Lancet Commission on Global Surgery

Mukhopadhyay, Swagoto; Ojomo, Kristin A.; Nyberger, Karolina; Meara, John G.

doi:10.5812/ijp.11273

Cited by 10 publications

(5 citation statements)

References 14 publications

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“…The increment of non-communicable diseases, trauma and cesarean delivery makes the surgical burden higher than the past. As a result of this, improving patient safety during anesthesia and surgery becomes a major global public health issue [1,2]. The World Health Assembly recognizes this surgical burden in 2015 and accepted strengthening emergency and essential surgical and anesthesia care as a component of universal health coverage for the first time [3].…”

Section: Introductionmentioning

confidence: 99%

The current state of anesthesia safety in a third world country: a cross-sectional survey among anesthesia providers in Ethiopia

Mihretu

2021

Patient Saf Surg

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Background Improving patient safety during anesthesia and surgery becomes a major global public health issue due to the increasing in surgical burden. Anesthesia is delivered safely in developed countries, but its safety is hampered by complex problems in third world countries. This survey assesses the unmet anesthesia needs of one of a third world country, Ethiopia. Methods A cross-sectional survey was conducted in Amhara region of Ethiopia from 15/12/2019 to 30/1/2020. All 81 hospitals of the region were stratified by their level as district, general, and referral hospital. The study was conducted in 66 hospitals. The number of hospitals from each strata were calculated by proportional sampling technique resulting; five referral, three general, and fifty eight primary hospitals. Each hospital from each strata was selected by convenience. Each anesthesia provider for the survey was selected randomly from each hospital and questionnaires were distributed. The minimum expected safe anesthesia requirements were taken from World Health Organization-World Federation of Societies of Anesthesiologists International Standard and Ethiopian Hospitals Standard. Anesthesia practice was expected safe if the minimum requirements were practiced always (100%) in each hospital. P < 0.05 with 95% confidence interval were used to compare the safety of anesthesia between higher and lower level hospitals. Results Seventy eight (88.6%) anesthesia providers working in 62 hospitals responded to the survey. On aggregate, 36 (58%) hospitals from the total 62 hospitals have met the minimum expected safe anesthesia requirements. Among the different variables assessed; professional aspects 32 (52.45%), medication and intravenous fluid 33 (53.36%), equipment and facilities 33 (52.56%), patient monitoring 43(68.88%), and anesthesia conduct 38 (62.1%) of surveyed hospitals have met the minimum requirements. Anesthesia safety is relatively higher in higher level hospitals (general and referral) 6 (75%) when compared to district hospitals 30 (55.5%), P < 0.001. Conclusion Anesthesia safety in Ethiopia appears challenged by substandard continuous medical education and continuous professional development practice, and limited availability of some essential equipment and medications. Patient monitoring and anesthesia conduct are relatively good, but World Health Organization surgical safety checklist application and postoperative pain management are very low, affecting the delivery of safe anesthesia conduct.

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Section: Introductionmentioning

confidence: 99%

The current state of anesthesia safety in a third world country: a cross-sectional survey among anesthesia providers in Ethiopia

Mihretu

2021

Patient Saf Surg

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“…A little number of publications in surgery may have been caused by two main reasons; inadequate number of surgeons in Rwanda and lack of enough funds to carry out surgical researches. Despite the minimum of 20 surgical doctors per 100,000 population as recommended by the Global Surgery Commission [14], [15], according to the World Bank, in 2016, there was only one surgical specialist per 100,000 population in Rwanda [16]. A study by Shawn J. Rangel et al to measure trends in funding of surgical research showed that compared to nonsurgical ideas, surgical proposals have much lower success rates.…”

Section: Discussionmentioning

confidence: 99%

Involvement of the University of Rwanda in medical and surgical research: a bibliometric analysis of achievements and gaps

Sibomana

Mbonyinshuti

2023

Preprint

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Background In the past few decades, global health research has grown incredibly quickly. The interest of scientists and medical professionals in evidence-based medicine (EBM), new drug and vaccine discovery are among the main reasons for the rapid increase of the scholarly literature in health research. The aim of this study is to analyse the scholarly literature published by researchers affiliated with the University of Rwanda (UR) and discover the achievements and gaps in medical and surgical research in UR.Methods The University of Rwanda was searched in Lens Scholarly Works, and all articles connected to the university were discovered. We filtered the initial results by field of study to locate materials that were published in medical and surgical fields. Except for co-authorship and keyword co-occurrence analysis which were done using VOSviewer software, all bibliometric analyses were carried out using Lens database.Results For the initial search, University of Rwanda was associated with 2,821 articles. After careful assessment of publications based on their field of study, a total of 1, 220 and 106 publications were found to be in the medical and surgical fields respectively. The analysis was based on the category of scholarly work, the chemicals of focus of the study, the authors, the funders, and the journal that published the study. Journal articles constitute a sizable fraction of these publications, whereas conference articles, book chapters, reprints, and reports make up a far smaller portion. By comparing the numbers of publications, authors, and funding in the surgical and medical field, many gaps are apparent in surgical than medical research field.Conclusion Although there is an increase in number of publications in the University of Rwanda, the number of medical and surgical literature in UR is still low. Improving mentorship to students and involving them in ongoing research projects; not restricting them to only data collection but allow them to participate in peer-reviewed publications are key measures to increase number of medical and surgical scholarly publications in University of Rwanda.

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“…For low-income countries, the situation is quite different. According to the Lancet Commission on Surgery, the cost of surgery and anesthesia causes "catastrophic" health care costs for 33 million people each year [6]. The problem lies mainly in the direct costs of surgical care, which are often high.…”

Section: Surgical Expenditurementioning

confidence: 99%

Smartphone and Surgery, Reality or Gadget?

Boughizane¹,

Bannour²,

Bannour³

et al. 2022

Medical Education for the 21st Century

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Surgical care is an essential component of health care. This basic universal right is not available to everyone. Indeed, countries with low economic resources suffer from a lack of access to surgical care and the most developed countries will have to reduce the cost of health care to ensure the sustainability of provided care quality. New communication technologies have invaded the field of health and have led to the development of a new concept of mobile health. The purpose of this paper is to answer the following question: Can these new tools, and in particular the Smartphone, remedy, even partially, the lack of health care in poor countries and reduce the cost of health care in rich countries? New communication tools, led by the Smartphone, have the capacity to capture, store, retrieve and transmit data to provide instant and personalized information to individuals. This information could be a key element in health systems and can contribute to monitoring health status and improving patient safety and care quality. Mobile telephony via applications and connected objects can facilitate the pre-, intra- and post-operative management of patients. These mobile systems also facilitate the collection and transmission of data. This will allow better analysis of this data and will greatly pave the way to the introduction of artificial intelligence in medicine and surgery. The Smartphone can be used as an important tool for both, diagnosis care and surgical training. Surgeons must adapt their equipment to local resources while respecting safety standards. Covid-19 has put health systems around the world under severe strain. Decision-makers are being forced to make adjustments. The long-vaunted digital health is becoming a reality and a necessity. Healthcare authorities and strategy specialists face challenges in terms of disease prevention and therapy, as well as in terms of health economics and management.

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Lancet Commission on Global Surgery

Cited by 10 publications

References 14 publications

The current state of anesthesia safety in a third world country: a cross-sectional survey among anesthesia providers in Ethiopia

The current state of anesthesia safety in a third world country: a cross-sectional survey among anesthesia providers in Ethiopia

Involvement of the University of Rwanda in medical and surgical research: a bibliometric analysis of achievements and gaps

Smartphone and Surgery, Reality or Gadget?

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