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https://www.readbyqxmd.com/read/29765576/a-trend-analysis-of-surgical-operations-under-a-global-payment-system-in-tehran-iran-2005-2015
#1
Faranak Behzadi Goudari, Arash Rashidian, Mohammad Arab, Mahmood Mahmoudi, Ebrahim Jaafaripooyan
Background: Global payment system is a first example of per-case payment system that contains 60 commonly used surgical operations for which payment is based on the average cost per case in Iran. Objective: The aim of the study was to determine the amount of reduction, increase or no change in the trend of global operations. Methods: In this retrospective longitudinal study, data on the 60 primary global surgery codes was gathered from Tehran Health Insurance Organization within the ten-year period of 2005-2015 separately, for each month...
March 2018: Electronic Physician
https://www.readbyqxmd.com/read/29707463/demonstration-of-the-effectiveness-of-augmented-reality-telesurgery-in-complex-hand-reconstruction-in-gaza
#2
Max J Greenfield, Joshua Luck, Michael L Billingsley, Richard Heyes, Oliver J Smith, Afshin Mosahebi, Abu Khoussa, Ghassan Abu-Sittah, Nadine Hachach-Haram
Augmented reality (AR) is defined as "a technology that superimposes a computer-generated image on a user's view of the real world, thus providing a composite view."1 This case report describes how emerging AR telesurgery technologies may be used to facilitate international surgeon-surgeon collaboration and training. Here, we illustrate how a remote surgeon in Beirut, Lebanon, was able to offer assistance to a surgeon in Gaza, Palestine, during a complex hand reconstruction case following a bomb-blast injury in an 18-year-old male...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29701548/global-neurosurgery-the-current-capacity-and-deficit-in-the-provision-of-essential-neurosurgical-care-executive-summary-of-the-global-neurosurgery-initiative-at-the-program-in-global-surgery-and-social-change
#3
Michael C Dewan, Abbas Rattani, Graham Fieggen, Miguel A Arraez, Franco Servadei, Frederick A Boop, Walter D Johnson, Benjamin C Warf, Kee B Park
OBJECTIVE Worldwide disparities in the provision of surgical care result in otherwise preventable disability and death. There is a growing need to quantify the global burden of neurosurgical disease specifically, and the workforce necessary to meet this demand. METHODS Results from a multinational collaborative effort to describe the global neurosurgical burden were aggregated and summarized. First, country registries, third-party modeled data, and meta-analyzed published data were combined to generate incidence and volume figures for 10 common neurosurgical conditions...
April 27, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29624152/barriers-to-participation-in-global-surgery-academic-collaborations-and-possible-solutions-a-qualitative-study
#4
Parisa Nicole Fallah, Mark Bernstein
OBJECTIVE There is a global lack of access to surgical care, and this issue disproportionately affects those in low- and middle-income countries. Global surgery academic collaborations (GSACs) between surgeons in high-income countries and those in low- and middle-income countries are one possible sustainable way to address the global surgical need. The objective of this study was to examine the barriers to participation in GSACs and to suggest ways to increase involvement. METHODS A convenience sample of 86 surgeons, anesthesiologists, other physicians, residents, fellows, and nurses from the US, Canada, and Norway was used...
April 6, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29559066/competency-based-goals-and-objectives-for-global-surgery-and-injury-burden-education
#5
David N Blitzer, Erin M Scott, Mary Schroeder, Rajan Gupta, Vicente H Gracias, Carlos Ordonez, Gregory L Peck
No abstract text is available yet for this article.
March 1, 2018: American Surgeon
https://www.readbyqxmd.com/read/29550028/pathology-and-laboratory-medicine-in-partnership-with-global-surgery-working-towards-universal-health-coverage
#6
Isabelle Citron, Kristin Sonderman, John G Meara
No abstract text is available yet for this article.
May 12, 2018: Lancet
https://www.readbyqxmd.com/read/29547429/the-role-of-the-wfsa-in-reaching-the-goals-of-the-lancet-commission-on-global-surgery
#7
Gonzalo Barreiro, Jannicke Mellin-Olsen, Julian Gore-Booth
No abstract text is available yet for this article.
