PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population‐Based Cross‐Sectional Countrywide Survey on Surgical Conditions in Post‐Ebola Outbreak Sierra Leone
Year: 2022
Type: article
Study design: Observational Study
Abstract: BACKGROUND: Understanding the burden of diseases requiring surgical care at national levels is essential to advance universal health coverage. The PREvalence Study on Surgical COnditions (PRESSCO) 2020 is a cross-sectional household survey to estimate the prevalence of physical conditions needing surgical consultation, to investigate healthcare-seeking behavior, and to assess changes from before the West African Ebola epidemic. METHODS: This study (ISRCTN: 12353489) was built upon the Surgeons Overseas Surgical Needs Assessment (SOSAS) tool, including expansions. Seventy-five enumeration areas from 9671 nationwide clusters were sampled proportional to population size. In each cluster, 25 households were randomly assigned and visited. Need for surgical consultations was based on verbal responses and physical examination of selected household members. RESULTS: A total of 3,618 individuals from 1,854 households were surveyed. Compared to 2012, the prevalence of individuals reporting one or more relevant physical conditions was reduced from 25 to 6.2% (95% CI 5.4-7.0%) of the population. One-in-five conditions rendered respondents unemployed, disabled, or stigmatized. Adult males were predominantly prone to untreated surgical conditions (9.7 vs. 5.9% women; p < 0.001). Financial constraints were the predominant reason for not seeking care. Among those seeking professional health care, 86.7% underwent surgery. CONCLUSION: PRESSCO 2020 is the first surgical needs household survey which compares against earlier study data. Despite the 2013-2016 Ebola outbreak, which profoundly disrupted the national healthcare system, a substantial reduction in reported surgical conditions was observed. Compared to one-time measurements, repeated household surveys yield finer granular data on the characteristics and situations of populations in need of surgical treatment.
Source: World Journal of Surgery
Authors: Jurre van Kesteren, Alex J. van Duinen, Foday Marah, Diede van Delft, Antoinette L. Spector, Laura D. Cassidy, Reinou S. Groen, Sonnia‐Magba Bu‐Buakei Jabbi, Silleh Bah, James A. Medo, Abubakarr Kamanda‐Bongay, Daniel van Leerdam, Josien Westendorp, Hanna M. Mathéron, Giulia L. E. Mönnink, Jonathan Vas Nunes, Karel C. Lindenbergh, Sara K. Hoel, Sofie M. Løvdal, Mia N. Østensen, Helene Solberg, Daniel Boateng, Kerstin Klipstein‐Grobusch, Daan van Herwaarden, Janine P. J. Martens, H. Jaap Bonjer, Osman Sankoh, Martin P. Grobusch, Håkon A. Bolkan, for the PRESSCO 2020 study group, Jurre van Kesteren, Alex J. van Duinen, Diede van Delft, Laura D. Cassidy, Reinou S. Groen, Sonnia‐Magba Bu‐Buakei Jabbi, Silleh Bah, James A. Medo, Abubakarr Kamanda‐Bongay, Daniel van Leerdam, Josien Westendorp, Hanna M. Mathéron, Giulia L. E. Mönnink, Jonathan Vas Nunes, Karel C. Lindenbergh, Sara K. Hoel, Sofie M. Løvdal, Mia N. Østensen, Helene Solberg, Daniel Boateng, Kerstin Klipstein‐Grobusch, Daan van Herwaarden, Janine P. J. Martens, Osman Sankoh, Martin P. Grobusch, Håkon A. Bolkan
Institutions: Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam UMC Location Vrije Universiteit Amsterdam, Norwegian University of Science and Technology, St Olav's University Hospital, Capacare NGO, Medical College of Wisconsin, Johns Hopkins University, Johns Hopkins Medicine, Royal Tropical Institute, Amsterdam UMC Location University of Amsterdam, Utrecht University, University Medical Center Utrecht, University of the Witwatersrand, Heidelberg University, Heidelberg Institute of Global Health, University of Cape Town, Centre de Recherche Médicales de Lambaréné, Institute of Infectious Disease and Molecular Medicine, University of Tübingen
Language: English
Topic: Global Health and Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,190
OpenAlex ID: W4294805181