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Ethical considerations in global surgery: a scoping review.

Chantalle Lauren Grant1, Tessa Robinson2, Alreem Al Hinai1

  • 1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

BMJ Global Health
|May 14, 2020
PubMed
Summary

Global surgery ethics literature is sparse, with most originating from high-income countries (HICs) and focusing on clinical care. More research is needed from low- and middle-income countries (LMICs) on sustainable partnerships.

Keywords:
public healthqualitative studyreviewsurgery

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Area of Science:

  • Global Health
  • Medical Ethics
  • Surgical Sciences

Background:

  • A significant global burden of surgical disease disproportionately affects low- and middle-income countries (LMICs).
  • The growing field of global surgery necessitates addressing ethical considerations in international collaborations.
  • Current guidelines for ethical challenges in global surgical partnerships are lacking.

Purpose of the Study:

  • To synthesize existing literature on ethics in global surgery.
  • To identify knowledge gaps in the ethical considerations of global surgical collaborations.

Main Methods:

  • A scoping review of relevant databases was conducted.
  • Literature addressing ethical considerations in global surgery was identified.
  • Grounded theory was used for content analysis to identify themes and knowledge gaps.

Main Results:

  • Four ethical domains were identified: clinical care, education, research, and collaborations.
  • Most literature focused on clinical care and originated from high-income countries (HICs) (80%).
  • The majority of publications were editorials/commentaries (69.1%), with limited original research (12.7%).

Conclusions:

  • Literature on global surgery ethics is sparse, predominantly from HICs, and focused on clinical care and short-term missions.
  • The perspective of LMICs, as recipients of global surgical initiatives, is underrepresented.
  • There is a critical need for more research on the ethics of sustainable collaborations and partnerships in global surgery.