ArticleJTCVS open2023
The state of cardiac surgery in Ethiopia.
Article in JTCVS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 17 citations in OpenAlex.
- Mapping surgical deserts of cardiovascular training in Latin America: A geospatial and structural analysis.JTCVS open · 2026Article
- Bridging the Workforce Gap in Ethiopian Catheterization Laboratories.Journal of the Society for Cardiovascular Angiography & Interventions · 2026Article
- Polycythemia and its determinants among children with unoperated cyanotic congenital heart disease at Tikur Anbessa specialized hospital, Ethiopia: observational cross-sectional study.BMC pediatrics · 2025Observational
- Exploring the burden of non-communicable diseases on surgical services in Africa: a comprehensive literature review.Annals of medicine and surgery (2012) · 2025Review
- Equity in the cardiothoracic surgical workforce: addressing training gaps and workforce distribution in Africa- a narrative review.BMC surgery · 2025Review
- Perioperative anesthesia management for elderly patients with permanent pacemakers undergoing retropubic prostatectomy in Ethiopia East Africa: a case report and review of the literature.Journal of medical case reports · 2025Review
- Women in cardiac surgery: a global workforce analysis.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2024Article
- Behavioral problems in children with unoperated rheumatic heart disease at national referral hospital in Ethiopia: an observational study.BMC psychiatry · 2024Observational
- A plea for urgent action: Addressing the critical shortage of cardiothoracic surgical workforce in the COSECSA region.World journal of surgery · 2024Article
- Cardiothoracic surgery training in Africa: History and developments.JTCVS open · 2024Article
- Post-surgery survival and associated factors for cardiac patients in Ethiopia: applications of machine learning, semi-parametric and parametric modelling.BMC medical informatics and decision making · 2024Article
- Article
- Challenges Faced and Lessons Learned: The Journey of a 22-Year-Old Male with a Mechanical Heart Valve Complicated by Ischemic Stroke in a Developing Country: A Sub-Saharan Africa Prospect.International medical case reports journal · 2024Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: Six billion people globally do not have access to cardiac surgical care. In this study, we aimed to describe state of cardiac surgery in Ethiopia. Methods: Data on status of local cardiac surgery collected from surgeons and cardiac centers. Medical travel agents were interviewed about number of cardiac patients who were assisted to travel abroad for surgery. Historical data and number of patients treated by non-governmental organizations were collected via interviews and by accessing existing databases. Results: Patients access cardiac care via 3 avenues: mission-based, abroad referral, and care at local centers. Traditionally, the first 2 have been the main mode of access; however, since 2017, an entirely local team has begun performing heart surgery in the country. Currently, surgical cardiac care is provided at 4 local centers: a charity organization, a tertiary public hospital, and 2 for-profit centers. Procedures at the charity center are provided for free, whereas in others, patients mostly pay out of pocket. There are only 5 cardiac surgeons for 120 million people. More than 15,000 patients are on waitlist for surgery, mainly because of lack of consumables and limited numbers of centers and workforce. Conclusions: There is a change in the trend from non-governmental mission- and referral-based care toward care in local centers in Ethiopia. The local cardiac surgery workforce is growing but still insufficient. The number of procedures is limited with long wait lists due to limited workforce, infrastructure, and resources. All stakeholders should work on training more workforce, providing consumables, and creating feasible financing schemes.
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