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

Yasmine Yousef; Sarah Cairo; Etienne St-Louis; Laura F. Goodman; Doulia M. Hamad; Robert Baird; Emily R. Smith; Sherif Emil; Jean Martin Laberge; Mohamed Abdelmalak; Zipporah Gathuy; Faye Evans; Maryam Ghavami Adel; Ki K. Bertille; Milind Chitnis; Leecarlo Millano; Peter Nthumba; Sergio d’Agostino; Bruno Cigliano; Luis Zea-Salazar; Emmanuel Ameh; Doruk Ozgediz; Elena Guadagno; Dan Poenaru

doi:10.1007/s00383-024-05741-w

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

Yasmine Yousef
, Sarah Cairo
, Etienne St-Louis
, Laura F. Goodman
, Doulia M. Hamad
, Robert Baird
, Emily R. Smith
, Sherif Emil
, Jean Martin Laberge
, Mohamed Abdelmalak
, Zipporah Gathuy
, Faye Evans
, Maryam Ghavami Adel
, Ki K. Bertille
, Milind Chitnis
, Leecarlo Millano
, Peter Nthumba
, Sergio d’Agostino
, Bruno Cigliano
, Luis Zea-Salazar

Emmanuel Ameh, Doruk Ozgediz, Elena Guadagno, Dan Poenaru

Surgery

University of California at San Francisco
McGill University
University of California at Irvine
University of British Columbia
Duke University
Nile of Hope Hospital for Congenital Anomalies
Alexandria University
The Nairobi Hospital
Boston Children's Hospital
Tehran University of Medical Sciences
Charles de Gaulle Pediatric Academic Hospital
Walter Sisulu University
Krida Wacana University
AIC Kijabe Hospital
Surgery for Children
Omni Hospital
National Hospital Abuja

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

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.

Original language	English
Article number	158
Journal	Pediatric Surgery International
Volume	40
Issue number	1
DOIs	https://doi.org/10.1007/s00383-024-05741-w
State	Published - Dec 2024

Keywords

Children’s surgery
Global health
Global surgery
Low-income country
Middle-income country
Pediatric surgery

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10.1007/s00383-024-05741-w

Cite this

Yousef, Y., Cairo, S., St-Louis, E., Goodman, L. F., Hamad, D. M., Baird, R., Smith, E. R., Emil, S., Laberge, J. M., Abdelmalak, M., Gathuy, Z., Evans, F., Adel, M. G., Bertille, K. K., Chitnis, M., Millano, L., Nthumba, P., d’Agostino, 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), Article 158. https://doi.org/10.1007/s00383-024-05741-w

@article{3fc998a3d1d7428db0c82c2b801f9f25,

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",

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.",

keywords = "Children{\textquoteright}s surgery, Global health, Global surgery, Low-income country, Middle-income country, Pediatric surgery",

author = "Yasmine Yousef and Sarah Cairo and Etienne St-Louis and Goodman, \{Laura F.\} and Hamad, \{Doulia M.\} and Robert Baird and Smith, \{Emily R.\} and Sherif Emil and Laberge, \{Jean Martin\} and Mohamed Abdelmalak and Zipporah Gathuy and Faye Evans and Adel, \{Maryam Ghavami\} and Bertille, \{Ki K.\} and Milind Chitnis and Leecarlo Millano and Peter Nthumba and Sergio d{\textquoteright}Agostino and Bruno Cigliano and Luis Zea-Salazar and Emmanuel Ameh and Doruk Ozgediz and Elena Guadagno and Dan Poenaru",

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.",

year = "2024",

month = dec,

doi = "10.1007/s00383-024-05741-w",

language = "English",

volume = "40",

journal = "Pediatric Surgery International",

issn = "0179-0358",

number = "1",

}

Yousef, Y, Cairo, S, St-Louis, 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, d’Agostino, S, Cigliano, B, Zea-Salazar, L, Ameh, E, Ozgediz, D, Guadagno, E & 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, vol. 40, no. 1, 158. https://doi.org/10.1007/s00383-024-05741-w

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. / Yousef, Yasmine; Cairo, Sarah; St-Louis, Etienne et al.
In: Pediatric Surgery International, Vol. 40, No. 1, 158, 12.2024.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - GAPS phase II

T2 - development and pilot results of the global assessment in pediatric surgery, an evidence-based pediatric surgical capacity assessment tool for low-resource settings

AU - Yousef, Yasmine

AU - Cairo, Sarah

AU - St-Louis, Etienne

AU - Goodman, Laura F.

AU - Hamad, Doulia M.

AU - Baird, Robert

AU - Smith, Emily R.

AU - Emil, Sherif

AU - Laberge, Jean Martin

AU - Abdelmalak, Mohamed

AU - Gathuy, Zipporah

AU - Evans, Faye

AU - Adel, Maryam Ghavami

AU - Bertille, Ki K.

AU - Chitnis, Milind

AU - Millano, Leecarlo

AU - Nthumba, Peter

AU - d’Agostino, Sergio

AU - Cigliano, Bruno

AU - Zea-Salazar, Luis

AU - Ameh, Emmanuel

AU - Ozgediz, Doruk

AU - Guadagno, Elena

AU - Poenaru, Dan

N1 - Publisher Copyright: © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024.

PY - 2024/12

Y1 - 2024/12

N2 - 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.

AB - 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.

KW - Children’s surgery

KW - Global health

KW - Global surgery

KW - Low-income country

KW - Middle-income country

KW - Pediatric surgery

UR - https://www.scopus.com/pages/publications/85196414241

U2 - 10.1007/s00383-024-05741-w

DO - 10.1007/s00383-024-05741-w

M3 - Article

C2 - 38896255

AN - SCOPUS:85196414241

SN - 0179-0358

VL - 40

JO - Pediatric Surgery International

JF - Pediatric Surgery International

IS - 1

M1 - 158

ER -

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

Abstract

Keywords

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