Trial Outcomes & Findings for From Short-term Surgical Missions Towards Sustainable Partnerships (NCT NCT04450823)

NCT ID: NCT04450823

Last Updated: 2020-12-19

Results Overview

Answer on the question: What was the country where your last mission took place?

Recruitment status

COMPLETED

Target enrollment

61 participants

Primary outcome timeframe

approximately 20 minutes

Results posted on

2020-12-19

Participant Flow

Recruitment was June through October of 2019

Participant milestones

Participant milestones
Measure
Experts
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Overall Study
STARTED
61
Overall Study
COMPLETED
58
Overall Study
NOT COMPLETED
3

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

From Short-term Surgical Missions Towards Sustainable Partnerships

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Age, Continuous
43 years
n=5 Participants
Sex: Female, Male
Female
20 Participants
n=5 Participants
Sex: Female, Male
Male
38 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
NA Participants
n=5 Participants
Race (NIH/OMB)
Asian
NA Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
NA Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
NA Participants
n=5 Participants
Race (NIH/OMB)
White
NA Participants
n=5 Participants
Race (NIH/OMB)
More than one race
NA Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
NA Participants
n=5 Participants
Nationality
Dutch
33 Participants
n=5 Participants
Nationality
German
5 Participants
n=5 Participants
Nationality
British
4 Participants
n=5 Participants
Nationality
American
4 Participants
n=5 Participants
Nationality
Australian
2 Participants
n=5 Participants
Nationality
South African
2 Participants
n=5 Participants
Nationality
Tanzanian
1 Participants
n=5 Participants
Nationality
Lebanese
1 Participants
n=5 Participants
Nationality
Nigerian
1 Participants
n=5 Participants
Nationality
Danish
1 Participants
n=5 Participants
Nationality
Indian
1 Participants
n=5 Participants
Nationality
Haitian
1 Participants
n=5 Participants
Nationality
Ethiopian
2 Participants
n=5 Participants
Profession
plastic surgeons
23 Participants
n=5 Participants
Profession
orthopedic surgeons
9 Participants
n=5 Participants
Profession
general surgeons
4 Participants
n=5 Participants
Profession
local doctors/surgeons in training
12 Participants
n=5 Participants
Profession
anaesthetists
5 Participants
n=5 Participants
Profession
nurses
2 Participants
n=5 Participants
Profession
physiotherapists
2 Participants
n=5 Participants
Profession
NGO executive officer
1 Participants
n=5 Participants
Number of missions performed
6 missions
n=5 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Answer on the question: What was the country where your last mission took place?

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q7: Country Where the Last Mission Took Place
Burkino fase
2 Participants
Q7: Country Where the Last Mission Took Place
Bangladesh
2 Participants
Q7: Country Where the Last Mission Took Place
Cambodia
1 Participants
Q7: Country Where the Last Mission Took Place
Ecuador
1 Participants
Q7: Country Where the Last Mission Took Place
Ethiopia
3 Participants
Q7: Country Where the Last Mission Took Place
Gaza
1 Participants
Q7: Country Where the Last Mission Took Place
Guinea
9 Participants
Q7: Country Where the Last Mission Took Place
Guinee Bissau
2 Participants
Q7: Country Where the Last Mission Took Place
Haiti
1 Participants
Q7: Country Where the Last Mission Took Place
Indonesia
2 Participants
Q7: Country Where the Last Mission Took Place
Laos
1 Participants
Q7: Country Where the Last Mission Took Place
Lebanon
1 Participants
Q7: Country Where the Last Mission Took Place
Malawi
1 Participants
Q7: Country Where the Last Mission Took Place
Morocco
2 Participants
Q7: Country Where the Last Mission Took Place
Nigeria
3 Participants
Q7: Country Where the Last Mission Took Place
Peru
1 Participants
Q7: Country Where the Last Mission Took Place
Rwanda
1 Participants
Q7: Country Where the Last Mission Took Place
Senegal
2 Participants
Q7: Country Where the Last Mission Took Place
Sierra Leone
3 Participants
Q7: Country Where the Last Mission Took Place
Sri LAnka
1 Participants
Q7: Country Where the Last Mission Took Place
Tanzania
13 Participants
Q7: Country Where the Last Mission Took Place
Uganda
4 Participants
Q7: Country Where the Last Mission Took Place
Vietnam
1 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

