Abstract
Five billion people do not have access to safe, quality, timely, and affordable surgical care. The field of global surgery has made great progress to increase awareness surrounding global disparities in surgical care and the global burden secondary to surgical diseases. However, much work remains to be done in actually providing access to safe surgical care around the world. Low- and middle-income countries (LMICs) suffer the majority of this burden. Only 6% of the surgical operations performed annually occur in these countries, which make up over 30% of the world’s population. In 2015, the long-standing efforts of countless organizations and global initiatives were rewarded as the World Health Assembly (WHA) formally recognized the role of emergency and essential surgical care and anesthesia as part of universal health coverage. As enthusiasm and support for the field continue to grow, the global surgery community is uniting behind the common goal of providing universal surgical care to those in need, regardless of the obstacles and challenges that stand in the way.
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References
Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health. 2015;3(Suppl 2):S8–9.
Weiser TG, Regenbogen SE, Thompson KD, Haynes AB, Lipsitz SR, Berry WR, Gawande AA. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet. 2008;372(9633):139–44.
Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, et al. Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet. 2015;386(9993):569–624.
Omran A. The epidemiologic transition: a theory of the epidemiology of population change. Milbank Q. 2005;83(4):731–57.
Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med. 2006;3(11):e442.
Bae JY, Groen RS, Kushner AL. Surgery as a public health intervention: common misconceptions versus the truth. Bull World Health Organ. 2011;89(6):394.
Farmer PE, Kim JY. Surgery and global health: a view from beyond the OR. World J Surg. 2008 Apr;32(4):533–6.
Injuries violence and the facts: The scale of the problem. http://www.who.int/violence_injury_prevention/key_facts/VIP_key_facts.pdf. Page 1 of 6 (PDF), World Health Organization.
Kushner AL, Cherian MN, Noel L, Spiegel DA, Groth S, Etienne C. Addressing the millennium development goals from a surgical perspective essential surgery and anesthesia in 8 low- and middle-income countries. Arch Surg. 2010;145(2):154–9.
deVries CR, Price RR. Global surgery and public health: a new paradigm, 1st ed. Sudbury, Jones and Bartlett Learning, LLC, 2012. Pg 300.
Alkire BC, Raykar NP, Shrime MG, Weiser TG, Bickler SW, Rose JA, et al. Global access to surgical care: a modelling study. Lancet Glob Health. 2015a;3(6):e316–23.
Price RR, Makasa E, Hollands M. World Health assembly resolution WHA68.15: “Strengthening Emergency and Essential Surgical Care and Anesthesia as a Component of Universal Health Coverage”—addressing the public health gaps arising from lack of safe, affordable and accessible surgical and anesthetic services. World J Surg. 2015;39(9):2115–25.
Organization, W.H. WHA 68.15: strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage (2015). http://apps.who.int/gb/ebwha/pdf_ files/WHA68/A68_R15-en.pdf. Cited 18 June 2016
Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN. Disease control priorities, Volume 1. Essential surgery. 3rd ed. Washington, DC: World Bank; 2015.
Debas H, Gosselin R, McCord C, Thind A. Disease control priorities in developing countries, 2nd ed. Washington, DC: The International Bank for Reconstruction and Development/The World Bank; New York: Oxford University Press; 2006. Pgs 1245–1260.
Alkire BC, Shrime MG, Dare AJ, Vincent JR, Meara JG. Global economic consequences of selected surgical diseases: a modelling study. Lancet Glob Health. 2015;3(S2):S21–7.
Contini S. Surgery in developing countries: why and how to meet surgical needs worldwide. Acta Biomed. 2007;78(1):4–5.
Funk LM, Weiser TG, Berry WR, Lipsitz SR, Merry AF, Enright AC, et al. Global operating theatre distribution and pulse oximetry supply: an estimation from reported data. Lancet. 2010;376(9746):1055–61.
Groen RS, Samai M, Stewart K-A, Cassidy DL, Kamara TB, Yambasu SE, et al. Untreated surgical conditions in Sierra Leone: a cluster randomised, cross-sectional, countrywide survey. Lancet. 2012;380(9847):1081–7.
Zafar S, Zafar F, Iqbal A, Channa R, Haider AH. Disparities in access to surgical care within a lower income country: an alarming inequity. World J Surg. 2013;37(7):1470–7.
Matousek AC, Matousek SB, Addington SR, Jean-Louis R, Pierre JH, Fils J, et al. The struggle for equity: an examination of surgical services at two NGO hospitals in rural Haiti. World J Surg. 2015;39(9):2191–7.
Paquette IM, Zuckerman R, Finlayson SR. Perforated appendicitis among rural and urban patients: implications of access to care. Ann Surg. 2011;253(3):534–8.
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Dunlap, J.L., Haider, A.H. (2017). Global Disparities in Surgical Care. In: Park, A., Price, R. (eds) Global Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-49482-1_1
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DOI: https://doi.org/10.1007/978-3-319-49482-1_1
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