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World Journal of Surgery
Published in: World Journal of Surgery 1/2015

Open Access 01-01-2015

Charitable Platforms in Global Surgery: A Systematic Review of their Effectiveness, Cost-Effectiveness, Sustainability, and Role Training

Authors: Mark G. Shrime, Ambereen Sleemi, Thulasiraj D. Ravilla

Published in: World Journal of Surgery | Issue 1/2015

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Abstract

Objective

This study was designed to propose a classification scheme for platforms of surgical delivery in low- and middle-income countries (LMICs) and to review the literature documenting their effectiveness, cost-effectiveness, sustainability, and role in training. Approximately 28 % of the global burden of disease is surgical. In LMICs, much of this burden is borne by a rapidly growing international charitable sector, in fragmented platforms ranging from short-term trips to specialized hospitals. Systematic reviews of these platforms, across regions and across disease conditions, have not been performed.

Methods

A systematic review of MEDLINE and EMBASE databases was performed from 1960 to 2013. Inclusion and exclusion criteria were defined a priori. Bibliographies of retrieved studies were searched by hand. Of the 8,854 publications retrieved, 104 were included.

Results

Surgery by international charitable organizations is delivered under two, specialized hospitals and temporary platforms. Among the latter, short-term surgical missions were the most common and appeared beneficial when no other option was available. Compared to other platforms, however, worse results and a lack of cost-effectiveness curtailed their role. Self-contained temporary platforms that did not rely on local infrastructure showed promise, based on very few studies. Specialized hospitals provided effective treatment and appeared sustainable; cost-effectiveness evidence was limited.

