Accepted for Publication: October 23, 2012.
Published Online: January 16, 2013. doi:10.1001/jamasurg.2013.1341
Author Contributions: Dr Stewart has had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Drs Stewart, Groen, Kamara, and Wren conducted background literature preparation. Study concept and design: Stewart, Groen, Samai, and Kushner. Acquisition of data: Stewart, Groen, Kamara, and Kushner. Analysis and interpretationof data: Stewart, Kamara, Farahzad, Cassidy, Kushner, and Wren. Drafting of the manuscript: Stewart, Groen, Farahzad, and Cassidy. Critical revision of the manuscript for important intellectual content: Stewart, Groen, Kamara, Farahzad, Samai, Kushner, and Wren. Statistical analysis: Stewart, Farahzad, and Cassidy. Obtained funding: Stewart and Kushner. Administrative, technical, and material support: Groen, Kushner, and Wren. Study supervision: Groen, Samai, Kushner, and Wren.
Conflict of Interest Disclosures: None reported.
Funding/Support: This article is part of a series of articles on the surgical need in Sierra Leone. Surgeons OverSeas provided funding for logistical support with a donation from the Thompson Family Foundation. The Sierra Leone Ministry of Health and Sanitation, College of Medicine and Allied Health Sciences, and Connaught Hospital assisted with local transportation and administrative support. The Stanford University School of Medicine Medical Scholars Research Program provided travel support for Dr Stewart.
Previous Presentation: An abstract based on the manuscript was presented as a poster at the World Health Summit; October 21, 2012; Berlin, Germany.
Additional Contributions: We acknowledge the Statistics Sierra Leone personnel, especially Sahr Yambasu, MS, for sharing their expertise, as well as the enumerators and field supervisors for their enthusiasm and outstanding work ethics.