A Systematic Review of Global Surgery Partnerships and a Proposed Framework for Sustainability

Jedrzejko, Nicole; Margolick, Joseph; Nguyen, Jenny Hoang; Kisa, Phyllis; Ding, Maylynn; Ball-Banting, Elenor; Hameed, S. Morad; Joos, Émilie

doi:10.2139/ssrn.3296657

Cited by 2 publications

(4 citation statements)

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“…While the issues of HIC and LMIC authorship are sometimes conflated with the concept of decolonizing global surgery, the arguments for equity in academic global surgery are more nuanced and complex. Despite many HIC researchers calling for and promoting equitable practices, various system-level factors may make the implementation of this challenging [19]. For example, incentive structures for grants, promotions, and tenure often require HIC academics to publish frequently and with first and last author positions [20].…”

Section: Authorship Trendsmentioning

confidence: 99%

Academic Output in Global Surgery after the Lancet Commission on Global Surgery: A Scoping Review

et al. 2022

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Background The Lancet Commission on Global Surgery (LCoGS) published its seminal report in 2015, carving a niche for global surgery academia. Six years after the LCoGS, a scoping review was conducted to see how the term 'global surgery' is characterized by the literature and how it relates to LCoGS and its domains. Methods PubMed was searched for publications between January 2015 and February 2021 that used the term ‘global surgery’ in the title, abstract, or key words or cited the LCoGS. Variables extracted included LCoGS domains, authorship metrics, geographic scope, and clinical specialty. Results The search captured 938 articles that qualified for data extraction. Nearly 80% of first and last authors had high-income country affiliations. Africa was the most frequently investigated region, though many countries within the region were under-represented. The World Journal of Surgery was the most frequent journal, publishing 13.9% of all articles. General surgery, pediatric surgery, and neurosurgery were the most represented specialties. Of the LCoGS domains, healthcare delivery and management were the most studied, while economics and financing were the least studied. Conclusion A lack of consensus on the definition of global surgery remains. Additional research is needed in economics and financing, while obstetrics and trauma are under-represented in literature using the term ‘global surgery’. Efforts in academic global surgery must give a voice to those carrying the global surgery agenda forward on the frontlines. Focusing on research capacity-building and encouraging contribution by local partners will lead to a stronger, more cohesive global surgery community.

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Section: Authorship Trendsmentioning

confidence: 99%

Academic Output in Global Surgery after the Lancet Commission on Global Surgery: A Scoping Review

et al. 2022

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“…Jedrzejko et al. [56] described six pillars of sustainability exhibited by successful global surgical partnerships (Table 5).…”

Section: Management Of Specific Paediatric Urological Conditions In L...mentioning

confidence: 99%

“…Collaborative initiatives to deal with the urological need of the paediatric population may be relief projects, clinical projects, or developmental projects (Table 4) [51]. Jedrzejko et al [56] described six pillars of sustainability exhibited by successful global surgical partnerships (Table 5).…”

Section: Sustainable Partnerships Between Lmic and Hic Paediatric Uro...mentioning

confidence: 99%

“…Engagement in a paediatric urological initiative involves partnering a paediatric service hub hospital with nurses, clinical officers, other hospital staff and non-clinical partners such as local religious and community leaders. Inclusive, bidirectional education, the development of specialist teaching programmes and accredited courses fulfil the educational objective, whilst mechanisms of recording and reporting the outcomes of interventions are essential to maintain standards and monitor the effectiveness of these collaborations [56,57].…”

Section: Sustainable Partnerships Between Lmic and Hic Paediatric Uro...mentioning

confidence: 99%

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Paediatric urology inSub‐SaharanAfrica: challenges and opportunities

et al. 2022

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The need for paediatric urological care in low-and middle-income countries in sub-Saharan Africa (SSA) is enormous due to a burgeoning paediatric-aged population and a disproportionate burden of congenital malformations. There are formidable challenges in the provision of a skilled workforce and appropriate infrastructure, resulting in a huge unmet need with consequent effects on the long-term health and prosperity of the population. Constraints of funding, geography, culture, surgical and anaesthetic skills, and instrumentation means that many conditions present late and with complications that could have been avoided by an earlier attendance. It also means that the management of congenital malformations, e.g., bladder exstrophy and congenital obstructive posterior urethral membrane, differ substantially from that seen in the developed world, with the outlook for children with renal failure being particularly bleak. Collaborations between paediatric urologists from high-and low-income countries are beginning to help with the development of a surgical infrastructure customised to paediatric care, and with the training of specific paediatric urological knowledge and skills. These collaborations, whilst welcome, still require substantial expansion to achieve more equitable access to appropriate paediatric urological care for children in SSA. Future efforts have to focus on the creation of sustainable and equal partnerships between urologists from low-and high-income healthcare environments, with an emphasis on providing sustainable management, appropriate to local need and available resources. The provision of shared learning, utilising the benefits of global digital communication, will improve mutual understanding of needs in a resource-poor environment and the involvement of trainees from both income settings can help perpetuate long-term collaborations.

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A Systematic Review of Global Surgery Partnerships and a Proposed Framework for Sustainability

Cited by 2 publications

References 0 publications

Academic Output in Global Surgery after the Lancet Commission on Global Surgery: A Scoping Review

Academic Output in Global Surgery after the Lancet Commission on Global Surgery: A Scoping Review

Paediatric urology inSub‐SaharanAfrica: challenges and opportunities

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