List with names of the places and hospitals where the last mission took place

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Paul VI, Ouaga
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Sekou Toure Regional Referral hospital
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Harapan, pematang Siantar, Sumatera Bissau Hospita
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Haydom Lutheran Hospital, Haydom
9 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
St Josephs, Kitgum
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Comprehensive Health Centre, totoro Abeokuta.
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Sengerema hospital, sengerema
3 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Masanga Hospital
3 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Pius VI, Ouagadougou
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
St Francis hospital Mutolere
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Pemantang siantar, rumah sakit harapan
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Virgen de la puerta
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Gatagara
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Rach Gia
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Yekatit 12 hospital, Addis Ababa
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Guercif, Morocco;
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Munshiganj, Bangladesh
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Ambroseli Hospital Kalongo
2 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Conakry, Port. Mercy Ships
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Mahossot Hospiatl Vientiane
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Vavuniya General Hospital
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Guayaquil
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Bekhazi Medical Center, Beirut
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Bissau teaching hospital
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Conakry
5 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Malamulo Hospital
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Dhaka Medical College Hospital, Dhaka
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Yekatit 12
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
CSC, Phnom Penh
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Africa Mercy
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Mercships
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Hopital National Donka, Conakry
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Africa Mercy, Conakry
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Exeter
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Mangu Hospital, Mangu Plateau state
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Cocin, Mangu
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
University Hospital Basel, Switzerland
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Yekatit 12 Hospital, Addis Ababa
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
Shifa Hospital, Gaza City
1 Participants
Q8: Name of the Place and Hospital Where the Last Mission Took Place
MSF burn hospital in Port-au-Prince, Haiti
1 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Name of the organization that supported the last mission of the participant

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q9: Number of Participants Per Organization
Bridge the Gap Foundation
1 Participants
Q9: Number of Participants Per Organization
B-first
1 Participants
Q9: Number of Participants Per Organization
Doctors of the World
11 Participants
Q9: Number of Participants Per Organization
Global Smile Foundation
3 Participants
Q9: Number of Participants Per Organization
Harapan Jaya
2 Participants
Q9: Number of Participants Per Organization
Ka Dounia Dia
2 Participants
Q9: Number of Participants Per Organization
Mercy Ships
12 Participants
Q9: Number of Participants Per Organization
Mission Restore
1 Participants
Q9: Number of Participants Per Organization
MSF
1 Participants
Q9: Number of Participants Per Organization
Njokuti
3 Participants
Q9: Number of Participants Per Organization
Operation Hernia
1 Participants
Q9: Number of Participants Per Organization
Orthopaedic Outreach
1 Participants
Q9: Number of Participants Per Organization
Pan-African Academy of Christian Surgeons
1 Participants
Q9: Number of Participants Per Organization
Project Harar
2 Participants
Q9: Number of Participants Per Organization
Resurge
1 Participants
Q9: Number of Participants Per Organization
Interplast Holland
6 Participants
Q9: Number of Participants Per Organization
Simba Health
2 Participants
Q9: Number of Participants Per Organization
Stichting 'Op Gelijke Voet'
1 Participants
Q9: Number of Participants Per Organization
Trinitas Health Care Partners
1 Participants
Q9: Number of Participants Per Organization
Mission without a supporting NGO
4 Participants
Q9: Number of Participants Per Organization
MAP
1 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

List of countries where the supporting NGOs of the last mission are based

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q10: Countries Where the NGOs Are Based
Netherlands
29 Participants
Q10: Countries Where the NGOs Are Based
USA
17 Participants
Q10: Countries Where the NGOs Are Based
No supporting NGO
4 Participants
Q10: Countries Where the NGOs Are Based
UK
4 Participants
Q10: Countries Where the NGOs Are Based
Australia
1 Participants
Q10: Countries Where the NGOs Are Based
France
1 Participants
Q10: Countries Where the NGOs Are Based
Nigeria
1 Participants
Q10: Countries Where the NGOs Are Based
Sierra Leone
1 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Points provided (1-4) for four potential activities of a visiting team (more points = more important activity) The points provided by all participants are summed per specific activity and the total scores are compared The four potential activities are: * Treat patients yourself * Provide surgical equipment and consumables for the local team * Provide free treatment * Facilitate teaching of local staff Scale with importance of potential activities. Maximum score: 4x58 = 232

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q11: Importance of Potential Activities
Treat patients yourself
157 score on a scale
Q11: Importance of Potential Activities
Provide surgical equipment and consumables for the
153 score on a scale
Q11: Importance of Potential Activities
Provide free treatment
175 score on a scale
Q11: Importance of Potential Activities
Facilitate teaching of local staff
210 score on a scale

PRIMARY outcome

Timeframe: approximately 20 minutes

Population: Question 12 was asked to all participants but only 29 stated that an activity was missing in question 11

Respondents that were missing this activity as an option in question 11 Total number of respondents that were missing an activity: 29 Activities that were missing: * Financial collaboration * Advocacy * Academic collaboration * Sustainability * Collaboration with local staff * Follow-up

