Exploring hydrocoele surgery accessibility and impact in a lymphatic filariasis endemic area of southern Malawi.
Identifieur interne : 001051 ( PubMed/Curation ); précédent : 001050; suivant : 001052Exploring hydrocoele surgery accessibility and impact in a lymphatic filariasis endemic area of southern Malawi.
Auteurs : Michelle C. Stanton [Royaume-Uni] ; Emma L. Smith [Royaume-Uni] ; Sarah Martindale [Royaume-Uni] ; Square Z. Mkwanda [Malawi] ; Louise A. Kelly-Hope [Royaume-Uni]Source :
- Transactions of the Royal Society of Tropical Medicine and Hygiene [ 1878-3503 ] ; 2015.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé (), Adulte, Besoins et demandes de services de santé, Dépression (épidémiologie), Enquêtes et questionnaires, Facteurs socioéconomiques, Filariose lymphatique (), Filariose lymphatique (épidémiologie), Humains, Hydrocèle (), Hydrocèle (épidémiologie), Hydrocèle (étiologie), Maladies négligées, Malawi (épidémiologie), Mâle, Personnes handicapées (), Qualité de vie, Études transversales.
- MESH :
- épidémiologie : Dépression, Filariose lymphatique, Hydrocèle, Malawi.
- étiologie : Hydrocèle.
- Accessibilité des services de santé, Adulte, Besoins et demandes de services de santé, Enquêtes et questionnaires, Facteurs socioéconomiques, Filariose lymphatique, Humains, Hydrocèle, Maladies négligées, Mâle, Personnes handicapées, Qualité de vie, Études transversales.
- Wicri :
- geographic : Malawi.
English descriptors
- KwdEn :
- Adult, Cross-Sectional Studies, Depression (epidemiology), Disabled Persons (statistics & numerical data), Elephantiasis, Filarial (complications), Elephantiasis, Filarial (epidemiology), Elephantiasis, Filarial (surgery), Health Services Accessibility (statistics & numerical data), Health Services Needs and Demand, Humans, Malawi (epidemiology), Male, Neglected Diseases, Quality of Life, Socioeconomic Factors, Surveys and Questionnaires, Testicular Hydrocele (epidemiology), Testicular Hydrocele (etiology), Testicular Hydrocele (surgery).
- MESH :
- geographic , epidemiology : Malawi.
- complications : Elephantiasis, Filarial.
- epidemiology : Depression, Elephantiasis, Filarial, Testicular Hydrocele.
- etiology : Testicular Hydrocele.
- statistics & numerical data : Disabled Persons, Health Services Accessibility.
- surgery : Elephantiasis, Filarial, Testicular Hydrocele.
- Adult, Cross-Sectional Studies, Health Services Needs and Demand, Humans, Male, Neglected Diseases, Quality of Life, Socioeconomic Factors, Surveys and Questionnaires.
Abstract
Hydrocoele surgery is the recommended treatment for the common clinical manifestation of lymphatic filariasis in men. This study determined the geographical differences in surgery accessibility, and improvements in the quality of life of patients in Chikwawa district, Malawi.
DOI: 10.1093/trstmh/trv009
PubMed: 25673628
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Stanton</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK michelle.stanton@lstmed.ac.uk.</nlm:affiliation><country wicri:rule="url">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea></affiliation></author><author><name sortKey="Smith, Emma L" sort="Smith, Emma L" uniqKey="Smith E" first="Emma L" last="Smith">Emma L. 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Kelly-Hope</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool</wicri:regionArea></affiliation></author></analytic><series><title level="j">Transactions of the Royal Society of Tropical Medicine and Hygiene</title><idno type="eISSN">1878-3503</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Depression (epidemiology)</term><term>Disabled Persons (statistics & numerical data)</term><term>Elephantiasis, Filarial (complications)</term><term>Elephantiasis, Filarial (epidemiology)</term><term>Elephantiasis, Filarial (surgery)</term><term>Health Services Accessibility (statistics & numerical data)</term><term>Health Services Needs and Demand</term><term>Humans</term><term>Malawi (epidemiology)</term><term>Male</term><term>Neglected Diseases</term><term>Quality of Life</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term><term>Testicular Hydrocele (epidemiology)</term><term>Testicular Hydrocele (etiology)</term><term>Testicular Hydrocele (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé ()</term><term>Adulte</term><term>Besoins et demandes de services de santé</term><term>Dépression (épidémiologie)</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (épidémiologie)</term><term>Humains</term><term>Hydrocèle ()</term><term>Hydrocèle (épidémiologie)</term><term>Hydrocèle (étiologie)</term><term>Maladies négligées</term><term>Malawi (épidémiologie)</term><term>Mâle</term><term>Personnes handicapées ()</term><term>Qualité de vie</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Malawi</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term><term>Elephantiasis, Filarial</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Disabled Persons</term><term>Health Services Accessibility</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Elephantiasis, Filarial</term><term>Testicular Hydrocele</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dépression</term><term>Filariose lymphatique</term><term>Hydrocèle</term><term>Malawi</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Hydrocèle</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cross-Sectional Studies</term><term>Health