian Experience

Pediatric postoperative neurosurgical care is an essential component of a child’s treatment pathway. It is important to better understand how neurosurgeons in lower middle-income countries (LMICs) have been able to address socioeconomic and systemic factors to improve their patients’ access to quali...

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Bibliographic Details
Published in:World neurosurgery 2022-11, Vol.167, p.e784-e788
Main Authors: Rolle, Myron L., Bhebhe, Arnold, Munkondya, Aaron, Kharbat, Abdurrahman F., Kaskie, Natasha, McLellan, Rachel, Nahed, Brian V., Warf, Benjamin C., Kunda, Humphrey, Sichizya, Kachinga
Format: Article
Language:English
Subjects:
Child
Female
Humans
Hydrocephalus
Hydrocephalus - epidemiology
Hydrocephalus - surgery
Infant
Lower middle-income country neurosurgery
Meningomyelocele - surgery
Neural tube defect
Neurosurgeons
Neurosurgery determinants of health
Neurosurgical Procedures
Pediatric neurosurgery
Pediatric postoperative care
Socioeconomic determinants of health
Zambia - epidemiology
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Summary:Pediatric postoperative neurosurgical care is an essential component of a child’s treatment pathway. It is important to better understand how neurosurgeons in lower middle-income countries (LMICs) have been able to address socioeconomic and systemic factors to improve their patients’ access to quality pediatric postoperative neurosurgical care. We aim to characterize the pediatric neurosurgical postoperative system in place in Zambia and to discuss how these efforts have been implemented to improve outcomes and address socioeconomic barriers to accessing health care. We acquired a patient list of 90 tenants of House of Hope (HOH)—an out-of-hospital center caring for children awaiting surgery, as well as those recovering from surgery. Of the patient list, 44 patients qualified for our study. Survey responses and occurrence of demographic and clinical characteristics were calculated. Non-normally distributed variables (age) were reported by median and interquartile range (IQR). Dichotomous variables were presented as percentages. Fisher’s Exact test was applied to compare categorical data and hospital re-admission. A P-value of
ISSN:1878-8750
1878-8769
1878-8769
DOI:10.1016/j.wneu.2022.08.098