Department of Pediatrics, University of Minnesota School of Medicine, Minneapolis, MN, USA.
Department of Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Glob Health Action. 2022 Dec 31;15(1):2111780. doi: 10.1080/16549716.2022.2111780.
Sub-Saharan Africa (SSA) faces a critical shortage of pediatric surgical providers. International partnerships can play an important role in pediatric surgical capacity building but must be ethical and sustainable.
The purpose of this study is to perform a scoping literature review of international pediatric surgery partnerships in SSA from 2009 to 2019. We aim to categorize and critically assess past partnerships to aid in future capacity-building efforts.
We performed a scoping literature review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. We searched the PubMed and Embase databases for articles published from 2009 to 2019 using 24 keywords. Articles were selected according to inclusion criteria and assessed by two readers. Descriptive analyses of the data collected were conducted in Excel.
A total of 2376 articles were identified. After duplicates were removed, 405 articles were screened. In total, 83 articles were assessed for eligibility, and 62 were included in the review. The most common partnership category was short-term surgical trip (28 articles, 45%). A total of 35 articles (56%) included education of host country providers as part of the partnership. Only 45% of partnerships included follow-up care, and 50% included postoperative outcomes when applicable.
To increase sustainability, more partnerships must include education of local health-care providers, and short-term surgical trips must be integrated into long-term partnerships. More partnerships need to report postoperative outcomes and ensure follow-up care. Educating peri-operative providers, training general surgeons in common pediatric procedures, and increasing telehealth use are other goals for future partnerships.
撒哈拉以南非洲（SSA）面临儿科外科医生严重短缺的问题。国际合作可以在儿科外科能力建设中发挥重要作用，但必须符合伦理且可持续。
本研究旨在对 2009 年至 2019 年期间在 SSA 开展的国际儿科外科学术合作进行范围界定文献综述。我们旨在对过去的合作进行分类和批判性评估，以帮助未来的能力建设工作。
我们按照系统评价和荟萃分析的首选报告项目（PRISMA-ScR）指南进行了范围界定文献综述。我们使用 24 个关键词在 PubMed 和 Embase 数据库中搜索了 2009 年至 2019 年发表的文章。根据纳入标准选择文章，并由两名读者进行评估。在 Excel 中对收集的数据进行描述性分析。
共确定了 2376 篇文章。去除重复项后，筛选出 405 篇文章。共有 83 篇文章符合纳入标准，其中 62 篇被纳入综述。最常见的合作类别是短期手术旅行（28 篇，45%）。共有 35 篇文章（56%）将东道国提供者的教育作为合作的一部分。只有 45%的合作包括后续护理，50%在适用时包括术后结果。
为了提高可持续性，更多的合作必须包括对当地医疗保健提供者的教育，并且短期手术旅行必须纳入长期合作。更多的合作需要报告术后结果并确保后续护理。教育围手术期提供者、培训普通外科医生进行常见儿科手术以及增加远程医疗的使用是未来合作的其他目标。
