Surgical disease

Featured

5763132636_e41326854f_o

Closing the data gaps for surgical care delivery in LMICs

In their study in The Lancet Global Health, Tarsicio Uribe-Leitz and colleagues1 find great discrepancies in surgical outcomes across the regions of the world.1 The authors examined three procedures that are fairly standardised in their operative indications and techniques (caesarean delivery, appendectomy, and groin hernia repair), and thus for which reporting should be nearly uniform. By undertaking a robust systematic review, Uribe-Leitz and colleagues have shown that quality surgical outcome data are a relatively void zone in low-income and middle-income countries (LMICs).

12735703283_5723ccdc74_o

Transforming research results into useful tools for global health: BOOST

We reported the results of the PRECOG study1 in the inaugural issue of The Lancet Global Health (July, 2013). Although visual outcomes of cataract surgery have usually been assessed weeks or months after surgery, this study of 4000 patients at 40 hospitals in low-income and middle-income countries (LMICs), where few patients return after operations, demonstrated that assessment of vision the day after surgery could reliably measure operative quality. We felt the readers of The Lancet Global Health might be interested to hear about the next chapter of this work.

IMG_1737

Our favorite Hub Originals from 2015

In case you missed it, here’s a roundup of our favorite Hub Originals from 2015. The Global Health Hub publishes original pieces from writers engaged Read More

Latest

BMJ Report On Global Surgery Draws Attention To Multiple Challenges Of Providing Quality…

NPR: The Improvisational Surgeon: Cardboard Casts, No Power, Patients Galore “…A new report in BMJ Global Health says essentially that surgery has become the overlooked stepchild of global health. The authors say that five billion people lack access to proper surgical care and they argue the world needs to rethink the importance of surgery. ……More


Anaesthesia-related maternal mortality in low-income and middle-income countries: a…

The current international priority on strengthening health systems should address the risk factors such as general anaesthesia and rural setting for improving anaesthetic care in pregnant women.


The critical role of obstetric anaesthesia in low-income and middle-income countries

In the current issue of The Lancet Global Health, Soha Sobhy and colleagues1 have compiled the first systematic review and meta-analysis of anaesthesia-related maternal mortality in low-income and middle-income countries. They find that anaesthesia contributes 2·8% of all maternal deaths in these settings. Although this percentage is small, the overall frequency of anaesthesia-related maternal death is 300-fold higher for neuraxial anaesthesia and 900-fold higher for general anaesthesia than that reported for the USA (1·2 per 1000 women undergoing an obstetric procedure vs 3·8 per million, and 5·9 per 1000 vs 6·5 per million, respectively).


Surgery, Anesthesia Care Integral To Achieving SDGs

Los Angeles Times: The sustainable development goals and surgery: Is a ‘moon shot’ the answer? John Meara, Kletjian professor of global surgery at Harvard Medical School and co-chair of the Lancet Commission on Global Surgery, and Nakul Raykar, chief fellow of the program in global surgery and social change at Harvard Medical School “…The past…More


Road traffic fatalities in selected governorates of Iraq from 2010 to 2013: prospective…

The insurgency tactics that characterize modern warfare, such as suicide car bombs and roadside bombs, have the potential to significantly impact road traffic injuries in conflict affected-countries.


Variability in mortality following caesarean delivery, appendectomy, and groin…

All-cause postoperative mortality rates are exceedingly variable within resource-constrained environments. Efforts to expand surgical access and provision of services must include a strong commitment to improve the safety and quality of care.


Adaptive leadership curriculum for Indian paramedic trainees

Paramedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork.


Closing the data gaps for surgical care delivery in LMICs

5763132636_e41326854f_o

In their study in The Lancet Global Health, Tarsicio Uribe-Leitz and colleagues1 find great discrepancies in surgical outcomes across the regions of the world.1 The authors examined three procedures that are fairly standardised in their operative indications and techniques (caesarean delivery, appendectomy, and groin hernia repair), and thus for which reporting should be nearly uniform. By undertaking a robust systematic review, Uribe-Leitz and colleagues have shown that quality surgical outcome data are a relatively void zone in low-income and middle-income countries (LMICs).


What factors affect patient access and engagement with clubfoot treatment in low and…

Objectives To conduct a systematic synthesis of previous research to identify factors that affect treatment-seeking for clubfoot and community-level interventions to improve engagement in LMICs.


Innovative Technology, ‘Interoperability’ Critical To Strengthening West Africa’s Health…

Medium’s “USAID 2030”: Building a More Resilient West Africa: How Open Innovation Can Help Ann Mei Chang, chief innovation officer and executive director of the U.S. Global Development Lab at USAID, discusses U.S. efforts to use innovative technology to strengthen health information systems in West Africa, emphasizing the need for “interoperability,” or better communication and coordination…More


Ultrasound-guided “short” midline catheters for difficult venous access in the…

Background: Acutely ill patients admitted to the emergency department (ED) constantly require at least one fast and reliable peripheral intravenous (PIV) access.


Risk of Injurious Fall and Hip Fracture up to 26 y before the Diagnosis of Parkinson Disease:…

by Helena Nyström, Anna Nordström, Peter Nordström Background Low muscle strength has been found in late adolescence in individuals diagnosed with Parkinson disease (PD) 30 y later. This study investigated whether this lower muscle strength also may translate into increased risks of falling and fracture before the diagnosis of PD. Methods and Findings Among all Swedish citizens aged ≥50 y in 2005, two nested case–control cohorts were compiled. In cohort I, individuals diagnosed with PD during 1988–2012 (n = 24,412) were matched with up to ten controls (n = 243,363), and the risk of fall-related injuries before diagnosis of PD was evaluated.


Transforming research results into useful tools for global health: BOOST

12735703283_5723ccdc74_o

We reported the results of the PRECOG study1 in the inaugural issue of The Lancet Global Health (July, 2013). Although visual outcomes of cataract surgery have usually been assessed weeks or months after surgery, this study of 4000 patients at 40 hospitals in low-income and middle-income countries (LMICs), where few patients return after operations, demonstrated that assessment of vision the day after surgery could reliably measure operative quality. We felt the readers of The Lancet Global Health might be interested to hear about the next chapter of this work.


Middle East Conflicts Causing Widespread Hunger, Medical Supply, Fuel Shortages

Associated Press: In Mideast wars, hunger grips millions across the region “In a Middle East torn apart by war and conflict, fighters are increasingly using food as a weapon of war. Millions of people across countries like Syria, Yemen, and Iraq are gripped by hunger, struggling to survive with little help from the outside world.…More


Older Posts »