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Global children's surgery: recent advances and future directions
Sarah Ullrich1, Phyllis Kisa2, Doruk Ozgediz1
1Department of Surgery, Yale University, New Haven, Connecticut, USA.
Insights
Global access to pediatric surgery remains limited, affecting two-thirds of the world. Recent advancements focus on sustainable collaborations and research to improve children
Area of Science:
- Global Health
- Pediatric Surgery
- Health Equity
Background:
- Two-thirds of the global population lacks access to essential surgical care, disproportionately affecting children.
- Surgery is increasingly recognized as a critical component of global child health initiatives.
- Sustainable collaborations between high-income countries (HICs) and low- and middle-income countries (LMICs) are gaining traction.
Purpose of the Study:
- To provide an updated review of recent advancements in global children's surgery.
- To highlight progress in addressing the global burden of childhood surgical conditions.
- To underscore the importance of children's surgery in global health equity.
Main Methods:
- Review of recent literature and research on global children's surgery.
- Analysis of progress in sustainable collaborations and capacity-building in LMICs.
- Examination of research and advocacy efforts for childhood surgical conditions.
Main Results:
- Significant insights into the global disease burden and perioperative outcomes for pediatric surgical conditions.
- Identification of surgery as a cost-effective intervention in LMICs.
- Substantial advances in research and advocacy for various childhood surgical conditions.
Conclusions:
- Persistent global disparities in pediatric surgical care require urgent attention.
- Increased visibility of challenges and solutions for children's surgery in LMICs.
- Capacity-building, implementation research, and advocacy are crucial for expanding access to children's surgical care worldwide.
Purpose Of Review:
Two-thirds of the world's population lacks access to surgical care, many of them being children. This review provides an update on recent advances in global children's surgery.
Recent Findings:
Surgery is being increasingly recognized as an essential component of global and child health. There is a greater focus on sustainable collaborations between high-income countries (HICs) and low-and-middle-income countries (HICs and LMICs). Recent work provides greater insight into the global disease burden, perioperative outcomes and effective context-specific solutions. Surgery has continued to be identified as a cost-effective intervention in LMICs. There have also been substantial advances in research and advocacy for a number of childhood surgical conditions.
Summary:
Substantial global disparities persist in the care of childhood surgical conditions. Recent work has provided greater visibility to the challenges and solutions for children's surgery in LMICs. Capacity-building and scale up of children's surgical care, more robust implementation research and ongoing advocacy are needed to increase access to children's surgical care worldwide.