Distilling wisdom from our collective experience

Kumar, Raman Krishna

doi:10.4103/0974-2069.126537

Cited by 5 publications

(5 citation statements)

References 8 publications

(8 reference statements)

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“…Recommended approaches to contain the costs of surgical correction of congenital heart disease like timely referral, early surgical correction and specific strategies for postoperative care needs to be practiced to improve outcomes and to reduce treatment expenses [ 15 ]. Additionally, a number of surgical improvisations that have reported from programs with limited resources in the developing world need to be considered after adequate testing and validation [ 16 ]. Standardized fast track protocols of recovery care involving practices aimed at early extubation and mobilization in children undergoing certain types of heart surgery can also be utilized for the reduction of length of hospital stay and associated cost factors [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Micro-Economic Impact of Congenital Heart Surgery: Results of a Prospective Study from a Limited-Resource Setting

et al. 2015

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IntroductionThe microeconomic impact of surgery for congenital heart disease is unexplored, particularly in resource limited environments. We sought to understand the direct and indirect costs related to congenital heart surgery and its impact on Indian households from a family perspective.MethodsBaseline and first follow-up data of 644 consecutive children admitted for surgery for congenital heart disease (March 2013 – July 2014) in a tertiary referral hospital in Central Kerala, South India was collected prospectivelyfrom parents through questionnaires using a semi-structured interview schedule.ResultsThe median age was 8.2 months (IQR: 3.0– 36.0 months). Most families belonged to upper middle (43.0%) and lower middle (35.7%) socioeconomic class. Only 3.9% of families had some form of health insurance. The median expense for the admission and surgery was INR 201898 (IQR: 163287–266139) [I$ 11989 (IQR: 9696–15804)], which was 0.93 (IQR: 0.52–1.49) times the annual family income of affected patients. Median loss of man-days was 35 (IQR: 24–50) and job-days was 15 (IQR: 11–24). Surgical risk category and hospital stay duration significantly predicted higher costs. One in two families reported overwhelming to high financial stress during admission period for surgery. Approximately half of the families borrowed money during the follow up period after surgery.ConclusionSurgery for congenital heart disease results in significant financial burden for majority of families studied. Efforts should be directed at further reductions in treatment costs without compromising the quality of care together with generating financial support for affected families.

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Section: Discussionmentioning

confidence: 99%

Micro-Economic Impact of Congenital Heart Surgery: Results of a Prospective Study from a Limited-Resource Setting

et al. 2015

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“…India cannot only answer some of the common questions facing the field but also generate high-quality evidence for some of the problems peculiar to its population [ Table 4 ]. [ 25 ] However, India’s contribution is limited to a few multicentric case series,[ 26 27 28 ] moderate-quality single-center RCTs,[ 29 30 ] and a few clinical practice guidelines. [ 7 8 ] Even long-term natural history and outcome studies are limited from India.…”

Section: Pediatric Cardiology Randomized Controlled Trials – Opportun...mentioning

confidence: 99%

“…We must also focus on social issues, health-care equity, accessibility, and affordability. [ 25 31 ] During the COVID-19 pandemic, the Pediatric Cardiac Society of India organized and reported a few retrospective multicenter studies. [ 32 33 ] It is the time for us to plan futuristic RCTs.…”

Section: Pediatric Cardiology Randomized Controlled Trials – Opportun...mentioning

confidence: 99%

Pediatric cardiology: In search for evidence

Yadav,

Ramakrishnan

2023

Annals of Pediatric Cardiology

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“…Planned research, long-term follow-up, and multicenter data sharing are lacking in Indian pediatric cardiology. [ 7 ]…”

Section: Introductionmentioning

confidence: 99%

Comprehensive training for the future pediatric cardiologist

Subramanyan

2016

Ann Pediatr Card

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India faces a huge burden of pediatric and adult congenital heart diseases (CHDs). Many acquired valvar, myocardial, and vascular diseases also need treatment in childhood and adolescence. The emergence of pediatric cardiology as an independent specialty has been a relatively recent development. A few centers of excellence in pediatric cardiology have developed. However, the requirement of pediatric cardiac care and pediatric cardiologists is far in excess of what is available. There are no guidelines at present in India for uniform training in pediatric cardiology. Many training programs are nonstructured and do not focus on the regional needs. Both core training and advanced training programs are essential to provide adequate numbers of community-level pediatric cardiologists and academic leaders respectively. This article proposes a detailed plan and curriculum for comprehensive training of future pediatric cardiologists in India.

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Distilling wisdom from our collective experience

Cited by 5 publications

References 8 publications

Micro-Economic Impact of Congenital Heart Surgery: Results of a Prospective Study from a Limited-Resource Setting

Micro-Economic Impact of Congenital Heart Surgery: Results of a Prospective Study from a Limited-Resource Setting

Pediatric cardiology: In search for evidence

Comprehensive training for the future pediatric cardiologist

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