Surgical disease

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Investing in Human Resources via Education Is Essential to Improving Access to Surgical and Anesthetic Care Across the Globe

The Lancet Commission on Global Surgery published a report on the state of global surgery in April 2015 reporting the staggering statistic that “5 billion Read More

Pediatric Critical Care in Botswana

Botswana is a small, landlocked country in Southern Africa that is widely considered a development success story. Although the country is hailed for its impressive Read More

Tracking perioperative mortality and maternal mortality: challenges and opportunities

Access to surgery remains inequitable worldwide, with 5 billion people lacking safe and affordable surgical and anaesthesia care when needed.1 The Lancet Commission on Global Surgery was convened in 2013 to assess the state of surgery around the world, provide recommendations for improving access, and propose indicators for assessing national surgical systems. A key safety indicator is the perioperative mortality rate (POMR). This is defined by the Commission as the number of all-cause deaths before discharge in patients who have undergone a procedure in an operating theatre, divided by the total number of procedures, and presented as a percentage.

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Risk Of Post-Surgical Death Higher Among Patients In Low-, Middle-Income Countries Compared…

Reuters Health: Death after surgery three times more likely in lower-income countries “How many people survive after emergency surgery is one measure of the quality of care they have access to, and post-surgery death rates in low- and middle-income countries suggest quality needs to be better, researchers say. Using mortality rates within 24 hours and…More


Tracking perioperative mortality and maternal mortality: challenges and opportunities

Access to surgery remains inequitable worldwide, with 5 billion people lacking safe and affordable surgical and anaesthesia care when needed.1 The Lancet Commission on Global Surgery was convened in 2013 to assess the state of surgery around the world, provide recommendations for improving access, and propose indicators for assessing national surgical systems. A key safety indicator is the perioperative mortality rate (POMR). This is defined by the Commission as the number of all-cause deaths before discharge in patients who have undergone a procedure in an operating theatre, divided by the total number of procedures, and presented as a percentage.


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

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.


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