Cost-Effectiveness of Orthopedic Surgery in Austere Environments
Surgery has long been the neglected stepchild of global health due to the commonly accepted and unquestioned notion that it is not cost-effective compared to better studied problems such as malnutrition, infectious diseases (HIV, malaria, TB), or maternal and child health (at-risk pregnancy, vaccination)  and relies on resources that are too specialized to be part of the basic health-care package for low- and middle-income countries (LMICs). This concept is increasingly being challenged in new studies that use the same methodologies and metrics that are used to show the benefits of other interventions and that were previously used to exclude surgical care [2–4].
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