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Published on: September 29, 2014
The Burden of Pediatric Musculoskeletal Diseases Worldwide
1Department of Orthopaedic Surgery and Musculoskeletal Sciences, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64112, USA.
Insights
Pediatric musculoskeletal conditions significantly impact the global burden of disease (GBD). Addressing these conditions is crucial for improving global health outcomes and resource allocation.
Area of Science:
- Global Health
- Public Health
- Pediatric Medicine
Background:
- The global burden of disease (GBD) encompasses the economic and human costs of poor health.
- The disability-adjusted life year (DALY) quantifies health loss from premature death and disability.
- Surgery remains under-resourced in global health initiatives.
Purpose of the Study:
- To highlight the contribution of pediatric musculoskeletal conditions to the GBD.
- To emphasize the need for increased focus on surgical care for children.
- To acknowledge recent WHO initiatives promoting essential surgical services.
Main Methods:
- Review of GBD metrics and DALY calculations.
- Analysis of the impact of pediatric musculoskeletal conditions on DALYs.
- Examination of global health resource allocation for surgical services.
Main Results:
- Pediatric musculoskeletal conditions represent a substantial, yet often neglected, component of the GBD.
- Early-life conditions lead to prolonged disability and reduced quality of life, particularly in populations with a high proportion of children.
- The economic and human costs associated with these conditions are significant.
Conclusions:
- Prioritizing pediatric musculoskeletal health is essential for reducing the global burden of disease.
- Increased investment in surgical care for children is warranted.
- WHO initiatives offer a framework for integrating essential surgical services into global health strategies.
Abstract:
Global burden of disease (GBD) refers to the economic and human costs resulting from poor health. The disability-adjusted life year is a measure of life lost from premature death and life not lived at 100% health. Surgery has long been neglected in the distribution of resources for global health. Because of years of life lived with a disability and the large proportion of children in a population, pediatric musculoskeletal conditions early in life can contribute to the GBD. Fortunately, the World Health Organization has recently promoted essential surgical services through its Emergency and Essential Surgical Care Project and Global Initiative.
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