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Outcomes After Elec...
Outcomes After Elective Inguinal Hernia Repair Performed by Associate Clinicians vs Medical Doctors in Sierra Leone A Randomized Clinical Trial
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- Ashley, Thomas (författare)
- Kamakwie Wesleyan Hosp, Sierra Leone; North Cumbria Univ Hosp, England
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- Ashley, Hannah (författare)
- Lakes Med Practice, England
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- Wladis, Andreas (författare)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Katastrofmedicinskt centrum
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- Bolkan, Hakon A. (författare)
- Norwegian Univ Sci & Technol, Norway; Univ Trondheim Hosp, Norway
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- van Duinen, Alex J. (författare)
- Norwegian Univ Sci & Technol, Norway; Univ Trondheim Hosp, Norway
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- Beard, Jessica H. (författare)
- Temple Univ, PA 19122 USA
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- Kalsi, Hertta (författare)
- Skane Univ Hosp, Sweden
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- Palmu, Juuli (författare)
- Kiruna Hosp, Sweden
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- Nordin, Pär (författare)
- Umeå universitet,Kirurgi,Umea Univ, Sweden
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- Holm, Kristina (författare)
- Malarsjukhuset, Sweden
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- Ohene-Yeboah, Michael (författare)
- Univ Ghana, Ghana
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- Lofgren, Jenny (författare)
- Karolinska Institutet,Karolinska Univ Hosp, Sweden
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(creator_code:org_t)
- 2021-01-11
- 2021
- Engelska.
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Ingår i: JAMA Network Open. - : American Medical Association. - 2574-3805. ; 4:1
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https://liu.diva-por... (primary) (Raw object)
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https://jamanetwork....
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https://doi.org/10.1...
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https://umu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- IMPORTANCE Task sharing of surgical duties with medical doctors (MDs) without formal surgical training and associate clinicians (ACs; health care workers corresponding to an educational level between that of a nurse and an MD) is practiced to provide surgical services to people in low-resource settings. The safety and effectiveness of this has not been fully evaluated through a randomized clinical trial. OBJECTIVE To determine whether task sharing with MDs and ACs is safe and effective in mesh hernia repair in Sierra Leone. DESIGN, SETTING, AND PARTICIPANTS This single-blind, noninferiority randomized clinical trial included adult, healthy men with primary inguinal hernia randomized to receiving surgical treatment from an MD or an AC. In Sierra Leone, ACs practicing surgery have received 2 years of surgical training and completed a 1-year internship. The study was conducted between October 2017 and February 2019. Patients were followed up at 2 weeks and 1 year after operations. Observers were blinded to the study arm of the patients. The study was carried out in a first-level hospital in rural Sierra Leone. Data were analyzed from March to June 2019. INTERVENTIONS All patients received an open mesh inguinal hernia repair under local anesthesia. The control group underwent operations performed by MDs, and the intervention group underwent operations performed by ACs. MAIN OUTCOMES AND MEASURES The primary end point was hernia recurrence at 1 year. Outcomes were assessed by blinded observers at 2 weeks and 1 year after operations. RESULTS A total of 230 patients were recruited (mean [SD] age, 43.0 [13.5] years), and all but 1 patient underwent inguinal hernia repair between October 23, 2017, and February 2, 2018, performed by 5 MDs and 6 ACs. A total of 114 patients were operated on by MDs, and 115 patients were operated on by ACs. There were no crossovers between the study arms. The follow-up rate was 100% at 2 weeks and 94.1% at 1 year. At 1 year, hernia recurrence occurred in 7 patients (6.9%) operated on by MDs and 1 patient (0.9%) operated on by ACs (absolute difference, -6.0 [95% CI, -11.2 to 0.7] percentage points; P < .001). CONCLUSIONS AND RELEVANCE These findings demonstrate that task sharing of elective mesh inguinal hernia repair with ACs was safe and effective. The task sharing debate should progress to focus on optimizing surgical training programs for nonsurgeons and building capacity for elective surgical care in low- and middle-income countries.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
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Ashley, Thomas
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Ashley, Hannah
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Wladis, Andreas
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Bolkan, Hakon A.
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van Duinen, Alex ...
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Beard, Jessica H ...
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visa fler...
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Kalsi, Hertta
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Palmu, Juuli
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Nordin, Pär
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Holm, Kristina
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Ohene-Yeboah, Mi ...
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Lofgren, Jenny
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Pediatrik
- Artiklar i publikationen
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JAMA Network Ope ...
- Av lärosätet
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Linköpings universitet
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Umeå universitet
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Karolinska Institutet