Barriers and facilitators to implementing laparoscopic surgery in low- and middle-income countries: a systematic review using the consolidated framework for implementation research - Scorecard - MDSpire
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Factors Hindering and Supporting the Adoption of Laparoscopic Surgery in Low- and Middle-Income Countries: A Systematic Review Guided by the Consolidated Framework for Implementation Research
Clinical Scorecard: Factors Hindering and Supporting the Adoption of Laparoscopic Surgery in Low- and Middle-Income Countries: A Systematic Review Guided by the Consolidated Framework for Implementation Research
At a Glance
Category
Detail
Condition
Implementation of laparoscopic surgery in low- and middle-income countries (LMICs)
Key Mechanisms
The review organizes implementation barriers and facilitators using five CFIR domains: innovation characteristics, outer setting, inner setting, characteristics of individuals, and process.
Target Population
Patients, healthcare institutions, surgical teams, and healthcare professionals participating in laparoscopic surgery provision or implementation in LMICs.
Care Setting
LMIC healthcare settings; eligible countries were categorized by the World Bank as low- or middle-income countries.
Key Highlights
This systematic review examines factors affecting laparoscopic surgery implementation in LMICs using the Consolidated Framework for Implementation Research (CFIR).
The review addresses a prespecified objective within a prospectively registered systematic review (PROSPERO CRD42024593992) and followed PRISMA 2020 guidance.
Eligible studies reported primary empirical findings relevant to implementation in clinical settings and could use quantitative, qualitative, or mixed-methods designs.
The introduction cites funding, equipment, trainers, stakeholder dynamics, curricula, departmental structure, and trainee opportunities as challenges identified by Wilkinson et al. (2021).
Guideline-Based Recommendations
Diagnosis
Management
Monitoring & Follow-up
Risks
Patient & Prescribing Data
Eligible populations included patients, healthcare institutions, surgical teams, and healthcare professionals participating in laparoscopic surgery provision or implementation across LMICs.
by Ali Yasen Mohamedahmed, Mohammed A. Adam, Seddig Adam Jebril Saleh, Malaz A. E. Dafallah, Omar Elfaroug Salim, Kayla Bagg, Johnelize Louw, Tiffany E. Chao, Kathryn Chu
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