{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T15:57:09Z","timestamp":1787673429840,"version":"build-2736575974"},"reference-count":21,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008276","name":"College of Medicine, University of Florida","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008276","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","journalofsurgicalresearch.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Research"],"published-print":{"date-parts":[[2021,1]]},"DOI":"10.1016\/j.jss.2020.08.004","type":"journal-article","created":{"date-parts":[[2020,9,4]],"date-time":"2020-09-04T06:09:57Z","timestamp":1599199797000},"page":"419-424","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"special_numbering":"C","title":["Should We Offer Surgery for Biliary Atresia in Low-Resource Settings? Surgical Outcomes in\u00a0Rwanda"],"prefix":"10.1016","volume":"257","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4918-4800","authenticated-orcid":false,"given":"Kyung Woo","family":"Hong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Igiraneza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8548-7019","authenticated-orcid":false,"given":"James","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Nsengiyumva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2088-5400","authenticated-orcid":false,"given":"Andrea","family":"Riner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin T.","family":"Petroze","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edmond","family":"Ntaganda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jss.2020.08.004_bib1","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1016\/S2214-109X(14)70384-5","article-title":"Global burden of surgical disease: an estimation from the provider perspective","volume":"3","author":"Shrime","year":"2015","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.jss.2020.08.004_bib2","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1016\/S0140-6736(15)60160-X","article-title":"Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development","volume":"386","author":"Meara","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jss.2020.08.004_bib3","doi-asserted-by":"crossref","first-page":"2095","DOI":"10.1016\/S0140-6736(12)61728-0","article-title":"Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010","volume":"380","author":"Lozano","year":"2012","journal-title":"Lancet"},{"key":"10.1016\/j.jss.2020.08.004_bib4","doi-asserted-by":"crossref","first-page":"2611","DOI":"10.1007\/s00268-016-3614-y","article-title":"Bellwether procedures for monitoring and planning essential surgical care in low- and middle-income countries: Caesarean delivery, laparotomy, and treatment of open fractures","volume":"40","author":"O\u2019Neil","year":"2016","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib5","doi-asserted-by":"crossref","first-page":"254","DOI":"10.2471\/BLT.18.216028","article-title":"Estimates of number of children and adolescents without access to surgical care","volume":"97","author":"Bhargava","year":"2019","journal-title":"Bull World Health Organ"},{"key":"10.1016\/j.jss.2020.08.004_bib6","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1055\/s-0037-1604399","article-title":"The global initiative for Children\u2019s surgery: optimal resources for improving care","volume":"28","author":"Goodman","year":"2018","journal-title":"Eur J Pediatr Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib7","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1007\/s00268-018-4867-4","article-title":"Is global pediatric surgery a good investment?","volume":"43","author":"Smith","year":"2019","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib8","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1016\/S2214-109X(14)70213-X","article-title":"Cost-effectiveness of surgery and its policy implications for global health: a systematic review and analysis","volume":"2","author":"Chao","year":"2014","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.jss.2020.08.004_bib9","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1111\/j.1399-3046.2004.00153.x","article-title":"Studies of Pediatric Liver Transplantation: 2002 update. An overview of demographics, indications, timing, and immunosuppressive practices in pediatric liver transplantation in the United States and Canada","volume":"8","author":"McDiarmid","year":"2004","journal-title":"Pediatr Transpl"},{"key":"10.1016\/j.jss.2020.08.004_bib10","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1097\/MPG.0b013e318282a913","article-title":"International incidence and outcomes of biliary atresia","volume":"56","author":"Jiminez-Rivera","year":"2013","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"10.1016\/j.jss.2020.08.004_bib11","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1016\/0022-3468(68)90897-X","article-title":"Surgical treatment of biliary atresia","volume":"3","author":"Kasai","year":"1968","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib12","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1007\/BF01655504","article-title":"A history of the Kasai operation: hepatic portoenterostomy for biliary atresia","volume":"12","author":"Ohi","year":"1988","journal-title":"World J Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib13","doi-asserted-by":"crossref","first-page":"1689","DOI":"10.1016\/j.jpedsurg.2011.04.013","article-title":"Biliary atresia in England and Wales: results of centralization and new benchmark","volume":"46","author":"Davenport","year":"2011","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib14","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.cgh.2011.07.024","article-title":"Twenty-year transplant-free survival rate among patients with biliary atresia","volume":"9","author":"de Vries","year":"2011","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.jss.2020.08.004_bib15","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1542\/peds.2008-1949","article-title":"Impact of age at Kasai operation on its results in late childhood and adolescence: a rational basis for biliary atresia screening","volume":"123","author":"Serinet","year":"2009","journal-title":"Pediatrics"},{"key":"10.1016\/j.jss.2020.08.004_bib16","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1016\/j.jpeds.2014.12.063","article-title":"Stool color card screening for early detection of biliary atresia and long-term native liver survival: a 19-year cohort study in Japan","volume":"166","author":"Gu","year":"2015","journal-title":"J Pediatr"},{"key":"10.1016\/j.jss.2020.08.004_bib17","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1179\/146532807X170538","article-title":"Management of biliary atresia in Nigeria: the ongoing challenge","volume":"27","author":"Mshelbwala","year":"2007","journal-title":"Ann Trop Paediatrics"},{"key":"10.1016\/j.jss.2020.08.004_bib18","doi-asserted-by":"crossref","first-page":"4","DOI":"10.4103\/1117-6806.111495","article-title":"Pattern and survival of biliary atresia patients; experience in southern Nigeria","volume":"19","author":"Okoro","year":"2013","journal-title":"Niger J Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib19","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4314\/ecajs.v21i3.3","article-title":"Biliary atresia \u2013 an easily missed cause of jaundice amongst children in Uganda","volume":"21","author":"Kakembo","year":"2016","journal-title":"East Cent Afr J Surg"},{"key":"10.1016\/j.jss.2020.08.004_bib20","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/S1665-2681(19)31789-2","article-title":"Incidence and prognostic factors associated with biliary atresia in western India","volume":"8","author":"Sanghai","year":"2009","journal-title":"Ann Hepatol"},{"key":"10.1016\/j.jss.2020.08.004_bib23","first-page":"689","article-title":"Prognosis of\u00a0biliary atresia after 2-year survival with native liver: a nationwide cohort analysis","volume":"67","author":"Witt","year":"2018","journal-title":"Hepatology"}],"container-title":["Journal of Surgical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480420305448?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022480420305448?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T14:53:15Z","timestamp":1758379995000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022480420305448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":21,"alternative-id":["S0022480420305448"],"URL":"https:\/\/doi.org\/10.1016\/j.jss.2020.08.004","relation":{},"ISSN":["0022-4804"],"issn-type":[{"value":"0022-4804","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Should We Offer Surgery for Biliary Atresia in Low-Resource Settings? Surgical Outcomes in\u00a0Rwanda","name":"articletitle","label":"Article Title"},{"value":"Journal of Surgical Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jss.2020.08.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}