Kent Garber1, Carla Cecilia Ramírez Cabrera2, Quang-Le Dinh3, Justin T Gerstle4, AiXuan Holterman5, Leecarlo Millano6, Nyagetuba J K Muma7, Liem Thanh Nguyen8, Hoang Tran9, Son Ngoc Tran10, Shant Shekherdimian11. 1. Department of General Surgery, University of California, Los Angeles, Los Angeles, USA. 2. Hospital Roosevelt, Guatemala City, Guatemala. 3. Children's Hospital 1, HCMC, Vietnam. 4. Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA. 5. University of Illinois College of Medicine, Chicago, USA. 6. Department of Surgery, Tarakan District Hospital, Jakarta, Indonesia. 7. AIC Kijabe Hospital, Kijabe, Kenya. 8. Vinmec General International Hospital, Hanoi, Vietnam. 9. Can Tho University of Medicine and Pharmacy, Can Tho Children's Hospital, Can Tho, Vietnam. 10. Saint Paul Hospital, Hanoi, Vietnam. 11. Division of Pediatric Surgery, University of California, Los Angeles, Los Angeles, USA. sshekherdimian@mednet.ucla.edu.
Abstract
BACKGROUND: The global burden of pediatric surgical conditions continues to remain inadequately addressed, particularly in low- and middle-income countries. Among the many factors contributing to this gap are a lack of access to care secondary to resource shortages and inequitable distribution, underfinancing of healthcare systems, poor quality of care, and contextual challenges such as natural disasters and conflict. The relative contribution of these and other factors varies widely by region and even with countries of a region. METHODS: This review seeks to discuss the heterogeneity of global pediatric surgery and offer recommendations for addressing the barriers to high-quality pediatric surgical care throughout the world. RESULTS: There is significant heterogeneity in pediatric surgical challenges, both between regions and among countries in the same region, although data are limited. This heterogeneity can reflect differences in demographics, epidemiology, geography, income level, health spending, historical health policies, and cultural practices, among others. CONCLUSION: Country-level research and stakeholder engagement are needed to better understand the heterogeneity of local needs and drive policy changes that contribute to sustainable reforms. Key to these efforts will be improved financing, access to and quality of pediatric surgical care.
BACKGROUND: The global burden of pediatric surgical conditions continues to remain inadequately addressed, particularly in low- and middle-income countries. Among the many factors contributing to this gap are a lack of access to care secondary to resource shortages and inequitable distribution, underfinancing of healthcare systems, poor quality of care, and contextual challenges such as natural disasters and conflict. The relative contribution of these and other factors varies widely by region and even with countries of a region. METHODS: This review seeks to discuss the heterogeneity of global pediatric surgery and offer recommendations for addressing the barriers to high-quality pediatric surgical care throughout the world. RESULTS: There is significant heterogeneity in pediatric surgical challenges, both between regions and among countries in the same region, although data are limited. This heterogeneity can reflect differences in demographics, epidemiology, geography, income level, health spending, historical health policies, and cultural practices, among others. CONCLUSION: Country-level research and stakeholder engagement are needed to better understand the heterogeneity of local needs and drive policy changes that contribute to sustainable reforms. Key to these efforts will be improved financing, access to and quality of pediatric surgical care.
Authors: Yuanting Zha; Barclay Stewart; Eugenia Lee; Kyle N Remick; David H Rothstein; Reinou S Groen; Gilbert Burnham; David K Imagawa; Adam L Kushner Journal: World J Surg Date: 2016-11 Impact factor: 3.352
Authors: Anne S Wesonga; Tamara N Fitzgerald; Ronald Kabuye; Samuel Kirunda; Monica Langer; Nasser Kakembo; Doruk Ozgediz; John Sekabira Journal: J Pediatr Surg Date: 2016-07-27 Impact factor: 2.545
