Surgical need among the ageing population of Uganda.
Adult
Aged
Aging
Cross-Sectional Studies
Female
Health Care Surveys
Health Services Accessibility
/ statistics & numerical data
Health Services Needs and Demand
/ statistics & numerical data
Humans
Male
Middle Aged
Needs Assessment
Rural Population
Surgical Procedures, Operative
/ statistics & numerical data
Surveys and Questionnaires
Uganda
Urban Population
Surgical need
Uganda
ageing population
Journal
African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451
Informations de publication
Date de publication:
Mar 2019
Mar 2019
Historique:
entrez:
1
6
2019
pubmed:
1
6
2019
medline:
18
12
2019
Statut:
ppublish
Résumé
Uganda's ageing population (age 50 years and older) will nearly double from 2015 to 2050. HIV/AIDS, diabetes, stroke among other disease processes have been studied in the elderly population. However, the burden of disease from surgically-treatable conditions is unknown. To determine the proportion of adults above 50 years with unmet surgical need and deaths attributable to probable surgically-treatable conditions. A cluster randomized sample representing the national population of Uganda was enumerated. The previously validated Surgeons Overseas assessment of surgical need instrument, a head-to-toe verbal interview, was used to determine any surgically-treatable conditions in two randomly-selected living household members. Deaths were detailed by heads of households. Weighted metrics are calculated taking sampling design into consideration and Taylor series linearization was used for sampling error estimation. The study enumerated 425 individuals above age 50 years. The prevalence proportion of unmet surgical need was 27.8% (95%CI, 22.1-34.3). This extrapolates to 694,722 (95%CI, 552,279-857,157) individuals living with one or more surgically treatable conditions. The North sub-region was observed to have the highest prevalence proportion. Nearly two out of five household deaths (37.9%) were attributed to probable surgically treatable causes. There is disproportionately high need for surgical care among the ageing population of Uganda with approximately 700,000 consultations needed.
Sections du résumé
BACKGROUND
BACKGROUND
Uganda's ageing population (age 50 years and older) will nearly double from 2015 to 2050. HIV/AIDS, diabetes, stroke among other disease processes have been studied in the elderly population. However, the burden of disease from surgically-treatable conditions is unknown.
OBJECTIVES
OBJECTIVE
To determine the proportion of adults above 50 years with unmet surgical need and deaths attributable to probable surgically-treatable conditions.
METHODS
METHODS
A cluster randomized sample representing the national population of Uganda was enumerated. The previously validated Surgeons Overseas assessment of surgical need instrument, a head-to-toe verbal interview, was used to determine any surgically-treatable conditions in two randomly-selected living household members. Deaths were detailed by heads of households. Weighted metrics are calculated taking sampling design into consideration and Taylor series linearization was used for sampling error estimation.
RESULTS
RESULTS
The study enumerated 425 individuals above age 50 years. The prevalence proportion of unmet surgical need was 27.8% (95%CI, 22.1-34.3). This extrapolates to 694,722 (95%CI, 552,279-857,157) individuals living with one or more surgically treatable conditions. The North sub-region was observed to have the highest prevalence proportion. Nearly two out of five household deaths (37.9%) were attributed to probable surgically treatable causes.
CONCLUSION
CONCLUSIONS
There is disproportionately high need for surgical care among the ageing population of Uganda with approximately 700,000 consultations needed.
Identifiants
pubmed: 31149008
doi: 10.4314/ahs.v19i1.54
pii: jAFHS.v19.i1.pg1778
pmc: PMC6531960
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1778-1788Références
East Afr Med J. 2004 Feb;Suppl:S2-7
pubmed: 15125109
Nutrition. 2005 Jan;21(1):59-66
pubmed: 15661479
J Am Coll Surg. 2006 Dec;203(6):865-77
pubmed: 17116555
PLoS Med. 2010 Mar 09;7(3):e1000242
pubmed: 20231869
PLoS Med. 2010 Mar 09;7(3):e1000243
pubmed: 20231871
Adv Surg. 2010;44:229-49
pubmed: 20919524
World J Surg. 2011 May;35(5):941-50
pubmed: 21360305
Curr Probl Surg. 2011 Oct;48(10):670-754
pubmed: 21907843
BMC Public Health. 2011 Nov 24;11:886
pubmed: 22111659
World J Surg. 2012 May;36(5):1056-65
pubmed: 22402968
N Engl J Med. 2012 Nov 22;367(21):1974-6
pubmed: 23171093
Glob Health Action. 2013 Jan 23;6:19201
pubmed: 23364075
Soc Sci Med. 2013 Jun;87:176-84
pubmed: 23631793
PLoS One. 2013 Aug 14;8(8):e72554
pubmed: 23967317
Br J Surg. 2014 Jan;101(1):e9-22
pubmed: 24272924
PLoS One. 2014 Feb 26;9(2):e89693
pubmed: 24586967
World J Surg. 2015 Jan;39(1):55-61
pubmed: 24791948
Soc Sci Med. 2014 Jul;113:161-8
pubmed: 24880658
Br J Haematol. 2014 Nov;167(4):580-3
pubmed: 25066465
Glob Health Action. 2014 Nov 18;7:25686
pubmed: 25413721
Lancet. 2015 Feb 14;385(9968):e9-e11
pubmed: 25468150
Glob Health Action. 2015 Jan 05;8:26537
pubmed: 25563451
Int J Equity Health. 2015 Mar 07;14:26
pubmed: 25889558
BMC Health Serv Res. 2015 Apr 19;15:168
pubmed: 25898973
Lancet. 2015 Aug 8;386(9993):569-624
pubmed: 25924834
Int J Equity Health. 2014 Oct 08;13:76
pubmed: 25928896
Surgery. 2015 May;157(5):857-64
pubmed: 25934023
Arch Gerontol Geriatr. 2015 Sep-Oct;61(2):231-9
pubmed: 26043957
Surgery. 2015 Sep;158(3):764-72
pubmed: 26088920
Glob Health Action. 2015 Jul 22;8:27923
pubmed: 26205363
Afr J AIDS Res. 2015;14(2):159-67
pubmed: 26223333
World J Surg. 2015 Dec;39(12):2900-7
pubmed: 26316109
Arch Sex Behav. 2016 Feb;45(2):441-9
pubmed: 26324184
Disabil Rehabil. 2016;38(13):1291-9
pubmed: 26457663
AIDS. 2016 Feb 20;30(4):667-70
pubmed: 26636926
Surgery. 2016 Apr;159(4):1217-26
pubmed: 26775073