Shailvi Gupta|Sunil Shrestha|Anju Ranjit|Neeraja Nagarajan|Reinou S. Groen|Adam L. Kushner|Benedict C. Nwomeh
Conditions, preventable deaths, procedures and validation of a countrywide survey of surgical care in Nepal
California State University, East Bay|University of California, San Francisco|Society of Thoracic Surgeons|Kathmandu Medical College Teaching Hospital|Brigham and Women's Hospital|Harvard University|Johns Hopkins University|Society of Thoracic Surgeons|Johns Hopkins University|Johns Hopkins University|Society of Thoracic Surgeons|Society of Thoracic Surgeons|Nationwide Children's Hospital
determine true denominator worldwide surgical need imperative include estimations populationbased level capture individuals unable access surgical care study designed validate surgeons overseas assessment surgical need sosas tool addition visual physical examination describe prevalence surgical conditions deaths possibly averted access surgical care number surgical procedures performed annually nepalthe sosas tool developed measure prevalence surgical conditions population level used two african countries employed fifteen 75 districts nepal chosen proportional population responses recorded head household demographic information recalled deaths two randomly selected household members underwent verbal headtotoe interview surgical conditions visual physical examination trained physiciana total 1350 households surveyed 2695 respondents observed agreement verbal response physical examination findings 946 per cent 100 95 per cent ci 89 112 per cent respondents current condition requiring surgical care 23 per cent deaths may averted proper access surgical care estimated 2918 major operations per 100 000 population performed annually nepalthe visual physical examination component validated sosas tool justified estimates previous studies sierra leone rwanda data provide insights health needs nepal provide evidence develop surgical programmes assist monitoring evaluation help advocacy increased resources nepal