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Lancet commission on global surgery

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https://www.readbyqxmd.com/read/27918334/challenges-of-anesthesia-in-low-and-middle-income-countries-a-cross-sectional-survey-of-access-to-safe-obstetric-anesthesia-in-east-africa
#1
Isabella Epiu, Jossy Verel Bahe Tindimwebwa, Cephas Mijumbi, Thomas M Chokwe, Edwin Lugazia, Francois Ndarugirire, Theogene Twagirumugabe, Gerald Dubowitz
BACKGROUND: The United Nations 2015 Millennium Development Goals targeted a 75% reduction in maternal mortality. However, in spite of this goal, the number of maternal deaths per 100,000 live births remains unacceptably high across Sub-Saharan Africa. Because many of these deaths could likely be averted with access to safe surgery, including cesarean delivery, we set out to assess the capacity to provide safe anesthetic care for mothers in the main referral hospitals in East Africa. METHODS: A cross-sectional survey was conducted at 5 main referral hospitals in East Africa: Uganda, Kenya, Tanzania, Rwanda, and Burundi...
December 1, 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27905017/an-evaluation-of-preparedness-delivery-and-impact-of-surgical-and-anesthesia-care-in-madagascar-a-framework-for-a-national-surgical-plan
#2
Emily Bruno, Michelle C White, Linden S Baxter, Vaonandianina Agnès Ravelojaona, Hasiniaina Narindria Rakotoarison, Hery Harimanitra Andriamanjato, Kristin L Close, Alison Herbert, Nakul Raykar, Saurabh Saluja, Mark G Shrime
BACKGROUND: The Lancet Commission on Global Surgery (LCoGS) described the lack of access to safe, affordable, timely surgical, and anesthesia care. It proposed a series of 6 indicators to measure surgery, accompanied by time-bound targets and a template for national surgical planning. To date, no sub-Saharan African country has completed and published a nationwide evaluation of its surgical system within this framework. METHOD: Mercy Ships, in partnership with Harvard Medical School and the Madagascar Ministry of Health, collected data on the 6 indicators from 22 referral hospitals in 16 out of 22 regions of Madagascar...
November 30, 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/27834523/nursing-the-critically-ill-surgical-patient-in-zambia
#3
Chris Carter, David Snell
Critical illness in the developing world is a substantial burden for individuals, families, communities and healthcare services. The management of these patients will depend on the resources available. Simple conditions such as a fractured leg or a strangulated hernia can have devastating effects on individuals, families and communities. The recent Lancet Commission on Global Surgery and the World Health Organization promise to strengthen emergency and essential care will increase the focus on surgical services within the developing world...
November 10, 2016: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/27702551/are-the-sdgs-leaving-safer-surgical-systems-behind
#4
EDITORIAL
Faheem Ahmed, Sophia Michelen, Rashad Massoud, Haytham Kaafarani
The World Health Organisation (WHO) has set out its new aims for the post-2015 global agenda in the form of the Sustainable Development Goals (SDGs). Discussions around the historically neglected role of emergency and essential surgical interventions in global health has attracted widespread attention with the help of well-timed, high-profile reports including the Lancet Commission for Global Surgery [1]. The case for promoting safe surgery is clear with evidence suggesting that at least two-thirds of the years of life lost globally will be attributed to surgical conditions by 2025 [1]...
October 1, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27579265/the-role-of-plastic-surgeons-in-advancing-development-global
#5
REVIEW
P Niclas Broer, Hillary E Jenny, Joshua S Ng-Kamstra, Sabrina Juran
In September 2015, the international community came together to agree on the 2030 Agenda for Sustainable Development, a plan of action for people, the planet, and prosperity. Ambitious and far-reaching as they are, they are built on three keystones: the elimination of extreme poverty, fighting climate change, and a commitment to fighting injustice and inequality. Critical to the achievement of the Agenda is the global realization of access to safe, affordable surgical and anesthesia care when needed. The landmark report by the Lancet Commission on Global Surgery estimated that between 28 and 32 percent of the global burden of disease is amenable to surgical treatment...
May 2016: World Journal of Plastic Surgery
https://www.readbyqxmd.com/read/27428044/a-global-country-level-comparison-of-the-financial-burden-of-surgery
#6
M G Shrime, A Dare, B C Alkire, J G Meara
BACKGROUND: Approximately 30 per cent of the global burden of disease is surgical, and nearly one-quarter of individuals who undergo surgery each year face financial hardship because of its cost. The Lancet Commission on Global Surgery has proposed the elimination of impoverishment due to surgery by 2030, but no country-level estimates exist of the financial burden of surgical access. METHODS: Using publicly available data, the incidence and risk of financial hardship owing to surgery was estimated for each country...
