{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:46:28Z","timestamp":1791963988380,"version":"4.3.4"},"reference-count":15,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The European Pediatric Surgeons' Association (EUPSA) recently established a Global Surgery Committee to promote equitable access to pediatric surgical care through international collaboration and capacity building. This study aimed to explore and prioritize pediatric surgeons' expectations regarding the role and activities of the EUPSA Global Surgery Committee across different World Bank income groups, with particular attention to perspectives from low\u2010 and middle\u2010income settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A two\u2010round modified Delphi study was conducted using online surveys distributed via EUPSA networks, pediatric surgical societies, and professional social media. In Round 1, participants provided up to five free\u2010text expectations; responses underwent inductive thematic analysis. In Round 2, participants ranked six themes, rated 20 subthemes on a 1\u201310 Likert scale and selected three top priorities. Countries were classified using the 2025 World Bank income groups, and descriptive statistics were used for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 230 participants from 68 countries completed Round 1; 113 (49%) practiced in low\u2010 or lower\u2010middle\u2010income settings, 165 (72%) were consultant pediatric surgeons, and 196 (85%) worked in urban environments. Thematic analysis of 218 valid free\u2010text responses identified six themes spanning guidelines, training, research, advocacy, infrastructure, and cross\u2010cutting support. In Round 2, 65 complete responses were analyzed. Training\u2010related support ranked highest across all income groups, followed by guidelines and knowledge resources and by infrastructure and service delivery. Fellowships or observerships and structured mentorship were consistently among the highest\u2010rated subthemes. High\u2010income respondents more often prioritized guidelines and registry or multicenter research support, whereas low\u2010 and lower\u2010middle\u2010income respondents placed greater emphasis on equipment, infrastructure, and advocacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Pediatric surgeons across income settings perceive EUPSA's global surgery role as multidimensional, with a consistent prioritization of capacity building through training, mentorship, guidelines, and systems\u2010oriented support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70541","type":"journal-article","created":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T06:44:25Z","timestamp":1788331465000},"page":"2976-2986","source":"Crossref","is-referenced-by-count":0,"title":["Pediatric Surgeons' Expectations of the EUPSA Global Surgery Committee Across World Bank Income Groups: A Two\u2010Round Modified Delphi Study"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5449-7820","authenticated-orcid":false,"given":"G.","family":"Brisighelli","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery School of Clinical Medicine Faculty of Health Sciences  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6231-9792","authenticated-orcid":false,"given":"G. T.","family":"Tekant","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Cerrahpa\u015fa Faculty of Medicine Istanbul University\u2010Cerrahpa\u015fa  Istanbul T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1145-6668","authenticated-orcid":false,"given":"A.","family":"Gunnarsd\u00f3ttir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery and Urology Karolinska University Hospital Astrid Lindgrens Childrens Hospital  Stockholm Sweden"},{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9027-1650","authenticated-orcid":false,"given":"A. R.","family":"Brohi","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Peoples University of Medical &amp; Health Sciences (PUMHS)  Nawabshah Sindh Pakistan"},{"name":"Paediatric Laparoscopic\/Thoracoscopic Surgery  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2584-0538","authenticated-orcid":false,"given":"B. M.","family":"Basnet","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Kanti Children's Hospital  Kathmandu Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5223-1909","authenticated-orcid":false,"given":"C. M.","family":"Burgos","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Karolinska University Hospital  Stockholm Sweden"},{"name":"Department of Women's and Children's Health Karolinska Institutet Astrid Lindgrens Barnsjukhus  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7629-7782","authenticated-orcid":false,"given":"D.","family":"Di Fabrizio","sequence":"additional","affiliation":[{"name":"Pediatric Surgery Unit Salesi Children's Hospital Azienda Ospedaliero Universitaria delle Marche  Ancona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1836-2486","authenticated-orcid":false,"given":"E.","family":"Reuling","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Wilhelmina Children's Hospital University Medical Center Utrecht  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7849-2759","authenticated-orcid":false,"given":"E.","family":"Stortelder","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Queen Fabiola Children's University Hospital  Brussels Belgium"},{"name":"Department of Pediatric Urology Wilhelmina Children's hosptial University Medical Center Utrecht  Utrecht the Netherlands"},{"name":"Department of Global Public Health and Bioethics Julius Center for Health Sciences and Primary Care University Medical Center Utrecht  Utrecht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2792-1550","authenticated-orcid":false,"given":"F.","family":"Pederiva","sequence":"additional","affiliation":[{"name":"Azienda Ospedaliera Universitaria Integrata (AOUI)  Verona Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3543-5974","authenticated-orcid":false,"given":"J.","family":"Lindert","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery University Medicine Rostock  Rostock Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9101-0768","authenticated-orcid":false,"given":"J.","family":"Stoltz","sequence":"additional","affiliation":[{"name":"Institute for Applied Health Sciences University of Applied Sciences Landshut  Landshut Germany"},{"name":"Department of General, Visceral and Minimally Invasive Surgery Hospital Mallersdorf  Mallersdorf\u2010Pfaffenberg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5377-3849","authenticated-orcid":false,"given":"M.","family":"Garriboli","sequence":"additional","affiliation":[{"name":"Department of Paediatric Urology Evelina London Children's Hospital Guy's and St Thomas' NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5765-8207","authenticated-orcid":false,"given":"M.","family":"Kakar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Riga Stradi\u0146\u0161 University &amp; 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