Examining the surgical backlog due to COVID-19 in Latin America and the Caribbean: insights from a scoping review.

Autor:	Campos LN; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.; Faculty of Medical Sciences, Universidade de Pernambuco, Recife, PE, Brazil., Bryce-Alberti M; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.; Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA., Gerk A; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.; Faculty of Medical Sciences, Universidad Católica Argentina, Buenos Aires, Argentina.; Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada., Hill SK; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA., Calderon C; University of the West Indies, St Augustine, Trinidad and Tobago., Zaigham M; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.; Obstetrics and Gynecology, Institute of Clinical Sciences Lund, Lund University, Lund, Sweden., Del Valle DD; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA., Mita C; Countway Library, Harvard Medical School, Boston, MA, USA., Juran S; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA., Ferreira JL; Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.; Harvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Center, Canada., Uribe-Leitz T; Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.; Department of Plastic and Oral Surgery, Boston Children's Hospital. Boston, MA, USA.; Chair of Epidemiology, School of Medicine and Health, Technical University Munich, Munich, Germany.
Jazyk:	angličtina
Zdroj:	Lancet regional health. Americas [Lancet Reg Health Am] 2024 Oct 16; Vol. 40, pp. 100908. Date of Electronic Publication: 2024 Oct 16 (Print Publication: 2024).
DOI:	10.1016/j.lana.2024.100908
Abstrakt:	This scoping review assessed the surgical backlog in Latin America and the Caribbean (LAC) due to COVID-19 and identified mitigation strategies. We searched seven databases for citations from December 2019 to December 2022, focusing on LAC patients with cancelled or postponed procedures. We registered our protocol at Open Science Framework (https://osf.io/x2nd8) and adhered to PRISMA-ScR guidelines. We included 83 citations covering 23 LAC countries and 19 surgical specialities, with Brazil (67%, 56/83) and transplant surgery (24%, 20/83) being the most documented. Surgical backlogs were mainly reported at the hospital (44%, 37/83) and national levels (38%, 32/83). We identified 58 citations that reported a total of 42 strategies to mitigate the backlog, the most cited being establishing prioritisation criteria for surgical cases (41%, 24/58). Our findings highlight challenges across differing healthcare systems in LAC, including disparities in data availability, surgical capacity, and resource allocation. For instance, while countries like Brazil had extensive data on national surgical backlogs, others lacked comprehensive national-level data. Our review can help inform policymakers and healthcare stakeholders to implement targeted interventions to prepare LAC-based surgical systems for future health emergencies. Competing Interests: We would like to declare the following sources of funding which supported the authors during their academic endeavours: Fundação Maria Emília Pedreira Freire de Carvalho (LNC), Fundação Estudar (LNC), Jean-Martin Laberge Pediatric Fellowship Program (AG), Swedish Research Council (grant 2022–00208, MZ), the Swedish Doctors Organization (Svenska Läkaresällskapet, MZ). The funding institutions played no role in the design, collection, analysis, interpretation, writing, or decision to submit the report for publication. (© 2024 The Authors. Published by Elsevier Ltd.)
Databáze:	MEDLINE
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