TY - JOUR
T1 - PREvalence Study on Surgical COnditions (PRESSCO) 2020
T2 - A Population-Based Cross-Sectional Countrywide Survey on Surgical Conditions in Post-Ebola Outbreak Sierra Leone
AU - van Kesteren, Jurre
AU - van Duinen, Alex J
AU - Marah, Foday
AU - van Delft, Diede
AU - Spector, Antoinette L
AU - Cassidy, Laura D
AU - Groen, Reinou S
AU - Jabbi, Sonnia-Magba Bu-Buakei
AU - Bah, Silleh
AU - Medo, James A
AU - Kamanda-Bongay, Abubakarr
AU - van Leerdam, Daniel
AU - Westendorp, Josien
AU - Mathéron, Hanna M
AU - Mönnink, Giulia L E
AU - Vas Nunes, Jonathan
AU - Lindenbergh, Karel C
AU - Hoel, Sara K
AU - Løvdal, Sofie M
AU - Østensen, Mia N
AU - Solberg, Helene
AU - Boateng, Daniel
AU - Klipstein-Grobusch, Kerstin
AU - van Herwaarden, Daan
AU - Martens, Janine P J
AU - Bonjer, H Jaap
AU - Sankoh, Osman
AU - Grobusch, Martin P
AU - Bolkan, Håkon A
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/11
Y1 - 2022/11
N2 - 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.
AB - 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.
KW - Adult
KW - Cross-Sectional Studies
KW - Developing Countries
KW - Disease Outbreaks
KW - Female
KW - Health Services Needs and Demand
KW - Hemorrhagic Fever, Ebola/epidemiology
KW - Humans
KW - Male
KW - Prevalence
KW - Sierra Leone/epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85139229671&partnerID=8YFLogxK
U2 - 10.1007/s00268-022-06695-7
DO - 10.1007/s00268-022-06695-7
M3 - Article
C2 - 36068404
SN - 0364-2313
VL - 46
SP - 2585
EP - 2594
JO - World journal of surgery
JF - World journal of surgery
IS - 11
ER -