Key Concepts for Estimating the Burden of Surgical Conditions and the Unmet Need for Surgical Care

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Key Concepts for Estimating the Burden of Surgical Conditions and the Unmet Need for Surgical Care

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dc.contributor.author Bickler, Stephen
dc.contributor.author Ozgediz, Doruk
dc.contributor.author Gosselin, Richard
dc.contributor.author Spiegel, David
dc.contributor.author Hsia, Renee
dc.contributor.author Dunbar, Peter
dc.contributor.author McQueen, Kelly
dc.contributor.author Jamison, Dean
dc.contributor.author Weiser, Thomas Geoghegan
dc.date.accessioned 2011-03-16T14:15:11Z
dc.date.issued 2009
dc.identifier.citation Bickler, Stephen, Doruk Ozgediz, Richard Gosselin, Thomas Weiser, David Spiegel, Renee Hsia, Peter Dunbar, Kelly McQueen, and Dean Jamison. 2009. Key concepts for estimating the burden of surgical conditions and the unmet need for surgical care. World Journal of Surgery 34(3): 374-380. en_US
dc.identifier.issn 0364-2313 en_US
dc.identifier.uri http://nrs.harvard.edu/urn-3:HUL.InstRepos:4742706
dc.description.abstract Background: Surgical care is emerging as a crucial issue in global public health. Methodology is needed to assess the impact of surgical care from a public health perspective. Methods: A consensus opinion of a group of surgeons, anesthesiologists, and public health experts was established regarding the methodology for estimating the burden of surgical conditions and the unmet need for surgical care. Results: For purposes of analysis, we define surgical conditions as any disease state requiring the expertise of a surgically trained provider. Abnormalities resulting from a surgical condition or its treatment are termed surgical sequelae. Surgical care is defined as any measure that reduces the rates of physical disability or premature death associated with a surgical condition. To measure the burden of surgical conditions and unmet need for surgical care we propose using cumulative disability-adjusted life-year (DALY) curves generated from age-specific population-based data. This conceptual framework is based on the premise that surgically associated disability and death is determined by the incidence of surgical conditions and the quantity and quality of surgical care. The burden of surgical conditions is defined as the total disability and premature deaths that would occur in a population should there be no surgical care; the unmet need for surgical care is defined as the potentially treatable disability and premature deaths due to surgical conditions. Burden of surgical conditions should be expressed as DALYs and unmet need as potential DALYs avertable. Conclusions: Methodology is described for estimating the burden of surgical conditions and unmet need for surgical care. Using this approach it will be feasible to estimate the global burden of surgical conditions and help clarify where surgery fits among other global health priorities. These methods need to be validated using population-based data. en_US
dc.language.iso en_US en_US
dc.publisher Springer-Verlag en_US
dc.relation.isversionof doi:10.1007/s00268-009-0261-6 en_US
dc.relation.hasversion http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2816802/pdf/ en_US
dash.license LAA
dc.title Key Concepts for Estimating the Burden of Surgical Conditions and the Unmet Need for Surgical Care en_US
dc.type Journal Article en_US
dc.description.version Version of Record en_US
dc.relation.journal World Journal of Surgery en_US
dash.depositing.author Weiser, Thomas Geoghegan
dc.date.available 2011-03-16T14:15:11Z
dash.affiliation.other HMS^Surgery-Brigham and Women's Hospital en_US

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