Best D L, Gauger T L, Dolan J M, Donnelly L A, Ranganathan K, Ulloa-Marin C, Sung-Hsieh H H
Oral and Maxillofacial Surgery, University of Michigan, Ann Arbor, Michigan, USA.
Oral and Maxillofacial Surgery, Indiana University, Indianapolis, Indiana, USA.
Int J Oral Maxillofac Surg. 2018 Nov;47(11):1373-1380. doi: 10.1016/j.ijom.2018.05.025. Epub 2018 Jun 23.
There is a growing demand for surgical care in South America, particularly for patients with congenital orofacial clefts (OFCs). Short-term surgical missions (STSMs) have emerged as a means to deliver surgical expertise and alleviate this demand. The aim of this study was to review the quantity and quality of peer-reviewed reports on OFC repairs performed by STSMs in South America. A literature search was conducted using the PubMed, Embase, Web of Science, and SciELO databases. The search was limited to articles published in English and Spanish. Descriptive statistics were used for the data analysis. The search yielded 65 studies related to OFCs. Eight (12.3%) were selected for full-text review. Only five (7.7%) articles met the inclusion criteria. The diverse study designs and heterogeneous types of data assessment among the selected studies hindered a comparison between them. This review found a sparse number of publications pertaining to OFC missions to South America. The articles that were included demonstrated inconsistencies in reporting patient care data. There is a need for a more efficient, streamlined method of reporting humanitarian missions for OFC repairs in order for healthcare professionals to fulfill research and ethical obligations and offer the best practices in patient-centered care.
南美洲对外科护理的需求日益增长，尤其是对患有先天性口腔颌面裂（OFC）的患者。短期外科任务（STSM）已成为提供外科专业知识并缓解这种需求的一种方式。本研究的目的是回顾南美洲STSM进行的OFC修复的同行评审报告的数量和质量。使用PubMed、Embase、科学网和SciELO数据库进行文献检索。检索仅限于以英文和西班牙文发表的文章。数据分析采用描述性统计。检索得到65项与OFC相关的研究。其中8项（12.3%）被选作全文评审。只有5篇（7.7%）文章符合纳入标准。所选研究中多样的研究设计和异质性的数据评估类型阻碍了它们之间的比较。本综述发现与南美洲OFC任务相关的出版物数量稀少。纳入的文章在报告患者护理数据方面存在不一致之处。需要一种更高效、简化的方法来报告OFC修复的人道主义任务，以便医疗保健专业人员履行研究和伦理义务，并提供以患者为中心的最佳护理实践。
