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This tool is designed to help improve record keeping, track outcomes, and permit researchers to more accurately study the surgical outreach efforts to low- and middle-income countries. The data points included in this data collection sheet have been identified as important for the development of policy, conducting surgical research, performing economic analyses, among other basic analyses of global surgical outreach efforts to low- and middle-income countries. The instrument includes two components: the datasheet and the codebook. The instrument collects data for three main categories: 

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Basic Data Form

Data regarding the basic characteristics of the surgical outreach program will be reported. This section will request you to provide basic characteristics of the surgical efforts, an overview of the interventions performed, a brief description of any educational efforts, and information regarding personnel participating on the surgical outreach effort.

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Cost Data Form

Data regarding the cost of the surgical outreach efforts will be reported. This part of the form will ask you to report data on various cost categories. 

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Patient Data Form

Data regarding the patients served during the surgical outreach effort will be reported. This section will request you to provide information regarding basic patient demographics, the surgical or medical condition, treatment course, and patient follow-up and outcomes.

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