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Congenital anomalies in the context of global surgery
Nicole A Sitkin1, Diana L Farmer2
1Yale University School of Medicine, New Haven, CT.
Insights
Global pediatric surgery, focusing on congenital anomalies, offers a cost-effective solution to reduce avertable disability and death in low- and middle-income countries (LMICs). Continued engagement in practice, education, and research is vital for progress.
Area of Science:
- Global Health
- Pediatric Surgery
- Surgical Development
Background:
- Surgery is a critical element of global health initiatives.
- Congenital anomalies impose a significant burden of disease, mortality, and economic hardship, particularly in low- and middle-income countries (LMICs).
- Insufficient pediatric surgical capacity in LMICs leads to preventable suffering and fatalities.
Purpose of the Study:
- To review the status of global pediatric surgery.
- To highlight the role of pediatric surgery in mitigating the impact of congenital anomalies worldwide.
- To underscore the potential of pediatric surgical interventions in reducing the global disease burden.
Main Methods:
- Literature review on global pediatric surgery.
- Analysis of congenital anomalies as a framework for assessing surgical impact.
- Discussion of current challenges and opportunities in LMICs.
Main Results:
- Congenital anomalies contribute substantially to morbidity and mortality in LMICs.
- Limited access to pediatric surgical care results in preventable deaths and disabilities.
- Pediatric surgery presents an effective and economically viable strategy for burden reduction.
Conclusions:
- Pediatric surgery is essential for global health development.
- Addressing the burden of congenital anomalies through surgery is crucial for LMICs.
- Pediatric surgeons should actively participate in clinical practice, education, and research to advance global surgical care.
Abstract:
Surgery is increasingly recognized as an essential component of global health development. This article will review the state of global pediatric surgery, utilizing congenital anomalies as a framework in which to discuss the promise of pediatric surgery in reducing the global burden of disease. Congenital anomalies are responsible for a substantial burden of morbidity and mortality in low- and middle-income countries (LMICs), as well as significant emotional and economic harms to the families of children with congenital anomalies. Limited pediatric surgical capacity in many LMICs has culminated in a devastating burden of avertable disability and death. Pediatric surgery is an effective and cost-effective means to reduce this burden. Pediatric surgeons must continue to drive the growth of global pediatric surgery by engaging in clinical practice, educational partnerships, and research initiatives.

