A realized vision of access to safe, affordable surgical and anaesthesia care

Hagander, Lars; Leather, Andrew J M

doi:10.1002/bjs.11068

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Investing in surgical services is affordable, saves lives and promotes economic development. 2 We have demonstrated that the lion's share of paediatric surgical care in this population was provided by ENT clinicians and given the number of emergency procedures performed, it is vital for similar services to establish close ENT and anaesthetic team collaboration and document outputs and outcomes.…”

Section: Discussionmentioning

confidence: 99%

Who operates on the children?

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Who operates on the children?

et al. 2022

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“…This economic quantification makes a powerful argument for improving provision of surgery and supporting services as part of global health improvement programmes. Decision-makers do not necessarily allocate funds proportional to avertable mortality and morbidity but demand effective interventions with credible metrics to measure success 62. Consequently, improvements in defining the burden of surgical disease, the cost effectiveness of interventions and key performance indicators can all help bolster the political prioritisation of global surgery.…”

Section: Need Access and Qualitymentioning

confidence: 99%

“…As part of this, a recent international Delphi process has engaged LMIC clinicians, patients and expert methodologists to prioritise future research into areas of unmet clinical need for surgical patients in LMICs; this has led to the identification of three priority topics: access to surgery, outcomes of cancer surgery and perioperative care 117. The recent publication of a dedicated global surgery issue by the British Journal of Surgery reflects the growing academic recognition of this field,62 allowing for a revolutionary dynamic between HIC and LMIC researchers.…”

Section: Future Health Policy and Research In Global Surgerymentioning

confidence: 99%

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

Bath

Bashford

Fitzgerald³

2019

BMJ Glob Health

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‘Global surgery’ is the term adopted to describe a rapidly developing multidisciplinary field aiming to provide improved and equitable surgical care across international health systems. Sitting at the interface between numerous clinical and non-clinical specialisms, it encompasses multiple aspects that surround the treatment of surgical disease and its equitable provision across health systems globally. From defining the role of, and need for, optimal surgical care through to identifying barriers and implementing improvement, global surgery has an expansive remit. Advocacy, education, research and clinical components can all involve surgeons, anaesthetists, nurses and allied healthcare professionals working together with non-clinicians, including policy makers, epidemiologists and economists. Long neglected as a topic within the global and public health arenas, an increasing awareness of the extreme disparities internationally has driven greater engagement. Not necessarily restricted to specific diseases, populations or geographical regions, these disparities have led to a particular focus on surgical care in low-income and middle-income countries with the greatest burden and needs. This review considers the major factors defining the interface between surgery, anaesthesia and public health in these settings.

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Modern perioperative medicine – past, present, and future

Dean

Carter²,

Francis

2019

Innovative Surgical Sciences

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Modern perioperative medicine has dramatically altered the care for patients undergoing major surgery. Anaesthetic and surgical practice has been directed at mitigating the surgical stress response and reducing physiological insult. The development of standardised enhanced recovery programmes combined with minimally invasive surgical techniques has lead to reduction in length of stay, morbidity, costs, and improved outcomes. The enhanced recovery after surgery (ERAS) society and its national chapters provide a means for sharing best practice in this field and developing evidence based guidelines. Research has highlighted persisting challenges with compliance as well as ensuring the effectiveness and sustainability of ERAS. There is also a growing need for increasingly personalised care programmes as well as complex geriatric assessment of frailer patients. Continuous collection of outcome and process data combined with machine learning, offers a potentially powerful solution to delivering bespoke care pathways and optimising individual management. Long-term data from ERAS programmes remain scarce and further evaluation of functional recovery and quality of life is required.

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A realized vision of access to safe, affordable surgical and anaesthesia care

Abstract: Where is the funding?

Cited by 3 publications

References 21 publications

Who operates on the children?

Who operates on the children?

What is ‘global surgery’? Defining the multidisciplinary interface between surgery, anaesthesia and public health

Modern perioperative medicine – past, present, and future

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