The Importance of Surgical Care to Achieve the United Nations Sustainable Development Goal for Healthy Lives by 2030

Andrews, Russell J.; Rosenfeld, Jeffrey V.; Crisp, Nigel

doi:10.1001/jamahealthforum.2021.1213

JAMA Health Forum

2021

DOI: 10.1001/jamahealthforum.2021.1213

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The Importance of Surgical Care to Achieve the United Nations Sustainable Development Goal for Healthy Lives by 2030

Russell J. Andrews

Jeffrey V. Rosenfeld

Nigel Crisp

Abstract: In 2015, the United Nations (UN) General Assembly adopted the 2030 Agenda for Sustainable Development, which consists of 17 Sustainable Development Goals, goal 3 being to "ensure healthy lives and promote well-being for all." 1 The Lancet Commission on Global Surgery 2030 estimated that one-third of all deaths worldwide in 2010 were associated with conditions requiring surgery, more than 4 times the number of deaths from HIV/AIDS, tuberculosis, and malaria combined. 2 Two-thirds

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2023

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Cited by 2 publications

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Global Neurosurgery Advances From Trenches to Bedside: Lessons From Neurosurgical Care in War, Humanitarian Assistance, and Disaster Response

Asfaw,

Greisman,

Comuniello

et al. 2023

Military Medicine

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Introduction War has influenced the evolution of global neurosurgery throughout the past century. Armed conflict and mass casualty disasters (MCDs), including Humanitarian Assistance Disaster Relief missions, require military surgeons to innovate to meet extreme demands. However, the military medical apparatus is seldom integrated into the civilian health care sector. Neurosurgeons serving in the military have provided a pragmatic template for global neurosurgeons to emulate in humanitarian disaster responses. In this paper, we explore how wars and MCD have influenced innovations of growing interest in the resource-limited settings of global neurosurgery. Methods We performed a narrative review of the literature examining the influence of wars and MCD on contemporary global neurosurgery practices. Results Wartime innovations that influenced global neurosurgery include the development of triage systems and modernization with airlifts, the implementation of ambulance corps, early operation on cranial injuries in hospital camps near the battlefield, the use of combat body armor, and the rise of damage control neurosurgery. In addition to promoting task-shifting and task-sharing, workforce shortages during wars and disasters contributed to the establishment of the physician assistant/physician associate profession in the USA. Low- and middle-income countries (LMICs) face similar challenges in developing trauma systems and obtaining advanced technology, including neurosurgical equipment like battery-powered computed tomography scanners. These challenges—ubiquitous in low-resource settings—have underpinned innovations in triage and wound care, rapid evacuation to tertiary care centers, and minimizing infection risk. Conclusion War and MCDs have catalyzed significant advancements in neurosurgical care both in the pre-hospital and inpatient settings. Most of these innovations originated in the military and subsequently spread to the civilian sector as military neurosurgeons and reservist civilian neurosurgeons returned from the battlefront or other low-resource locations. Military neurosurgeons have utilized their experience in low-resource settings to make volunteer global neurosurgery efforts in LMICs successful. LMICs have, by necessity, responded to challenges arising from resource shortages by developing innovative, context-specific care paradigms and technologies.

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Global Neurosurgery Advances From Trenches to Bedside: Lessons From Neurosurgical Care in War, Humanitarian Assistance, and Disaster Response

Asfaw,

Greisman,

Comuniello

et al. 2023

Military Medicine

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Acceptabilitiy of Ambulatory Surgical Services and Its Predictors among Residents of Budondo Sub-County—Jinja District, Uganda

Kalumuna¹

2023

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The Importance of Surgical Care to Achieve the United Nations Sustainable Development Goal for Healthy Lives by 2030

Cited by 2 publications

References 7 publications

Global Neurosurgery Advances From Trenches to Bedside: Lessons From Neurosurgical Care in War, Humanitarian Assistance, and Disaster Response

Global Neurosurgery Advances From Trenches to Bedside: Lessons From Neurosurgical Care in War, Humanitarian Assistance, and Disaster Response

Acceptabilitiy of Ambulatory Surgical Services and Its Predictors among Residents of Budondo Sub-County—Jinja District, Uganda

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