ArticleWorld journal of surgery2015
Burden of injuries avertable by a basic surgical package in low- and middle-income regions: a systematic analysis from the Global Burden of Disease 2010 Study.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05910515 (Improving Performance in Pediatric Trauma by Teaching Nontechnical Skills), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Improving Performance in Pediatric Trauma by Teaching Nontechnical Skills
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Surgically avertable deaths in a rural Ethiopian community: a verbal autopsy study.BMC surgery · 2026Article
- Use of pre-operative blood products in abdominal trauma: a planned secondary analysis of the GOAL-trauma study.EClinicalMedicine · 2026Article
- Perceptions of facilitators, barriers and adaptations for provision of obstetric fistula surgery and care: a qualitative descriptive study of service providers in selected hospitals in Busoga sub-region, eastern Uganda.Frontiers in global women's health · 2026Article
- Clinical outcomes of internal fixation orthopaedic surgery in humanitarian settings: a retrospective cohort study at the Médecins Sans Frontières (MSF) trauma centre in Aden, Yemen.International orthopaedics · 2025Article
- Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia.Frontiers in public health · 2024Review
- Challenges of orthopaedics and trauma care in the Africa, Near and Middle East region.International orthopaedics · 2023Article
- Global Plastic Surgery: A Review of the Field and a Call for Virtual Training in Low- and Middle-Income Countries.Plastic surgery (Oakville, Ont.) · 2023Article
- Surgical care and trauma patients capacity in Piura, Perú - Cross-sectional study.Revista colombiana de anestesiologia · 2023Article
- Article
- The state of surgery, obstetrics, trauma, and anaesthesia care in Ghana: a narrative review.Global health action · 2022Review
- Estimates of Treatable Deaths Within the First 20 Years of Life from Scaling Up Surgical Care at First-Level Hospitals in Low- and Middle-Income Countries.World journal of surgery · 2022Article
- A plastic and reconstructive surgery landscape assessment of Malawi: a scoping review of Malawian literature.European journal of medical research · 2022Article
- The Optimal Distribution of Surgery in Low- and Middle-Income Countries: A Proposed Matrix for Determining Country-Level Organization of Surgical Services - A Response to the Recent Commentaries.International journal of health policy and management · 2022Article
- Orthopaedic and trauma care in low-resource settings: the burden and its challenges.International orthopaedics · 2022Review
- Perception of the healthcare professionals towards the current trauma and emergency care system in Kabul, Afghanistan: a mixed method study.BMC health services research · 2020Article
- Enabling Community Health Worker Recognition and Referral of Surgical Diseases: Pilot Study Results of a Pictorial Guide.World journal of surgery · 2019Article
- Injury and depression among 212 039 individuals in 40 low- and middle-income countries.Epidemiology and psychiatric sciences · 2019Article
- Global Need for Physical Rehabilitation: Systematic Analysis from the Global Burden of Disease Study 2017.International journal of environmental research and public health · 2019Article
- What is 'global surgery'? Defining the multidisciplinary interface between surgery, anaesthesia and public health.BMJ global health · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInjuries accounted for 11 % of the global burden of disease in 2010. This study aimed to quantify the burden of injury in low- and middle-income countries (LMICs) that could be averted if basic surgical services were made available and accessible to the entire population.
methodsWe examined all causes of injury from the Global Burden of Disease 2010 Study. We split the disability-adjusted life years (DALYs) for these conditions between surgically "avertable" and "nonavertable" burdens. For estimating the avertable fatal burden, we applied the lowest fatality rates among the 21 epidemiologic regions to each LMIC region, assuming that the differences in death rates between each region and the lowest rates reflect the gap in surgical care. We adjusted for fatal cases that occur prior to reaching hospitals as they are not surgically avertable. Similarly, we applied the lowest nonfatal burden per case to each LMIC region.
resultsOverall, 21 % of the injury burden in LMICs was potentially avertable by basic surgical care (52.3 million DALYs). The avertable proportion was greater for deaths than for nonfatal burden (23 vs. 20 %), suggesting that surgical services for injuries more effectively save lives than ameliorate disability. Sub-Saharan Africa had the largest proportion of potentially avertable burden (25 %). South Asia had the highest total avertable DALYs (17.4 million). Road injury comprised the largest total avertable burden in LMICs (16.1 million DALYs).
conclusionsBasic surgical care has the potential to play a major role in reducing the injury-related burden in LMICs.
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