Services Needs and Demand</term><term>Humans</term><term>Male</term><term>Neglected Diseases</term><term>Quality of Life</term><term>Socioeconomic Factors</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adulte</term><term>Besoins et demandes de services de santé</term><term>Enquêtes et questionnaires</term><term>Facteurs socioéconomiques</term><term>Filariose lymphatique</term><term>Humains</term><term>Hydrocèle</term><term>Maladies négligées</term><term>Mâle</term><term>Personnes handicapées</term><term>Qualité de vie</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Malawi</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Hydrocoele surgery is the recommended treatment for the common clinical manifestation of lymphatic filariasis in men. This study determined the geographical differences in surgery accessibility, and improvements in the quality of life of patients in Chikwawa district, Malawi.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25673628</PMID><DateCreated><Year>2015</Year><Month>03</Month><Day>15</Day></DateCreated><DateCompleted><Year>2015</Year><Month>12</Month><Day>14</Day></DateCompleted><DateRevised><Year>2015</Year><Month>03</Month><Day>15</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-3503</ISSN><JournalIssue CitedMedium="Internet"><Volume>109</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Transactions of the Royal Society of Tropical Medicine and Hygiene</Title><ISOAbbreviation>Trans. R. Soc. Trop. Med. Hyg.</ISOAbbreviation></Journal><ArticleTitle>Exploring hydrocoele surgery accessibility and impact in a lymphatic filariasis endemic area of southern Malawi.</ArticleTitle><Pagination><MedlinePgn>252-61</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/trstmh/trv009</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Hydrocoele surgery is the recommended treatment for the common clinical manifestation of lymphatic filariasis in men. This study determined the geographical differences in surgery accessibility, and improvements in the quality of life of patients in Chikwawa district, Malawi.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Surgery records from Chikwawa District Hospital (CDH), between 2008 and 2013, were used to map surgery rates by village, spatial dependence by census enumeration area and relationship of distance (kilometres) to CDH. A subset of patients were selected to quantify and compare their physical and socio-economic well-being and level of disability pre- and post-surgery using a standardised questionnaire.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 476 hydrocoele surgical cases were identified with 260 cases geo-referenced and mapped. A significant negative relationship between village-level surgery rates and distance to CDH (r=-0.137; 95% CI: -0.47 to -0.26) was found, and clusters of enumeration areas with high surgery rates identified around the CDH. Significant improvements in patients' ability to walk and work were found and the overall level of disability was reduced post-surgery.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Hydrocoele surgery positively impacted on patients, improving their physical and socio-economic output. Surgical services need to scale-up and expand to reach cases that have less access to the best treatment currently available.</AbstractText><CopyrightInformation>© The Author 2015. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Stanton</LastName><ForeName>Michelle C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK michelle.stanton@lstmed.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Emma L</ForeName><Initials>EL</Initials><AffiliationInfo><Affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Martindale</LastName><ForeName>Sarah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mkwanda</LastName><ForeName>Square Z</ForeName><Initials>SZ</Initials><AffiliationInfo><Affiliation>Lymphatic Filariasis Elimination Programme, Ministry of Health, Lilongwe, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kelly-Hope</LastName><ForeName>Louise A</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>Centre for Neglected Tropical Diseases, Department of Parasitology, Liverpool School of Tropical Medicine, Liverpool, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>02</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Trans R Soc Trop Med Hyg</MedlineTA><NlmUniqueID>7506129</NlmUniqueID><ISSNLinking>0035-9203</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="N">Health Services Accessibility</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006301" MajorTopicYN="N">Health Services Needs and Demand</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N" Type="Geographic">Malawi</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058069" MajorTopicYN="N">Neglected Diseases</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011788" MajorTopicYN="N">Quality of Life</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006848" MajorTopicYN="N">Testicular Hydrocele</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Hydrocoele</Keyword><Keyword MajorTopicYN="N">Hydrocoelectomy</Keyword><Keyword MajorTopicYN="N">Lymphatic filariasis</Keyword><Keyword MajorTopicYN="N">Malawi</Keyword><Keyword MajorTopicYN="N">Morbidity</Keyword><Keyword MajorTopicYN="N">Socio-economic</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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