Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
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DOI：
10.1016/j.ijoa.2015.09.006
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发表时间：
2016-02-01
影响因子：
2.8
通讯作者：
Yipaq, Winnie
中科院分区：
文献类型：
--
作者：
Meara, John G.;Leather, Andrew J. M.;Yipaq, Winnie
过去25年来，全球卫生取得了显著进展，但进展并不一致。在世界上最贫穷的地区，需要手术的常见疾病的死亡率和发病率，无论是从真实的角度还是相对于其他保健成果而言，都有所增加。与此同时，在低收入和中等收入国家，安全、基本、挽救生命的手术和麻醉护理的发展停滞不前或出现倒退。在没有外科治疗的情况下，常见的、容易治疗的疾病，包括阑尾炎、疝气、骨折、难产、先天性异常以及乳腺癌和宫颈癌，病死率很高。
Remarkable gains have been made in global health in the past 25 years, but progress has not been uniform. Mortality and morbidity from common conditions needing surgery have grown in the world's poorest regions, both in real terms and relative to other health gains. At the same time, development of safe, essential, life-saving surgical and anaesthesia care in low-income and middle-income countries (LMICs) has stagnated or regressed. In the absence of surgical care, case-fatality rates are high for common, easily treatable conditions including appendicitis, hernia, fractures, obstructed labour, congenital anomalies, and breast and cervical cancer.