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29547428/global-surgery-system-strengthening-it-is-all-about-the-right-metrics
#8
David A Watters, Glenn D Guest, Viliami Tangi, Mark G Shrime, John G Meara
Progress in achieving "universal access to safe, affordable surgery, and anesthesia care when needed" is dependent on consensus not only about the key messages but also on what metrics should be used to set goals and measure progress. The Lancet Commission on Global Surgery not only achieved consensus on key messages but also recommended 6 key metrics to inform national surgical plans and monitor scale-up toward 2030. These metrics measure access to surgery, as well as its timeliness, safety, and affordability: (1) Two-hour access to the 3 Bellwether procedures (cesarean delivery, emergency laparotomy, and management of an open fracture); (2) Surgeon, Anesthetist, and Obstetrician workforce >20/100,000; (3) Surgical volume of 5000 procedures/100,000; (4) Reporting of perioperative mortality rate; and (5 and 6) Risk rates of catastrophic expenditure and impoverishment when requiring surgery...
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29547422/anesthesia-development-in-mongolia-strengthening-anesthesia-practice-in-mongolia-through-education-and-continuing-professional-development
#9
Ganbold Lundeg, Amanda Baric, David C Pescod, Keith Pescod
Anesthesia in Mongolia has undergone a period of major development over the past 17 years, thanks to the work of the Mongolian Society of Anesthesiologists (MSA) and the support of the World Federation of Societies of Anaesthesiologists and the Australian Society of Anaesthetists. The specialty has made major advances in training and in its standing among medical specialties in Mongolia. The MSA has produced members who are leaders in the development of anesthesia as well as emergency medicine and critical care...
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29547421/pain-a-neglected-problem-in-the-low-resource-setting
#10
C Roger Goucke, Pongparadee Chaudakshetrin
Approximately 80% of the world's population lives in countries with little or no access to pain management. These countries also have 74% of the world's deaths from cancer and human immunodeficiency virus. Appropriate use of oral opioids can control 80%-90% of cancer pain. However, only 6.7% of the world's medical opioids are available in these low-resource countries. With the Lancet Commission on Global Surgery calling for a significant expansion of surgical services, postoperative pain management will need to be an increasing focus of our attention...
April 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29541821/incorporation-of-a-global-surgery-rotation-into-an-academic-general-surgery-residency-program-impact-and-perceptions
#11
Michael Thomas LeCompte, Connor Goldman, John L Tarpley, Margaret Tarpley, Erik N Hansen, Peter M Nthumba, Kyla P Terhune, Rondi M Kauffmann
INTRODUCTION: Global surgery is increasingly recognized as a vital component of international public health. Access to basic surgical care is limited in much of the world, resulting in a global burden of treatable disease. To address the lack of surgical workforce in underserved environments and to foster ongoing interest in global health among US-trained surgeons, our institution established a residency rotation through partnership with an academic hospital in Kijabe, Kenya. This study evaluates the perceptions of residents involved in the rotation, as well as its impact on their future involvement in global health...
March 14, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29540407/macroeconomic-costs-of-the-unmet-burden-of-surgical-disease-in-sierra-leone-a-retrospective-economic-analysis
#12
Caris E Grimes, Matthew Quaife, Thaim B Kamara, Christopher B D Lavy, Andy J M Leather, Håkon A Bolkan
OBJECTIVES: The Lancet Commission on Global Surgery estimated that low/middle-income countries will lose an estimated cumulative loss of US$12.3‚ÄČtrillion from gross domestic product (GDP) due to the unmet burden of surgical disease. However, no country-specific data currently exist. We aimed to estimate the costs to the Sierra Leone economy from death and disability which may have been averted by surgical care. DESIGN: We used estimates of total, met and unmet need from two main sources-a cluster randomised, cross-sectional, countrywide survey and a retrospective, nationwide study on surgery in Sierra Leone...
March 14, 2018: BMJ Open
https://www.readbyqxmd.com/read/29500056/surgical-care-and-otolaryngology-in-global-health
#13
REVIEW
Regan W Bergmark, David A Shaye, Mark G Shrime
Surgical access is inadequate for most people. The Lancet Commission on Global Surgery established 6 indicators to measure surgical access: geographic accessibility, density of surgical providers, number of procedures performed, perioperative mortality, impoverishing expenditure, and catastrophic expenditure. Otolaryngology surgical, training, and research efforts use these 6 indicators to maximize impact and coordination of worldwide efforts in surgery. Research must be rigorous and consider the counterfactual...
