Global Estimation of Surgical Procedures Needed for Forcibly Displaced Persons
| Autor: | Reinou S. Groen, David K. Imagawa, Eugenia Lee, Adam L. Kushner, Barclay T. Stewart, David H. Rothstein, Gilbert Burnham, Yuanting Zha, Kyle N. Remick |
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| Rok vydání: | 2016 |
| Předmět: |
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medicine.medical_specialty Internationality Adolescent Databases Factual United Nations media_common.quotation_subject Refugee Obstetric Surgical Procedures Colombia Pediatrics Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Africa Northern Humans Medicine Pakistan 030212 general & internal medicine Child media_common Estimation Health Services Needs and Demand Refugees Syria Human rights business.industry Displaced person Infant Newborn Infant Surgical procedures Vascular surgery medicine.disease Surgery Child Preschool Surgical Procedures Operative 030220 oncology & carcinogenesis Internally displaced person Iraq Democratic Republic of the Congo Female Medical emergency business Persecution |
| Zdroj: | World Journal of Surgery. 40:2628-2634 |
| ISSN: | 1432-2323 0364-2313 |
| DOI: | 10.1007/s00268-016-3579-x |
| Popis: | Sixty million people were displaced from their homes due to conflict, persecution, or human rights violations at the end of 2014. This vulnerable population bears a disproportionate burden of disease, much of which is surgically treatable. We sought to estimate the surgical needs for forcibly displaced persons globally to inform humanitarian assistance initiatives. Data regarding forcibly displaced persons, including refugees, internally displaced persons (IDPs), and asylum seekers were extracted from United Nations databases. Using the minimum proposed surgical rate of 4669 procedures per 100,000 persons annually, global, regional, and country-specific estimates were calculated. The prevalence of pregnancy and obstetric complications were used to estimate obstetric surgical needs. At least 2.78 million surgical procedures (IQR 2.58–3.15 million) were needed for 59.5 million displaced persons. Of these, 1.06 million procedures were required in North Africa and the Middle East, representing an increase of 50 % from current unmet surgical need in the region. Host countries with the highest surgical burden for the displaced included Syria (388,000 procedures), Colombia (282,000 procedures), and Iraq (187,000). Between 4 and 10 % of required procedures were obstetric surgical procedures. Children aged |
| Databáze: | OpenAIRE |
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