Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings

Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings Publisher Pubmed

Yousef Y¹ ; Cairo S² ; Stlouis E³ ; Goodman LF⁴ ; Hamad DM⁵ ; Baird R⁶ ; Smith ER⁷ ; Emil S³ ; Laberge JM³ ; Abdelmalak M^{8, 9} ; Gathuy Z¹⁰ ; Evans F¹¹ ; Adel MG¹² ; Bertille KK¹³ Show All Authors

Yousef Y¹
Cairo S²
Stlouis E³
Goodman LF⁴
Hamad DM⁵
Baird R⁶
Smith ER⁷
Emil S³
Laberge JM³
Abdelmalak M^{8, 9}
Gathuy Z¹⁰
Evans F¹¹
Adel MG¹²
Bertille KK¹³
Chitnis M¹⁴
Millano L¹⁵
Nthumba P¹⁶
Dagostino S¹⁷
Cigliano B¹⁸
Zeasalazar L¹⁸
Ameh E¹⁹
Ozgediz D²⁰
Guadagno E³
Poenaru D³

Show Affiliations

1. Joe di Maggio Children’s Hospital, 1150 N 35 Ave, Suite 555, Hollywood, FL, United States
2. Department of Surgery, University of California San Francisco, San Francisco, CA, United States
3. Harvey E. Beardmore Division of Pediatric Surgery, The Montreal Children’s Hospital, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, H4A 3J1, QC, Canada
4. Children’s Hospital of Orange County, University of California Irvine, Orange, CA, United States
5. Faculty of Medicine, McGill University, Montreal, QC, Canada
6. Division of Pediatric General Surgery BC Children’s Hospital, University of British Columbia, Vancouver, BC, Canada
7. Department of Emergency Medicine and Center for Global Surgery and Health Equity, Duke University, Durham, NC, United States
8. Nile of Hope Hospital, Alexandria, Egypt
9. Alexandria University Children’s Hospital, Alexandria, Egypt
10. The Nairobi Hospital, Nairobi, Kenya
11. Boston Children’s Hospital and Harvard Medical School, Boston, MA, United States
12. Valiasr Hospital, Tehran University of Medical Sciences, Tehran, Iran
13. Charles de Gaulle Pediatric Academic Hospital, Ouagadougou, Burkina Faso
14. Frere Hospital, Walter Sisulu University, East London, South Africa
15. Faculty of Medicine and Nursing, Krida Wacana University, Jakarta, Indonesia
16. AIC Kijabe Hospital, Kenya and Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN, United States
17. Surgery for Children – ONLUS, Vicenza, Italy
18. OMNI Hospital, Guayaquil, Ecuador
19. Division of Paediatric Surgery, Department of Surgery, National Hospital, Abuja, Nigeria
20. Department of Surgery, University of California, San Francisco, CA, United States

Source: Pediatric Surgery International Published:2024

Abstract

Purpose: Pediatric surgical care in low- and middle-income countries is often hindered by systemic gaps in healthcare resources, infrastructure, training, and organization. This study aims to develop and validate the Global Assessment of Pediatric Surgery (GAPS) to appraise pediatric surgical capacity and discriminate between levels of care across diverse healthcare settings. Methods: The GAPS Version 1 was constructed through a synthesis of existing assessment tools and expert panel consultation. The resultant GAPS Version 2 underwent international pilot testing. Construct validation categorized institutions into providing basic or advanced surgical care. GAPS was further refined to Version 3 to include only questions with a > 75% response rate and those that significantly discriminated between basic or advanced surgical settings. Results: GAPS Version 1 included 139 items, which, after expert panel feedback, was expanded to 168 items in Version 2. Pilot testing, in 65 institutions, yielded a high response rate. Of the 168 questions in GAPS Version 2, 64 significantly discriminated between basic and advanced surgical care. The refined GAPS Version 3 tool comprises 64 questions on: human resources (9), material resources (39), outcomes (3), accessibility (3), and education (10). Conclusion: The GAPS Version 3 tool presents a validated instrument for evaluating pediatric surgical capabilities in low-resource settings. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.

Style	Citing Format
MLA	Yousef Y, et al.. "Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings." Pediatric Surgery International, vol. 40, no. 1, 2024, pp. -.
APA	Yousef Y, Cairo S, Stlouis E, Goodman LF, Hamad DM, Baird R, Smith ER, Emil S, Laberge JM, Abdelmalak M, Gathuy Z, Evans F, Adel MG, Bertille KK, Chitnis M, Millano L, Nthumba P, Dagostino S, Cigliano B, ... Poenaru D (2024). Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings. Pediatric Surgery International, 40(1), -.
Chicago	Yousef Y, Cairo S, Stlouis E, Goodman LF, Hamad DM, Baird R, Smith ER, et al.. "Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings." Pediatric Surgery International 40, no. 1 (2024): -.
Harvard	Yousef Y et al. (2024) 'Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings', Pediatric Surgery International, 40(1), pp. -.
Vancouver	Yousef Y, Cairo S, Stlouis E, Goodman LF, Hamad DM, Baird R, et al.. Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings. Pediatric Surgery International. 2024;40(1):-.
BibTex	@article{ author = {Yousef Y and Cairo S and Stlouis E and Goodman LF and Hamad DM and Baird R and Smith ER and Emil S and Laberge JM and Abdelmalak M and Gathuy Z and Evans F and Adel MG and Bertille KK and Chitnis M and Millano L and Nthumba P and Dagostino S and Cigliano B and Zeasalazar L and Ameh E and Ozgediz D and Guadagno E and Poenaru D}, title = {Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings}, journal = {Pediatric Surgery International}, volume = {40}, number = {1}, pages = {-}, year = {2024} }
RIS	TY - JOUR AU - Yousef Y AU - Cairo S AU - Stlouis E AU - Goodman LF AU - Hamad DM AU - Baird R AU - Smith ER AU - Emil S AU - Laberge JM AU - Abdelmalak M AU - Gathuy Z AU - Evans F AU - Adel MG AU - Bertille KK AU - Chitnis M AU - Millano L AU - Nthumba P AU - Dagostino S AU - Cigliano B AU - Zeasalazar L AU - Ameh E AU - Ozgediz D AU - Guadagno E AU - Poenaru D TI - Gaps Phase Ii: Development and Pilot Results of the Global Assessment in Pediatric Surgery, an Evidence-Based Pediatric Surgical Capacity Assessment Tool for Low-Resource Settings JO - Pediatric Surgery International VL - 40 IS - 1 SP - EP - PY - 2024 ER -

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Abstract