Conclusions

Because the charitable sector delivers surgery in vastly divergent ways, systematic review of these platforms has been difficult. This paper provides a framework from which to study these platforms for surgery in LMICs. Given the available evidence, self-contained temporary platforms and specialized surgical centers appear to provide more effective and cost-effective care than short-term surgical mission trips, except when no other delivery platform exists.
Literature
1.
(2012) Institute for Health Metrics and Evaluation. Global Burden of Disease, 2010
2.
3.
4.
Knowlton LM, Chackungal S, Dahn B, LeBrun D, Nickerson J, McQueen K (2013) Liberian surgical and anesthesia infrastructure: a survey of county hospitals. World J Surg 37:721–729. doi:10.​1007/​s00268-013-1903-2 PubMed
5.
Linden AF, Sekidde FS, Galukande M, Knowlton LM, Chackungal S, McQueen KA (2012) Challenges of surgery in developing countries: a survey of surgical and anesthesia capacity in Uganda’s public hospitals. World J Surg 36:1056–1065. doi:10.​1007/​s00268-012-1482-7 PubMed
6.
Casey KM (2007) The global impact of surgical volunteerism. Surg Clin N Am 87:949–960PubMed
7.
Isaacson G, Drum ET, Cohen MS (2010) Surgical missions to developing countries: Ethical conflicts. Otolaryngol Head Neck Surg 143:476–479PubMed
8.
Ott BB, Olson RM (2011) Ethical issues of medical missions: the clinicians’ view. HEC Forum 23:105–113PubMed
9.
Wall LL (2011) Ethical concerns regarding operations by volunteer surgeons on vulnerable patient groups: the case of women with obstetric fistulas. HEC Forum 23:115–127PubMed
10.
Schneider WJ, Migliori MR, Gosain AK, Gregory G, Flick R (2011) Volunteers in plastic surgery guidelines for providing surgical care for children in the less developed world: part II. Ethical considerations. Plastic Reconstr Surg 128:216e–222e
11.
Bai VT, Murali V, Kim R, Srivatsa SK (2007) Teleophthalmology-based rural eye care in India. Telemed J E-Health 13:313–321PubMed
12.
Bailie R (1996) An economic appraisal of a mobile cervical cytology screening service. South Afr Med J 86:1179–1184
13.
14.
Chu KM, Ford N, Trelles M (2010) Operative mortality in resource-limited settings: the experience of Medecins Sans Frontieres in 13 countries. Arch Surg (Chicago, Ill: 1960) 145:721–725
15.
Nickerson JW, Chackungal S, Knowlton L, McQueen K, Burkle FM (2012) Surgical care during humanitarian crises: a systematic review of published surgical caseload data from foreign medical teams. Prehosp Disaster Med 27:184–189PubMed
16.
17.
Vargas G, Price RR, Sergelen O, Lkhagvabayar B, Batcholuun P, Enkhamagan T (2012) A successful model for laparoscopic training in Mongolia. Int Surg 97:363–371PubMedCentralPubMed
18.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Int Med 151:264–269PubMed
19.
20.
21.
Magee WP Jr (2010) Evolution of a sustainable surgical delivery model. J Craniofac Surg 21:1321–1326PubMed
22.
Magee WP, Raimondi HM, Beers M, Koech MC (2012) Effectiveness of international surgical program model to build local sustainability. Plast Surg Int 2012:185725PubMedCentralPubMed
23.
24.
Cousins GR, Obolensky L, McAllen C, Acharya V, Beebeejaun A (2012) The Kenya orthopaedic project: surgical outcomes of a travelling multidisciplinary team. J Bone Joint Surg Br 94:1591–1594PubMed
25.
Cheng LH, McColl L, Parker G (2012) Thyroid surgery in the UK and on board the Mercy Ships. Br J Oral Maxillofac Surg 50:592–596PubMed
26.
Harris RD (2013) Radiology on the Africa Mercy, the largest private floating hospital ship in the world. AJR Am J Roentgenol 200:W124–W129PubMed
27.
McQueen KA, Hyder JA, Taira BR, Semer N, Burkle FM Jr, Casey KM (2010) The provision of surgical care by international organizations in developing countries: a preliminary report. World J Surg 34:397–402. doi:10.​1007/​s00268-009-0181-5 PubMed
28.
Balent LC, Narendrum K, Patel S, Kar S, Patterson DA (2001) High-volume sutureless intraocular lens surgery in a rural eye camp in India. Ophthalmic Surg Lasers 32:446–455PubMed
29.
Civerchia L, Apoorvananda SW, Natchiar G, Balent A, Ramakrishnan R, Green D (1993) Intraocular lens implantation in rural India. Ophthalmic Surg 24:648–652 (discussion 652–643)PubMed
30.
Civerchia L, Ravindran RD, Apoorvananda SW et al (1996) High-volume intraocular lens surgery in a rural eye camp in India. Ophthalmic Surg Lasers 27:200–208PubMed
31.
Kapoor H, Chatterjee A, Daniel R, Foster A (1999) Evaluation of visual outcome of cataract surgery in an Indian eye camp. Br J Ophthalmol 83:343–346PubMedCentralPubMed
32.
van der Hoek J (1997) Three months follow-up of IOL implantation in remote eye camps in Nepal. Int Ophthalmol 21:195–197PubMed
33.
Venkataswamy G (1975) Massive eye relief project in India. Am J Ophthalmol 79:135–140PubMed
34.
Lehnerdt G, van Delden A, Lautermann J (2005) Management of an “Ear Camp” for children in Namibia. Int J Pediatr Otorhinolaryngol 69:663–668PubMed
35.
Sanders DL, Kingsnorth AN (2007) Operation hernia: humanitarian hernia repairs in Ghana. Hernia 11:389–391PubMed
36.
Tefuarani N, Vince J, Hawker R et al (2007) Operation open heart in PNG, 1993-2006. Heart Lung Circ 16:373–377PubMed
37.
Rumstadt B, Klein B, Kirr H, Kaltenbach N, Homenu W, Schilling D (2008) Thyroid surgery in Burkina Faso, West Africa: experience from a surgical help program. World J Surg 32:2627–2630. doi:10.​1007/​s00268-008-9775-6 PubMed
