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Curr Opin Pediatr. 2019 Apr 1. doi: 10.1097/MOP.0000000000000765. [Epub ahead of print]

Global children's surgery: recent advances and future directions.

Author information

1
Department of Surgery, Yale University, New Haven, Connecticut, USA.
2
Department of Surgery, Makerere University, Kampala, Uganda.

Abstract

PURPOSE OF REVIEW:

Two-thirds of the world's population lacks access to surgical care, many of them being children. This review provides an update on recent advances in global children's surgery.

RECENT FINDINGS:

Surgery is being increasingly recognized as an essential component of global and child health. There is a greater focus on sustainable collaborations between high-income countries (HICs) and low-and-middle-income countries (HICs and LMICs). Recent work provides greater insight into the global disease burden, perioperative outcomes and effective context-specific solutions. Surgery has continued to be identified as a cost-effective intervention in LMICs. There have also been substantial advances in research and advocacy for a number of childhood surgical conditions.

SUMMARY:

Substantial global disparities persist in the care of childhood surgical conditions. Recent work has provided greater visibility to the challenges and solutions for children's surgery in LMICs. Capacity-building and scale up of children's surgical care, more robust implementation research and ongoing advocacy are needed to increase access to children's surgical care worldwide.

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