The Lancet Commission on Global Surgery Global surgery 2030: Evidence and solutions for achieving health, welfare and economic development

Meara, John G.; Greenberg, Sarah L M

doi:10.1016/j.surg.2015.02.009

Cited by 313 publications

(277 citation statements)

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“…At baseline, only 15% of the world’s countries are able to provide a minimum of 5,000 procedures per 100,000 persons 4. Countries most at risk of climate-related natural disasters frequently have among the lowest procedure rates.…”

Section: Discussionmentioning

confidence: 99%

“…earthquakes, dry mass movements, floods, landslides, severe storms) from 2004 to 2014 were obtained from the Centre for Research of the Epidemiology of Disasters (CRED) database 3. Using 5,000 procedures per 100,000 persons as the minimum number of procedures that a population requires,4 baseline estimates were calculated for affected populations. Additionally, the estimated number of persons who sustained an injury that was related to each disaster was obtained from the CRED database.…”

Section: Methodsmentioning

confidence: 99%

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Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation

et al. 2016

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Background: Climate extremes will increase the frequency and severity of natural disasters worldwide. Climate-related natural disasters were anticipated to affect 375 million people in 2015, more than 50% greater than the yearly average in the previous decade. To inform surgical assistance preparedness, we estimated the number of surgical procedures needed. Methods: The numbers of people affected by climate-related disasters from 2004 to 2014 were obtained from the Centre for Research of the Epidemiology of Disasters database. Using 5,000 procedures per 100,000 persons as the minimum, baseline estimates were calculated. A linear regression of the number of surgical procedures performed annually and the estimated number of surgical procedures required for climate-related natural disasters was performed.Results: Approximately 140 million people were affected by climate-related natural disasters annually requiring 7.0 million surgical procedures. The greatest need for surgical care was in the People’s Republic of China, India, and the Philippines. Linear regression demonstrated a poor relationship between national surgical capacity and estimated need for surgical care resulting from natural disaster, but countries with the least surgical capacity will have the greatest need for surgical care for persons affected by climate-related natural disasters.Conclusion: As climate extremes increase the frequency and severity of natural disasters, millions will need surgical care beyond baseline needs. Countries with insufficient surgical capacity will have the most need for surgical care for persons affected by climate-related natural disasters. Estimates of surgical are particularly important for countries least equipped to meet surgical care demands given critical human and physical resource deficiencies.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation

et al. 2016

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“…The financial resources allocated to health care are meager in Cambodia (see in additional file 1) [14][15][16]. Per capita spending on healthcare is 18 times greater in the United Kingdom than in Cambodia.…”

Section: Economic Health Care and Anesthesia Workforce Status In Camentioning

confidence: 99%

The challenge of safe anesthesia in developing countries: defining the problems in a medical center in Cambodia

Tao

Sokha²,

Yuan

2020

BMC Health Serv Res

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Background: The International Standards for a Safe Practice of Anesthesia (ISSPA) were developed on behalf of the World Federation of Societies of Anaesthesiologists and the World Health Organization. It has been recommend as an assessment tool that allows anesthetic providers in developing countries to assess their compliance and needs. This study was performed to describe the anesthesia service in one main public hospital during an 8-month medical mission in Cambodia and evaluate its anesthetic safety issues according to the ISSPA. Methods: We conduct a retrospective study involving 1953 patients at the Preah Ket Mealea hospital. Patient demographics, anesthetic techniques, and complications were reviewed according to the registers of the anesthetic services and questionnaires. The inadequacies in personnel, facilities, equipment, medications, and conduct of anesthesia drugs were recorded using a checklist based on the ISSPA.Results: A total of 1792 patients received general and regional anesthesia in the operating room, while 161 patients receiving sedation for gastroscopy. The patients' mean age was 45.0 ± 16.6 years (range, 17-87 years). The three most common surgical procedures were abdominal (52.0%; confidence interval [CI], 49.3-54.7), orthopedic (27.6%; CI, 25.2-29.9), and urological surgery (14.7%; CI,). General anesthesia, spinal anesthesia, and brachial plexus block were performed in 54.3% (CI, 51.7-56.8), 28.2% (CI, 25.9-30.5), and 9.4% (CI, 7.9-10.9) of patients, respectively. One death occurred. Twenty-six items related to professional aspects, monitoring, and conduct of anesthesia did not meet the ISSPA-recommended standards. A lack of commonly used drugs and monitoring equipment was noted, posing major threats to the safety of anesthesia practice, especially in emergency situations. Conclusions:This study adds to the scarce literature on anesthesia practice in low-and middle-income countries such as Cambodia. Future medical assistance should help to strengthen these countries' inadequacies, allowing for the adoption of international standards for the safe practice of anesthesia.

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“…Meeting the challenge of gynecologic cancers among the world's poor will require work on a grander scale and more sustained than can be accomplished through periodic service travel. There is a profound shortage of physicians and nurses with expertise in surgery, oncology and gynecology across LMICs, particularly in sub-Saharan Africa [4]. Data to document the effectiveness and sustainability of outreach efforts are lacking, but those that appear most successful have been those that are able to train physicians and nurses in a committed, consistent and contextually appropriate fashion [5,6].…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%

Cancer and the world's poor: What's a gynecologic cancer specialist to do?

Randall¹,

Goodman²,

Schmeler³

et al. 2016

Gynecologic Oncology

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The Lancet Commission on Global Surgery Global surgery 2030: Evidence and solutions for achieving health, welfare and economic development

Cited by 313 publications

References 1 publication

Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation

Surgical Care Required for Populations Affected by Climate-related Natural Disasters: A Global Estimation

The challenge of safe anesthesia in developing countries: defining the problems in a medical center in Cambodia

Cancer and the world's poor: What's a gynecologic cancer specialist to do?

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