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The PREvalence Study on Surgical COnditions (PRESSCO) 2020 is a cross\u2010sectional household survey to estimate the prevalence of physical conditions needing surgical consultation, to investigate healthcare\u2010seeking behavior, and to assess changes from before the West African Ebola epidemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study (ISRCTN: 12353489) was built upon the Surgeons Overseas Surgical Needs Assessment (SOSAS) tool, including expansions. Seventy\u2010five enumeration areas from 9671\u00a0nationwide clusters were sampled proportional to population size. In each cluster, 25 households were randomly assigned and visited. Need for surgical consultations was based on verbal responses and physical examination of selected household members.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 3,618\u00a0individuals from 1,854 households were surveyed. Compared to 2012, the prevalence of individuals reporting one or more relevant physical conditions was reduced from 25 to 6.2% (95% CI 5.4\u20137.0%) of the population. One\u2010in\u2010five conditions rendered respondents unemployed, disabled, or stigmatized. Adult males were predominantly prone to untreated surgical conditions (9.7 <jats:italic>vs.<\/jats:italic> 5.9% women; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Financial constraints were the predominant reason for not seeking care. Among those seeking professional health care, 86.7% underwent surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>PRESSCO 2020 is the first surgical needs household survey which compares against earlier study data. Despite the 2013\u20132016 Ebola outbreak, which profoundly disrupted the national healthcare system, a substantial reduction in reported surgical conditions was observed. Compared to one\u2010time measurements, repeated household surveys yield finer granular data on the characteristics and situations of populations in need of surgical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06695-7","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T16:05:53Z","timestamp":1662480353000},"page":"2585-2594","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["PREvalence Study on Surgical COnditions (PRESSCO) 2020: A Population\u2010Based Cross\u2010Sectional Countrywide Survey on Surgical Conditions in Post\u2010Ebola Outbreak Sierra Leone"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9856-882X","authenticated-orcid":false,"given":"Jurre","family":"van Kesteren","sequence":"first","affiliation":[{"name":"Amsterdam UMC Location Vrije Universiteit Department of Surgery De Boelelaan 1117, 1081 HV Amsterdam The Netherlands"},{"name":"Global Surgery Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex J.","family":"van Duinen","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Molecular Medicine Norwegian University of Science and Technology (NTNU) Trondheim Norway"},{"name":"Clinic of Surgery St. Olavs Hospital HF, Trondheim University Hospital Trondheim Norway"},{"name":"CapaCare Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Foday","family":"Marah","sequence":"additional","affiliation":[{"name":"CapaCare Trondheim Norway"},{"name":"Masanga Hospital Tonkolili District Masanga Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diede","family":"van Delft","sequence":"additional","affiliation":[{"name":"CapaCare Trondheim Norway"},{"name":"Masanga Hospital Tonkolili District Masanga Sierra Leone"},{"name":"Masanga Medical Research Unit Tonkolili District Masanga Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette L.","family":"Spector","sequence":"additional","affiliation":[{"name":"Institute for Health &amp; Equity and Epidemiology Division Medical College of Wisconsin Milwaukee WI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura D.","family":"Cassidy","sequence":"additional","affiliation":[{"name":"Institute for Health &amp; Equity and Epidemiology Division Medical College of Wisconsin Milwaukee WI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinou S.","family":"Groen","sequence":"additional","affiliation":[{"name":"Johns Hopkins School of Medicine Baltimore USA"},{"name":"SOS \u2013 Surgeons OverSeas New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonnia\u2010Magba Bu\u2010Buakei","family":"Jabbi","sequence":"additional","affiliation":[{"name":"Statistics Sierra Leone Tower Hill Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silleh","family":"Bah","sequence":"additional","affiliation":[{"name":"Statistics Sierra Leone Tower Hill Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James A.","family":"Medo","sequence":"additional","affiliation":[{"name":"Statistics Sierra Leone Tower Hill Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abubakarr","family":"Kamanda\u2010Bongay","sequence":"additional","affiliation":[{"name":"Statistics Sierra Leone Tower Hill Freetown Sierra Leone"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"van Leerdam","sequence":"additional","affiliation":[{"name":"CapaCare Trondheim Norway"},{"name":"KIT, Royal Tropical Institute Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josien","family":"Westendorp","sequence":"additional","affiliation":[{"name":"Institute of Clinical and Molecular Medicine Norwegian University of Science and Technology (NTNU) Trondheim Norway"},{"name":"CapaCare Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanna M.","family":"Math\u00e9ron","sequence":"additional","affiliation":[{"name":"Masanga Medical Research Unit Tonkolili District Masanga Sierra Leone"},{"name":"Amsterdam UMC location University of Amsterdam, AMC, Centre of Tropical Medicine and Travel Medicine Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulia L. 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