October 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/27246944/global-safe-anaesthesia-and-surgery-initiatives-implications-for-anaesthesia-in-the-pacific-region
#7
M G Cooper, P B Wake, W W Morriss, P D Cargill, R J McDougall
In 2015 three major events occurred for global anaesthesia and surgery. In January, the World Bank published Disease Control Priorities 3rd edition (DCP 3rd edition). This volume, Essential Surgery, highlighted the cost effective role of anaesthesia and surgery in global health. In April, the Lancet Commission on Global Surgery released its report "Global Surgery 2030: Evidence and solutions for achieving health, welfare, and economic development". The report focuses on five key areas to promote change including: access to timely surgery, surgical workforce and procedural capability, surgical volume, data collection such as perioperative mortality rate, and financial protection...
May 2016: Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/26905873/anaesthesia-and-global-health-initiatives-for-children-in-a-low-resource-environment
#8
Sarah C Hodges
PURPOSE OF REVIEW: As the United Nations moves from Millennium Development Goals to Sustainable Development Goals, we find ourselves with the opportunity to influence the priority of global health initiatives. Previously, the global health community has failed to recognise the importance of access to safe, affordable surgery and developing the necessary specialities that support it as most of the funding focus had been on primary healthcare and infectious diseases. RECENT FINDINGS: Now the WHO is publishing guidelines to safe surgery and the Lancet Commission on Global Surgery has been launched...
June 2016: Current Opinion in Anaesthesiology
https://www.readbyqxmd.com/read/26808747/the-expanding-role-of-education-and-research-in-international-healthcare
#9
Christine M Jones, C Alex Campbell, William P Magee, Ruben Ayala, Donald R Mackay
A recent report of the Lancet Commission on Global Surgery has continued to emphasize the importance of surgery in global health. Plastic surgeons have been involved in humanitarian care of children in developing countries for many years. The ability to repair children with cleft lip and palate in resource-poor settings has made this desirable for many plastic surgeons. A number of philanthropic plastic surgery organizations arose to deal with the problem in a more structured way. Dr. Donald Laub at Stanford established Interplast (now ReSurg) in 1969...
May 2016: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/26663000/problems-and-solutions-in-delivering-global-surgery-in-the-21st-century
#10
REVIEW
F D McDermott, M E Kelly, A Warwick, T Arulampalam, A J Brooks, T Gaarder, B A Cotton, D C Winter
BACKGROUND: Surgery has had low priority in global health planning, so the delivery of surgical care in low- and middle-income countries is often poorly resourced. A recent Lancet Commission on Global Surgery has highlighted the need for change. METHODS: A consensus view of the problems and solutions was identified by individual surgeons from high-income countries, familiar with surgical care in remote and poorer environments, based on recent publications related to global surgery...
February 2016: British Journal of Surgery
https://www.readbyqxmd.com/read/26485245/moving-forward-together-the-lancet-commission-on-global-surgery-report-and-its-implications-for-neurosurgical-procedures
#11
Alireza Mansouri, George M Ibrahim
No abstract text is available yet for this article.
December 2015: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/26470700/surgery-and-obstetric-care-are-highly-cost-effective-interventions-in-a-sub-saharan-african-district-hospital-a-three-month-single-institution-study-of-surgical-costs-and-outcomes
#12
Geoffrey Roberts, Charlotte Roberts, Amy Jamieson, Caris Grimes, Gemma Conn, Robert Bleichrodt
BACKGROUND: The Lancet recently sponsored a commission examining the role of surgery in global health. There is a paucity of published information on the cost-effectiveness of surgery in low- and middle-income countries, a key metric in the prioritisation of limited resources. METHODS: All patients undergoing emergency laparotomy, elective and emergency inguinal hernia repair, elective and emergency caesarean section, amputation, fracture manipulation, or fracture fixation over a 3 months period in a single district African hospital were assessed...
