An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi
An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi
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DOI：
10.1007/s12262-010-0198-x
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发表时间：
2011-04-01
影响因子：
0.4
通讯作者：
Sharma, R.
中科院分区：
文献类型：
--
作者：
Bhasin, Sanjay K.;Roy, Rupali;Sharma, R.
外科手术已成为全球卫生保健的一个组成部分，估计每年进行2.34亿例手术。世界银行2002年报告说，估计有1.64亿残疾调整生命年，占全部疾病负担的11%，可归因于手术治疗的疾病。研究德里某城市化社区个体在其一生中接受各种外科手术的流行程度。横断面研究，于2008年10月至2009年4月在德里的城市富裕聚居区Vivek vihar进行。作为研究的一部分，共有居住在622个家庭中的3043人接受了采访。有成员曾做过手术的家庭总数为306户（49.2%）。12.3%的研究人群（3043人中有375人）在其一生中接受过一种或另一种形式的大手术。剖宫产是最常见的外科手术。61.7%的手术属于选择性手术，81.9%的手术在私立医院进行。儿童、成年男性和成年女性终生手术发生率分别为1.77%、12.6%和15.8% （p < 0.001）。据观察，私立医院的手术费用高于公立医院。我们的研究结果表明，至少在城市富裕人群中，手术的发生率很高，大多数患者选择转介到私立医院进行手术。
Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. The World Bank in 2002 reported that an estimated 164 million disability-adjusted life years, representing 11% of the entire disease burden, were attributable to surgically treatable conditions. To study the prevalence of various surgical operations undergone by individuals in their life time, in an urbanized community of Delhi. Cross-sectional study, conducted from October 2008 to April 2009 in Vivek Vihar-an urban affluent colony in Delhi. A total of 3,043 individuals residing in 622 households were interviewed as part of the study. Total number of households with some member having ever undergone surgery was 306 (49.2%). 12.3% of our study population (375 out of 3,043) had undergone one or the other form of major surgical operation in their life time. Caesarean section was found to be the most common surgical procedure performed. 61.7% surgeries were elective in nature and 81.9% were performed in a private hospital. The lifetime prevalence of surgical procedures was 1.77% among children, 12.6% among adult males and 15.8% among adult females (p < 0.001). It was observed that the expense of surgeries conducted in private hospitals was more compared to government. Our findings suggest that surgery occurs at a substantial rate, at least among the urban affluent, with most of the patients choosing to refer to a private hospital for their surgery.