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New clinical practice guidelines (CPGs) support orthopaedic surgical outreach to low- and middle-income countries (LMICs). These guidelines focus on capacity-building to ensure sustainable, safe, and quality care delivery in LMICs.

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Area of Science:

  • Global Health
  • Surgical Outreach
  • Capacity Building

Background:

  • Surgical outreach to low- and middle-income countries (LMICs) is increasing to address the surgical burden.
  • Concerns exist regarding the impact and sustainability of traditional outreach models.
  • A capacity-building approach is advocated by leading organizations to ensure local healthcare system sustainability.

Purpose of the Study:

  • To develop clinical practice guidelines (CPGs) for capacity-building in orthopaedic surgical outreach.
  • To provide a framework for sustainable and effective surgical outreach initiatives.

Main Methods:

  • A modified American Academy of Orthopaedic Surgeons (AAOS) CPG development process was used.
  • Systematic literature review across 7 capacity-building domains.
  • Consensus-based CPGs developed by a writing panel and approved by an international voting panel.

Main Results:

  • All 7 CPGs were approved by an international panel of 14 surgeons and administrators from 6 countries.
  • CPGs provide specific recommendations for capacity-building in domains like partnership and professional development.
  • Example recommendations include developing documented partnership plans and needs-based curricula.

Conclusions:

  • Best-practice CPGs are crucial for optimizing resources and ensuring sustainable care delivery in orthopaedic surgical outreach.
  • These guidelines can be updated as evidence for capacity-building in LMICs evolves.
  • The developed CPGs support the long-term sustainability of healthcare systems in LMICs through targeted capacity-building efforts.