Evaluation of clinical research reporting in African Journal of Paediatric Surgery

Lessons from developing, implementing and sustaining a participatory partnership for children's surgical care in Tanzania

Global surgery is an essential component of Universal Health Coverage. Surgical conditions account for almost one-third of the global burden of disease, with the majority of patients living in low-income and middle-income countries (LMICs). Children account for more than half of the global population; however, in many LMIC settings they have poor access to surgical care due to a lack of workforce and health system infrastructure to match the need for children's surgery. Surgical providers from high-income countries volunteer to visit LMICs and partner with the local providers to deliver surgical care and trainings to improve outcomes. However, some of these altruistic efforts fail. We aim to share our experience on developing, implementing and sustaining a partnership in global children's surgery in Tanzania. The use of participatory methods facilitated a successful 17-yearlong partnership, ensured a non-hierarchical environment and encouraged an understanding of the context, local needs, available resources and hospital capacity, including budget constraints, when codesigning solutions. We believe that participatory approaches are feasible and valuable in developing, implementing and sustaining global partnerships for children's surgery in LMICs.

Important statistical points to improve and promote the methodology of the articles on medical sciences, particularly nephrology and kidney; a review article

Background: Quality of articles’ methodology is one of the important factors which is considered by researchers.

Objectives: This study was conducted to determine statistical guidelines on promotion of methodology’s quality in the articles concerning medical sciences, particularly nephrology, to assist authors and reviewers.

Materials and Methods: This study is a systematic review. Initially, the keywords "Epidemiologic Methods/analysis" [Mesh] OR "Epidemiologic Methods/epidemiology" and "reporting" were selected in Medline database. Then, reliable databases were searched for relevant publications. Being relevant, containing viewpoints, and recommending statistical guidelines as well as approval of at least two of the three examiners of articles were determined as the inclusion criteria into the study.

Results: Two hundred relevant articles were retrieved. Thirty-two articles met the inclusion criteria. By the examined articles, 30 applied points have determinative role for improving and promoting quality of articles methodology. Of the important points, introducing and describing target community and statistical population, mentioning article title, introducing independent and dependent variables as well as confounders, reporting sample size for subgroups and the whole study, summarizing the data according to their statistical distribution (reporting mean and standard deviation for data with normal distribution), reporting the type of rate (incidence, survival), ratio (odds, hazard) or risk (absolute, relative, difference) with 95% CI and the used software could be mentioned.

Conclusion: The most important factors contributing greatly to the quality of articles’ methodology on nephrology were reported in the present study. Applying these factors by articles authors and reviewers could lead to improve articles’ and journals’ quality. In addition, use of the findings of the present study in articles’ materials and methods could avoid research errors.