Top

World Journal of Surgery

Published in:

Open Access 01-03-2010

Comparative Cost-Effectiveness Analysis of Two MSF Surgical Trauma Centers

Authors: Richard A. Gosselin, Andreu Maldonado, Greg Elder

Published in: World Journal of Surgery | Issue 3/2010

Abstract

Introduction

There is a dearth of data on cost-effectiveness of surgical care in resource-poor countries. Doctors Without Borders (Médecins Sans Frontières; MSF) is a nongovernmental organization (NGO) involved in the many facets of health care for underserved populations, including surgical care.

Methods

A cost-effectiveness analysis (CEA) was attempted at two of their surgical trauma hospitals: Teme Hospital in Nigeria and La Trinité Hospital in Haiti.

Conclusion

At $172 and $223 per Disability-Adjusted Life-Year (DALY) averted, respectively, they are in line with other reported CEAs for surgical and nonsurgical activities in similar contexts.

Bickler S, Spiegel D (2008) Global surgery–defining a research agenda. Lancet 372:90–92CrossRefPubMed

Farmer PE, Kim JY (2008) Surgery and global health: a view from beyond the OR. World J Surg 32:533–536CrossRefPubMed

Debas H, Gosselin RA, McCord C (2006) Surgery. In: Jamison D et al (eds) Disease control priorities in developing countries. Oxford University Press, Washington, pp 1245–1260

Weiser TG, Regenbogen SE, Thompson KD et al (2008) An estimation of the global volume of surgery: a modeling strategy based on available data. Lancet 372:139–148CrossRefPubMed

Kingham TP, Kamara TB, Cherian MN et al (2009) Quantifying surgical capacity in Sierra Leone: a guide for improving surgical care. Arch Surg 144:122–127CrossRefPubMed

Gosselin RA, Heitto M (2008) Cost-effectiveness of a district trauma hospital in Battambang, Cambodia. World J Surg 32:2450–2453CrossRefPubMed

McCord C, Chowdhury Q (2003) A cost effective small hospital in Bangladesh: what it can mean for emergency obstetric care. Int J Gynaecol Obstet 81:83–92CrossRefPubMed

Tan Torres-Edejer T, Baltussen R, Adam T et al (2003) WHO guidelines to cost-effectiveness analysis. World Health Organization, Geneva

Jamison D, Breman J, Measham A et al (eds) (2006) Disease control priorities in developing countries. Oxford University Press, Washington, DC

10.

Murray CJL, Lopez AD (eds) (1996) The global burden of disease. Harvard University Press, Boston

11.

Gosselin RA, Thind A, Bellardinelli A (2006) Cost/DALY averted in a small hospital in Sierra Leone: what is the relative contribution of different services? World J Surg 30:505–511CrossRefPubMed

12.

Kim SY, Goldie SJ, Salomon JA (2009) Cost-effectiveness of rotavirus vaccination in Vietnam. BMC Public Health 9:29CrossRefPubMed

13.

Bachmann MO (2009) Cost effectiveness of community-based therapeutic care for children with severe acute malnutrition in Zambia: decision tree model. Cost Eff Resour Alloc 7:2CrossRefPubMed

14.

Sinha A, Constenla D, Valencia JE et al (2008) Cost-effectiveness of pneumococcal conjugate vaccination in Latin America and the Caribbean: a regional analysis. Rev Panam Salud Publica 24:304–313CrossRefPubMed

15.

Currie CS, Floyd K, Williams BG et al (2005) Cost, affordability and cost-effectiveness of strategies to control tuberculosis in countries with high HIV prevalence. BMC Public Health 12:130CrossRef

Title: Comparative Cost-Effectiveness Analysis of Two MSF Surgical Trauma Centers
Authors: Richard A. Gosselin
Andreu Maldonado
Greg Elder
Publication date: 01-03-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 3/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-0230-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Comparative Cost-Effectiveness Analysis of Two MSF Surgical Trauma Centers

Abstract

Introduction

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Conclusion

Please log in to get access to this content

Other articles of this Issue 3/2010

Improving Surgical Care in Low- and Middle-Income Countries: A Pivotal Role for the World Health Organization

Intraoperative Determination of PTH Concentrations in Fine Needle Tissue Aspirates to Identify Parathyroid Tissue During Parathyroidectomy

Role of Collaborative Academic Partnerships in Surgical Training, Education, and Provision

Emergency and Essential Surgical Services in Afghanistan: Still a Missing Challenge

Seven Sins of Humanitarian Medicine

Surgical Classification of Open Abdomen: Which Clinical Implications?