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=29 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q12: Activities That Where Missing in Question 11.
Financial collaboration
1 Participants
Q12: Activities That Where Missing in Question 11.
Advocacy
2 Participants
Q12: Activities That Where Missing in Question 11.
Academic collaboration
4 Participants
Q12: Activities That Where Missing in Question 11.
Sustainability
5 Participants
Q12: Activities That Where Missing in Question 11.
Collaboration with local staff
8 Participants
Q12: Activities That Where Missing in Question 11.
Follow up
9 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Medical registration in the host country is required for specialists performing short-term reconstructive missions Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q13. Medical Registration is Required in the Host Country
Strongly agree
28 Participants
Q13. Medical Registration is Required in the Host Country
Agree
16 Participants
Q13. Medical Registration is Required in the Host Country
Neither agree nor disagree
7 Participants
Q13. Medical Registration is Required in the Host Country
Disagree
7 Participants
Q13. Medical Registration is Required in the Host Country
Strongly disagree
0 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

The Process of Obtaining Medical Registration Was Straightforward Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q14: The Process of Obtaining Medical Registration Was Straightforward
Strongly agree
8 Participants
Q14: The Process of Obtaining Medical Registration Was Straightforward
Agree
19 Participants
Q14: The Process of Obtaining Medical Registration Was Straightforward
Neither agree nor disagree
16 Participants
Q14: The Process of Obtaining Medical Registration Was Straightforward
Disagree
10 Participants
Q14: The Process of Obtaining Medical Registration Was Straightforward
Strongly disagree
5 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

What can you say about the collaboration between authorities in LMICs and visiting surgical teams? Participants of the survey were asked to choose one of the following answers on this question: * collaboration is present but improvement is needed * there is no collaboration and it should be developed as a priority * collaboration has no benefits nor disadvantages * collaboration will likely be more harmful than beneficial for the mission

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q15: Collaboration
collaboration is present but improvement is neede
39 Participants
Q15: Collaboration
there is no collaboration and it should be develop
16 Participants
Q15: Collaboration
collaboration has no benefits nor disadvantages
3 Participants
Q15: Collaboration
-collaboration has no benefits nor disadvantages
1 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Population: 5 respondents did't make a choice In the comments section 9 respondents declared that preferable both should be equally addressed

What should have a higher priority in the hospital of your last mission ? Respondents were asked to choose on the these two answers: Teaching in anesthesia care or teaching in surgical care

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=53 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q16. What Should Have a Higher Priority in the Hospital of Your Last Mission?
Surgical care
31 Participants
Q16. What Should Have a Higher Priority in the Hospital of Your Last Mission?
Anaesthesia care
22 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

A structured follow-up strategy (\>6 months) of patients is required for short-term reconstructive surgical missions. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q17. A Structured Follow-up Strategy is Required
Strongly agree
37 Participants
Q17. A Structured Follow-up Strategy is Required
Agree
17 Participants
Q17. A Structured Follow-up Strategy is Required
Neither agree nor disagree
4 Participants
Q17. A Structured Follow-up Strategy is Required
Disagree
0 Participants
Q17. A Structured Follow-up Strategy is Required
Strongly disagree
0 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

One month after the mission, an official report on the outcome including all complications encountered is recommended for all missions. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q18. One Month After the Mission, an Official Report is Recommended
Strongly agree
39 Participants
Q18. One Month After the Mission, an Official Report is Recommended
Agree
16 Participants
Q18. One Month After the Mission, an Official Report is Recommended
Neither agree nor disagree
2 Participants
Q18. One Month After the Mission, an Official Report is Recommended
Disagree
1 Participants
Q18. One Month After the Mission, an Official Report is Recommended
Strongly disagree
0 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

A written long-term strategy (\>5 years) with clear goals, developed by the visiting team and the local actors together, is recommended at the start of a new project. Participants of the survey were asked what they think of this statement: * Strongly agree * Agree * Neither agree nor disagree * Disagree * Strongly disagree

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Strongly agree
37 Participants
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Agree
17 Participants
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Neither agree nor disagree
4 Participants
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Disagree
0 Participants
Q19. A Written Long-term Strategy is Recommended at the Start of a New Project.
Strongly disagree
0 Participants

PRIMARY outcome

Timeframe: approximately 20 minutes

Population: the 58 participants mentioned the top three activities 68 times

What would you suggest to improve the impact of short term reconstructive missions? The answers were categorized and the three most mentioned categories are: * Teaching of local staff * Follow-up * Building sustainable partnerships The three activities were mentioned in total 68 times in the comments The distribution among the three categories is shown below

Outcome measures

Outcome measures
Measure
All Included Participants of the Study
n=58 Participants
Included were English speaking experienced members of foreign teams and local team members from LMIC, that did participate in at least one short-term surgical mission in a hospital in a LMIC.
Q20. Suggestions to Improve the Impact of Short Term Reconstructive Missions.
Teaching of local staff
24 answers mentioning this activity
Q20. Suggestions to Improve the Impact of Short Term Reconstructive Missions.
Follow-up
10 answers mentioning this activity
Q20. Suggestions to Improve the Impact of Short Term Reconstructive Missions.
Building sustainable partnerships
34 answers mentioning this activity

Adverse Events

Experts

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Matthijs Botman

Global Surgery Amsterdam

Phone: 0031648073683

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place