Surgical management of cervical cancer in a resource‐limited setting: One year of data from the National Cancer Institute, Sri Lanka

2020 ◽  
Vol 152 (1) ◽  
pp. 78-81
Author(s):  
Malitha Patabendige ◽  
Rajitha D. Wijesinghe ◽  
M.W.A.B. Wijesuriya ◽  
Chinthana Hapuachchige
Keyword(s):  
Cervical Cancer ◽  
Sri Lanka ◽  
Surgical Management ◽  
National Cancer Institute ◽  
Resource Limited Setting ◽  
Resource Limited ◽  
One Year ◽  
Limited Setting

scholarly journals Expanding Capd in Low-Resource Settings: A Distance Learning Approach

2018 ◽  
Vol 38 (5) ◽  
pp. 343-348 ◽  
Author(s):  
Robert Rope ◽  
Nishantha Nanayakkara ◽  
Abdul Wazil ◽  
Sewmini Dickowita ◽  
Rajitha Abeyeskera ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Resource Limited Setting ◽  
Improvement Program ◽  
Support Providers ◽  
Middle Income ◽  
Clinic Management ◽  
Resource Limited ◽  
Stage Renal Disease ◽  
End Stage ◽  
Limited Setting

BackgroundDespite growing need, treatment for end-stage renal disease is limited in low- and middle-income countries due to resource restraints. We describe the development of an educational curriculum and quality improvement program to support continuous ambulatory peritoneal dialysis (CAPD) performed primarily by non-nephrology providers in Sri Lanka.MethodsWe developed a program of education, outcome tracking, and expert consultation to support providers in Kandy, Sri Lanka. Education included videos and in-person didactics covering core topics in CAPD. Event-tracking sheets recorded root causes and management of infections and hospitalizations. Conferences reviewed clinical cases and overall clinic management. We evaluated the patient census, peritonitis rates, and root causes and management of infections over 1 year.ResultsThe curriculum was published through the International Society of Nephrology online academy. High provider turnover limited curriculum assessments. The CAPD patient census rose from 63 to 116 during the year. The peritonitis rate declined significantly, from 0.8 episodes per patient-year in the first 6 months to 0.4 in the latter 6 months, though the most common root causes of peritonitis, related to contamination events and hygiene, persisted. The appropriate ascertainment of culture data and prescription of antibiotics also increased.ConclusionsOur project supported the expansion of a CAPD program in a resource-limited setting, while also improving peritonitis outcomes. Ongoing challenges include ensuring a durable educational system for rotating providers, tracking outcomes beyond peritonitis, and formalizing management protocols. Our program can serve as an example of how established dialysis programs can support the burgeoning work of providers in resource-limited setting.

Live Donor Renal Transplantation in Sri Lanka; Factors Affecting Overall Outcome in a Resource Limited Setting

2012 ◽  
Vol 94 (10S) ◽  
pp. 1090
Author(s):  
N. Gunawansa ◽  
M. Wijeyaratne ◽  
R. Cassim ◽  
R. Ubeysiri ◽  
R. Dissanayake ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Sri Lanka ◽  
Resource Limited Setting ◽  
Live Donor ◽  
Factors Affecting ◽  
Resource Limited ◽  
Limited Setting

scholarly journals Surgical Management of Congenital Hyperinsulinism in a Resource-Limited Setting

2013 ◽  
Vol 2 (2) ◽  
pp. 26
Author(s):  
Santosh B Kurbet ◽  
Gowda Parameshwar Prashanth ◽  
Vijay C Pujar ◽  
Manisha R Bhandankar ◽  
Sangappa M Dhaded ◽  
...  
Keyword(s):  
Surgical Management ◽  
Resource Limited Setting ◽  
Congenital Hyperinsulinism ◽  
Resource Limited ◽  
Limited Setting

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scholarly journals Cervical cancer survival in a resource-limited setting-North Central Nigeria

2016 ◽  
Vol 11 (1) ◽  
Author(s):  
Jonah Musa ◽  
Joseph Nankat ◽  
Chad J. Achenbach ◽  
Iornum H. Shambe ◽  
Babafemi O. Taiwo ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Survival ◽  
Resource Limited Setting ◽  
North Central ◽  
Resource Limited ◽  
Limited Setting
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