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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 M8, 9 ; Gathuy Z10 ; Evans F11 ; Adel MG12 ; Bertille KK13 Show All Authors
Authors
  1. Yousef Y1
  2. Cairo S2
  3. Stlouis E3
  4. Goodman LF4
  5. Hamad DM5
  6. Baird R6
  7. Smith ER7
  8. Emil S3
  9. Laberge JM3
  10. Abdelmalak M8, 9
  11. Gathuy Z10
  12. Evans F11
  13. Adel MG12
  14. Bertille KK13
  15. Chitnis M14
  16. Millano L15
  17. Nthumba P16
  18. Dagostino S17
  19. Cigliano B18
  20. Zeasalazar L18
  21. Ameh E19
  22. Ozgediz D20
  23. Guadagno E3
  24. Poenaru D3

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.