January 2016: World Journal of Surgery
https://www.readbyqxmd.com/read/26313075/the-global-blood-supply-a-literature-review
#13
Katherine E Kralievits, Nakul P Raykar, Sarah L M Greenberg, John G Meara
BACKGROUND: A safe and sufficient blood supply is requisite for a functional surgical system. Although the disparity in blood donation rates between low-income and middle-income countries (LMICs) and high-income countries is well documented, less is known about the reasons for this inequity, which compromises efforts to remedy it. We aimed to review the state of the blood supply and elucidate unique country-specific challenges in each of the world's 196 countries. METHODS: We searched PubMed, MEDLINE, Google Scholar, and WHO reports using the search terms "blood donor", "blood donation","blood safety", "blood bank", "transfusion safety", and "blood services"...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26313062/geospatial-mapping-to-estimate-timely-access-to-surgical-care-in-nine-low-income-and-middle-income-countries
#14
Nakul P Raykar, Alexis N Bowder, Charles Liu, Martha Vega, Jong H Kim, Gloria Boye, Sarah L M Greenberg, Johanna N Riesel, Rowan D Gillies, John G Meara, Nobhojit Roy
BACKGROUND: The Lancet Commission on Global Surgery calls for universal access to safe, affordable, and timely surgical care. Two requisite components of timely access are (1) the ability to reach a surgical provider in a given timeframe, and (2) the ability to receive appropriately prompt care from that provider. We chose a threshold of 2 h in view of its relevance in time-to-death in post-partum haemorrhage. Here, we use geospatial mapping to enumerate the percentage of a nation's population living within 2 h of a surgeon and the surgeon-to-population ratio for each provider...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26313061/a-qualitative-study-exploring-contextual-challenges-to-surgical-care-provision-in-21-lmics
#15
Nakul P Raykar, Rachel R Yorlets, Charles Liu, Sarah L M Greenberg, Meera Kotagal, Roberta Goldman, Nobhojit Roy, John G Meara, Rowan D Gillies
BACKGROUND: Billions of people worldwide are without access to safe, affordable, and timely surgical care. The Lancet Commission on Global Surgery (LCoGS) conducted a qualitative study to understand the contextual challenges to surgical care provision in low-income and middle-income countries (LMICs), and how providers overcome them. METHODS: A semi-structured interview was administered to 143 care providers in 21 LMICs using stratified purposive sampling to include both urban and rural areas and reputational case selection to identify individual providers...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26313060/projections-to-achieve-minimum-surgical-rate-threshold-an-observational-study
#16
Tarsicio Uribe-Leitz, Micaela M Esquivel, George Molina, Stuart R Lipsitz, Stéphane Verguet, John Rose, Stephen W Bickler, Atul A Gawande, Alex B Haynes, Thomas G Weiser
BACKGROUND: Recent work has indicated an increase in surgical services, especially in resource poor settings. However, the rate of growth is poorly understood and likely insufficient to meet public health needs. We previously identified a range of 4344 to 5028 operations per 100 000 population annually to be related to desirable health outcomes. From this and other evidence, the Lancet Commission on Global Surgery recommends a minimum rate of 5000 operations per 100 000 population. We evaluate rates of growth in surgery and estimate the time it will take to reach this minimum surgical rate threshold...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26313058/proposed-minimum-rates-of-surgery-to-support-desirable-health-outcomes-an-observational-study-based-on-four-strategies
#17
Micaela M Esquivel, George Molina, Tarsicio Uribe-Leitz, Stuart R Lipsitz, John Rose, Stephen W Bickler, Atul A Gawande, Alex B Haynes, Thomas G Weiser
BACKGROUND: The global volume of surgery in 2012 is estimated at 312·9 million operations per year, but rates of surgery vary substantially. Maternal health advocates proposed minimum caesarean delivery rates for benchmarking and to improve perinatal outcomes; however, this has not been done for surgery because the association between rates of surgical care provision as a whole and population health outcomes have not been well described. We use available data to estimate minimum rates of surgery that are associated with important health indicators...
April 27, 2015: Lancet
https://www.readbyqxmd.com/read/26067635/projections-for-achieving-the-lancet-commission-recommended-surgical-rate-of-5000-operations-per-100-000-population-by-region-specific-surgical-rate-estimates
#18
Tarsicio Uribe-Leitz, Micaela M Esquivel, George Molina, Stuart R Lipsitz, Stéphane Verguet, John Rose, Stephen W Bickler, Atul A Gawande, Alex B Haynes, Thomas G Weiser
BACKGROUND: We previously identified a range of 4344-5028 annual operations per 100,000 people to be related to desirable health outcomes. From this and other evidence, the Lancet Commission on Global Surgery recommends a minimum rate of 5000 operations per 100,000 people. We evaluate rates of growth and estimate the time it will take to reach this minimum surgical rate threshold. METHODS: We aggregated country-level surgical rate estimates from 2004 to 2012 into the twenty-one Global Burden of Disease (GBD) regions...
September 2015: World Journal of Surgery
https://www.readbyqxmd.com/read/25939201/the-lancet-commission-on-global-surgery-makes-progress-in-first-year-of-work-an-update
#19
Sarah L M Greenberg, Martha P Vega, Alexis N Bowder, John G Meara
No abstract text is available yet for this article.
April 2015: Bulletin of the American College of Surgeons
https://www.readbyqxmd.com/read/25934019/the-lancet-commission-on-global-surgery-global-surgery-2030-evidence-and-solutions-for-achieving-health-welfare-and-economic-development
#20
EDITORIAL
John G Meara, Sarah L M Greenberg
No abstract text is available yet for this article.
May 2015: Surgery
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