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Barriers in surgical research: A perspective from the developing world.

Nadeem Ahmed Siddiqui1, Muhammad Aanish Raees2, Rehan Nasir Khan3

  • 1Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan.

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Summary

Surgical research advances medicine globally but faces barriers in developing nations. Addressing these challenges is crucial for equitable medical progress worldwide.

Keywords:
Surgical research, Cultural barriers, Infrastructure, Limitations, LMICs.

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Area of Science:

  • Global Surgery
  • Medical Research
  • Health Equity

Background:

  • Surgical research has driven significant medical advancements over the past century.
  • Most advancements originate from developed countries and are often not applicable in resource-limited settings.
  • Lower- and middle-income countries face unique barriers to surgical research implementation.

Purpose of the Study:

  • To identify and classify the barriers hindering surgical research in resource-limited settings.
  • To highlight the need for tailored approaches to surgical research in developing nations.
  • To emphasize the importance of addressing these barriers for global health equity.

Main Methods:

  • A comprehensive review of existing literature on surgical research barriers in developing countries.
  • Categorization of identified barriers into social/cultural, infrastructure, financial, ethical, and personal domains.
  • Analysis of the implications of these barriers on medical practice and advancement.

Main Results:

  • Key barriers identified include social and cultural factors, inadequate infrastructure, financial constraints, ethical considerations, and personal limitations.
  • These barriers significantly impede the adoption and advancement of surgical research in lower- and middle-income countries.
  • The full extent of these barriers is often underestimated, impacting global health equity.

Conclusions:

  • Surgical research advancements are not universally accessible due to context-specific barriers in developing regions.
  • Concerted efforts are needed to overcome these multifaceted barriers for equitable medical progress.
  • Addressing these challenges is essential to ensure the advancement of medicine benefits everyone globally.