February 27, 2018: Otolaryngologic Clinics of North America
https://www.readbyqxmd.com/read/29485559/innovate-global-plastic-and-reconstructive-surgery-cleft-lip-and-palate-charity-database
#14
Pinkal S Patel, Karen Y Chung, Leila Kasrai
BACKGROUND: There is an emerging interest in global surgery. The Lancet Commission on Global Surgery recognizes the important role that nongovernmental organizations (NGOs) play in the delivery of cleft lip and/or palate (CLP) surgical care. To better address the unmet burden of surgical disease, the commissioners propose the use of a centralized registry to maximize coordination of global surgical volunteerism efforts. This study aims to create a comprehensive database of CLP organizations...
February 26, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29456040/a-very-rare-case-of-renal-cell-carcinoma-metastasis-to-spermatic-cord-and-a-condensed-literature-review
#15
Ioannis Tsouknidas, Nikolaos Tasis, Charalambos Kokkinos, Helen Trihia, Dimitrios Filippou, Panagiotis Skandalakis, Theodoros Troupis
INTRODUCTION: Renal cell carcinoma (RCC) is proved to be the ninth most common malignancy. Two-third of the patients suffering from RCC will present metastases. Secondary metastases of RCC to spermatic cord are very rare. PRESENTATION OF CASE: In this report we present the case of a patient with renal cell carcinoma with metachronous metastasis to the spermatic cord occurring two years after the initial diagnosis of the disease. DISCUSSION: Our patient was treated according to EAU guidelines...
December 26, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29452939/surgical-site-infection-the-next-frontier-in-global-surgery
#16
Robert G Sawyer, Heather L Evans
No abstract text is available yet for this article.
May 2018: Lancet Infectious Diseases
https://www.readbyqxmd.com/read/29448900/provision-of-surgical-care-in-ethiopia-challenges-and-solutions
#17
Caitrin M Kelly, Nichole Starr, Nakul P Raykar, Rachel R Yorlets, Charles Liu, Miliard Derbew
With the lowest measured rate of surgery in the world, Ethiopia is faced with a number of challenges in providing surgical care. The aim of this study was to elucidate challenges in providing safe surgical care in Ethiopia, and solutions providers have created to overcome them. Semi-structured interviews were conducted with 10 practicing surgeons in Ethiopia. Following de-identification and immersion into field notes, topical coding was completed with an existing coding manual. Codes were adapted and expanded as necessary, and the primary data analyst confirmed reproducibility with a secondary analyst...
February 15, 2018: Global Public Health
https://www.readbyqxmd.com/read/29411073/demand-and-capacity-to-integrate-pelvic-organ-prolapse-and-genital-fistula-services-in-low-resource-settings
#18
Vandana Tripathi, Sohier Elneil, Lauri Romanzi
INTRODUCTION AND HYPOTHESIS: There is a need for expanded access to safe surgical care in low- and middle-income countries (LMICs) as illustrated by the report of the 2015 Lancet Commission on Global Surgery. Packages of closely-related surgical procedures may create platforms of capacity that maximize impact in LMIC. Pelvic organ prolapse (POP) and genital fistula care provide an example. Although POP affects many more women in LMICs than fistula, donor support for fistula treatment in LMICs has been underway for decades, whereas treatment for POP is usually limited to hysterectomy-based surgical treatment, occurring with little to no donor support...
February 6, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29411067/american-college-of-surgeons-member-involvement-in-global-surgery-results-from-the-2015-operation-giving-back-survey
#19
Marissa A Boeck, Laura F Goodman, Yihan Lin, Brittanie Wilczak, Girma Tefera
BACKGROUND: Five billion people worldwide lack access to safe surgery. American College of Surgeons (ACS) members have a strong history of humanitarian and volunteer work. Since its founding in 2004, Operation Giving Back (OGB) has served as a volunteer resource portal. This study sought to understand current activities, needs, and barriers to ACS member volunteerism, and to re-assess the role of OGB. METHODS: A 25-question electronic survey was sent to ACS members in August 2015...
February 6, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29368021/access-to-safe-timely-and-affordable-surgical-care-in-uganda-a-stratified-randomized-evaluation-of-nationwide-public-sector-surgical-capacity-and-core-surgical-indicators
#20
Katherine Albutt, Maria Punchak, Peter Kayima, Didacus B Namanya, Geoffrey A Anderson, Mark G Shrime
BACKGROUND: Access to safe surgery is critical to health, welfare, and economic development. In 2015, the Lancet Commission on Global Surgery recommended that all countries collect surgical indicators to lend insight into improving surgical care. No nationwide high-quality data exist for these metrics in Uganda. METHODS: A standardized quantitative hospital assessment and a semi-structured interview were administered to key stakeholders at 17 randomly selected public hospitals...
January 24, 2018: World Journal of Surgery
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