Authors: Adil Haider; John W Scott; Colin D Gause; Mira Meheš; Grace Hsiung; Albulena Prelvukaj; Dana Yanocha; Lauren M Baumann; Faheem Ahmed; Na'eem Ahmed; Sara Anderson; Herve Angate; Lisa Arfaa; Horacio Asbun; Tigistu Ashengo; Kisembo Asuman; Ruben Ayala; Stephen Bickler; Saul Billingsley; Peter Bird; Matthijs Botman; Marilyn Butler; Jo Buyske; Angelo Capozzi; Kathleen Casey; Charles Clayton; James Cobey; Michael Cotton; Dan Deckelbaum; Miliard Derbew; Catherine deVries; Jeanne Dillner; Max Downham; Natalie Draisin; David Echinard; Sohier Elneil; Ahmed ElSayed; Abigail Estelle; Allen Finley; Erica Frenkel; Philip K Frykman; Florin Gheorghe; Julian Gore-Booth; Richard Henker; Jaymie Henry; Orion Henry; Laura Hoemeke; David Hoffman; Iko Ibanga; Eric V Jackson; Pankaj Jani; Walter Johnson; Andrew Jones; Zeina Kassem; Asuman Kisembo; Abbey Kocan; Sanjay Krishnaswami; Robert Lane; Asad Latif; Barbara Levy; Dimitrios Linos; Peter Linz; Louis A Listwa; Declan Magee; Emmanuel Makasa; Michael L Marin; Claude Martin; Kelly McQueen; Jamie Morgan; Richard Moser; Robert Neighbor; William M Novick; Stephen Ogendo; Akinyinka Omigbodun; Bisola Onajin-Obembe; Neil Parsan; Beverly K Philip; Raymond Price; Shahnawaz Rasheed; Marjorie Ratel; Cheri Reynolds; Steven M Roser; Jackie Rowles; Lubna Samad; John Sampson; Harshadkumar Sanghvi; Marchelle L Sellers; David Sigalet; Bruce C Steffes; Erin Stieber; Mamta Swaroop; John Tarpley; Asha Varghese; Julie Varughese; Richard Wagner; Benjamin Warf; Neil Wetzig; Susan Williamson; Joshua Wood; Anne Zeidan; Lewis Zirkle; Brendan Allen; Fizan Abdullah Journal: World J Surg Date: 2017-10 Impact factor: 3.352
Authors: Elissa K Butler; Tu M Tran; Neeraja Nagarajan; Joseph Canner; Anthony T Fuller; Adam Kushner; Michael M Haglund; Emily R Smith Journal: PLoS One Date: 2017-03-03 Impact factor: 3.240
Authors: Hmwe H Kyu; Christine Pinho; Joseph A Wagner; Jonathan C Brown; Amelia Bertozzi-Villa; Fiona J Charlson; Luc Edgar Coffeng; Lalit Dandona; Holly E Erskine; Alize J Ferrari; Christina Fitzmaurice; Thomas D Fleming; Mohammad H Forouzanfar; Nicholas Graetz; Caterina Guinovart; Juanita Haagsma; Hideki Higashi; Nicholas J Kassebaum; Heidi J Larson; Stephen S Lim; Ali H Mokdad; Maziar Moradi-Lakeh; Shaun V Odell; Gregory A Roth; Peter T Serina; Jeffrey D Stanaway; Awoke Misganaw; Harvey A Whiteford; Timothy M Wolock; Sarah Wulf Hanson; Foad Abd-Allah; Semaw Ferede Abera; Laith J Abu-Raddad; Fadia S AlBuhairan; Azmeraw T Amare; Carl Abelardo T Antonio; Al Artaman; Suzanne L Barker-Collo; Lope H Barrero; Corina Benjet; Isabela M Bensenor; Zulfiqar A Bhutta; Boris Bikbov; Alexandra Brazinova; Ismael Campos-Nonato; Carlos A Castañeda-Orjuela; Ferrán Catalá-López; Rajiv Chowdhury; Cyrus Cooper; John A Crump; Rakhi Dandona; Louisa Degenhardt; Robert P Dellavalle; Samath D Dharmaratne; Emerito Jose A Faraon; Valery L Feigin; Thomas Fürst; Johanna M Geleijnse; Bradford D Gessner; Katherine B Gibney; Atsushi Goto; David Gunnell; Graeme J Hankey; Roderick J Hay; John C Hornberger; H Dean Hosgood; Guoqing Hu; Kathryn H Jacobsen; Sudha P Jayaraman; Panniyammakal Jeemon; Jost B Jonas; André Karch; Daniel Kim; Sungroul Kim; Yoshihiro Kokubo; Barthelemy Kuate Defo; Burcu Kucuk Bicer; G Anil Kumar; Anders Larsson; Janet L Leasher; Ricky Leung; Yongmei Li; Steven E Lipshultz; Alan D Lopez; Paulo A Lotufo; Raimundas Lunevicius; Ronan A Lyons; Marek Majdan; Reza Malekzadeh; Taufiq Mashal; Amanda J Mason-Jones; Yohannes Adama Melaku; Ziad A Memish; Walter Mendoza; Ted R Miller; Charles N Mock; Joseph Murray; Sandra Nolte; In-Hwan Oh; Bolajoko Olubukunola Olusanya; Katrina F Ortblad; Eun-Kee Park; Angel J Paternina Caicedo; Scott B Patten; George C Patton; David M Pereira; Norberto Perico; Frédéric B Piel; Suzanne Polinder; Svetlana Popova; Farshad Pourmalek; D Alex Quistberg; Giuseppe Remuzzi; Alina Rodriguez; David Rojas-Rueda; Dietrich Rothenbacher; David H Rothstein; Juan Sanabria; Itamar S Santos; David C Schwebel; Sadaf G Sepanlou; Amira Shaheen; Rahman Shiri; Ivy Shiue; Vegard Skirbekk; Karen Sliwa; Chandrashekhar T Sreeramareddy; Dan J Stein; Timothy J Steiner; Lars Jacob Stovner; Bryan L Sykes; Karen M Tabb; Abdullah Sulieman Terkawi; Alan J Thomson; Andrew L Thorne-Lyman; Jeffrey Allen Towbin; Kingsley Nnanna Ukwaja; Tommi Vasankari; Narayanaswamy Venketasubramanian; Vasiliy Victorovich Vlassov; Stein Emil Vollset; Elisabete Weiderpass; Robert G Weintraub; Andrea Werdecker; James D Wilkinson; Solomon Meseret Woldeyohannes; Charles D A Wolfe; Yuichiro Yano; Paul Yip; Naohiro Yonemoto; Seok-Jun Yoon; Mustafa Z Younis; Chuanhua Yu; Maysaa El Sayed Zaki; Mohsen Naghavi; Christopher J L Murray; Theo Vos Journal: JAMA Pediatr Date: 2016-03 Impact factor: 16.193