Department of Surgery, Faculty of Clinical Sciences, College of Medicine, University of Lagos, Lagos, Nigeria. Email:
Neurosurgery Unit, Department of Surgery, Lagos University Teaching Hospital, Idi Araba, Lagos, Nigeria.
West Afr J Med. 2024 Apr 30;41(4):436-451.
Community-based prevalence studies are known to be more accurate than hospital-based records. However, such community-based prevalence studies are uncommon in low- and middle-income countries including Nigeria. Allocation of resources and prioritization of health care needs by policy makers require data from such community-based studies to be meaningful and sustainable. This study aims to assess the prevalence of common surgical conditions amongst adults in Nigeria.
A descriptive cross-sectional community-based study to determine the prevalence of congenital and acquired surgical conditions in adults in a mixed rural-urban area of Lagos was conducted. The study population comprised resident members in the Ikorodu Local Government Area (LGA) of Lagos State. Data was collected using a modified version of the interviewer-administered questionnaire, the Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool. Data was analysed using the REDCap analytic tool.
Eight hundred and fifty-six households were surveyed with a yield of 1,992 adults. There were 95 adults who complained of surgical conditions giving a prevalence rate of 5%. Vast majority of reported conditions were acquired deformities (n=94) while only 1 congenital deformity was reported. Others included breast lumps, anterior neck swelling, and groin swellings.
The most common surgical complaints in our setting among adults were acquired conditions of the extremities and open wounds/sores. With an estimated population of 90 million adults and approximately 1,200 orthopaedic and general surgeons respectively, the surgeon-to-affected population ratio is 1:10,000. There is a large gap to be filled in terms of surgical manpower development.
基于社区的患病率研究比基于医院的记录更为准确。然而，在包括尼日利亚在内的低收入和中等收入国家，这种基于社区的患病率研究并不常见。政策制定者分配资源和优先考虑医疗保健需求需要基于此类社区研究的数据，使其具有意义和可持续性。本研究旨在评估尼日利亚成年人常见外科疾病的患病率。
本研究是一项描述性的横断面社区研究，旨在确定拉各斯混合城乡地区成年人先天性和后天性外科疾病的患病率。研究人群包括拉各斯州伊科罗杜地方政府区（LGA）的常住居民。使用经过修改的访谈员管理问卷，即外科医生海外手术需求评估（SOSAS）调查工具收集数据。使用 REDCap 分析工具进行数据分析。
对 856 户家庭进行了调查，共获得 1992 名成年人。有 95 名成年人抱怨有外科疾病，患病率为 5%。报告的绝大多数情况是后天性畸形（n=94），仅报告了 1 例先天性畸形。其他包括乳房肿块、前颈部肿胀和腹股沟肿胀。
在我们的成人人群中，最常见的外科投诉是四肢后天性疾病和开放性伤口/溃疡。尼日利亚成年人估计有 9000 万，而骨科和普外科医生分别约为 1200 名，外科医生与受影响人群的比例为 1:10000。在外科人力发展方面存在很大差距。