38.
39.
Frampton MC (1993) Otological relief work in Romania. J Laryngal Otol 107:1185–1189
40.
41.
Hodges AM, Hodges SC (2000) A rural cleft project in Uganda. Br J Plast Surg 53:7–11PubMed
42.
de Buys Roessingh AS, Dolci M, Zbinden-Trichet C, Bossou R, Meyrat BJ, Hohlfeld J (2012) Success and failure for children born with facial clefts in Africa: a 15-year follow-up. World J Surg 36:1963–1969. doi:10.​1007/​s00268-012-1607-z PubMed
43.
Haskell A, Rovinsky D, Brown HK, Coughlin RR (2002) The University of California at San Francisco international orthopaedic elective. Clin Orthop Relat Res 396:12–18PubMed
44.
Ruiz-Razura A, Cronin ED, Navarro CE (2000) Creating long-term benefits in cleft lip and palate volunteer missions. Plast Reconstr Surg 105:195–201PubMed
45.
Wright IG, Walker IA, Yacoub MH (2007) Specialist surgery in the developing world: luxury or necessity? Anaesthesia 62(Suppl 1):84–89PubMed
46.
Yeow VK, Lee ST, Lambrecht TJ et al (2002) International task force on volunteer cleft missions. J Craniofac Surg 13:18–25PubMed
47.
Birkmeyer JD, Siewers AE, Finlayson EV et al (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346:1128–1137PubMed
48.
Birkmeyer JD, Stukel TA, Siewers AE, Goodney PP, Wennberg DE (2003) Surgeon volume and operative mortality in the United States. N Engl J Med 349:2117–2127PubMed
49.
Eskander A (2013) Volume-outcome relationships in the surgical management of head and neck cancer in Ontario. Harvard School of Public Health, Toronto
50.
Poilleux J, Lobry P (1991) Surgical humanitarian missions. An experience over 18 years. Chirurgie 117:602–606PubMed
51.
Rodgers A, Walker N, Schug S et al (2000) Reduction of postoperative mortality and morbidity with epidural or spinal anaesthesia: results from overview of randomised trials. BMJ 321:1493PubMedCentralPubMed
52.
Sykes KJ, Le PT, Sale KA, Nicklaus PJ (2012) A 7-year review of the safety of tonsillectomy during short-term medical mission trips. Otolaryngol Head Neck Surg 146:752–756PubMed
53.
Maine RG, Hoffman WY, Palacios-Martinez JH, Corlew DS, Gregory GA (2012) Comparison of fistula rates after palatoplasty for international and local surgeons on surgical missions in Ecuador with rates at a craniofacial center in the United States. Plast Reconstr Surg 129:319e–326ePubMed
54.
Furr MC, Larkin E, Blakeley R, Albert TW, Tsugawa L, Weber SM (2011) Extending multidisciplinary management of cleft palate to the developing world. J Oral Maxillofac Surg 69:237–241PubMed
55.
Singh AJ, Garner P, Floyd K (2000) Cost-effectiveness of public-funded options for cataract surgery in Mysore, India. Lancet 355:180–184PubMed
56.
Homoe P, Nikoghosyan G, Siim C, Bretlau P (2008) Hearing outcomes after mobile ear surgery for chronic otitis media in Greenland. Int J Circumpolar Health 67:452–460PubMed
57.
Homoe P, Siim C, Bretlau P (2008) Outcome of mobile ear surgery for chronic otitis media in remote areas. Otolaryngol Head Neck Surg 139:55–61PubMed
58.
Snidvongs K, Vatanasapt P, Thanaviratananich S, Pothaporn M, Sannikorn P, Supiyaphun P (2010) Outcome of mobile ear surgery units in Thailand. J Laryngal Otol 124:382–386
59.
Horlbeck D, Boston M, Balough B et al (2009) Humanitarian otologic missions: long-term surgical results. Otolaryngol Head Neck Surg 140:559–565PubMed
60.
Barrs DM, Muller SP, Worrndell DB, Weidmann EW (2000) Results of a humanitarian otologic and audiologic project performed outside of the United States: lessons learned from the “Oye, Amigos!” project. Otolaryngol Head Neck Surg 123:722–727PubMed
61.
Adams C, Kiefer P, Ryan K et al (2012) Humanitarian cardiac care in Arequipa, Peru: experiences of a multidisciplinary Canadian cardiovascular team. Can J Surg 55:171–176PubMedCentralPubMed
62.
Kim FS, Tran HH, Sinha I et al (2012) Experience with corrective surgery for postburn contractures in Mumbai, India. J Burn Care Res 33:e120–e126PubMed
63.
Young S, Lie SA, Hallan G, Zirkle LG, Engesaeter LB, Havelin LI (2011) Low infection rates after 34,361 intramedullary nail operations in 55 low- and middle-income countries: Validation of the Surgical Implant Generation Network (SIGN) Online Surgical Database. Acta Orthop 82:737–743PubMedCentralPubMed
64.
65.
Marck R, Huijing M, Vest D, Eshete M, Marck K, McGurk M (2010) Early outcome of facial reconstructive surgery abroad: a comparative study. Eur J Plast Surg 33:193–197PubMedCentralPubMed
66.
Huijing MA, Marck KW, Combes J et al (2011) Facial reconstruction in the developing world: a complicated matter. Br J Oral Maxillofac Surg 49:292–296PubMed
67.
Moon W, Perry H, Baek RM (2012) Is international volunteer surgery for cleft lip and cleft palate a cost-effective and justifiable intervention? A case study from East Asia. World J Surg 36:2819–2830. doi:10.​1007/​s00268-012-1761-3 PubMed
68.
Hughes CD, Babigian A, McCormack S et al (2012) The clinical and economic impact of a sustained program in global plastic surgery: valuing cleft care in resource-poor settings. Plast Reconstr Surg 130:87e–94ePubMed
69.
Chen AT, Pedtke A, Kobs JK, Edwards GS Jr, Coughlin RR, Gosselin RA (2012) Volunteer orthopedic surgical trips in Nicaragua: a cost-effectiveness evaluation. World J Surg 36:2802–2808. doi:10.​1007/​s00268-012-1754-2 PubMed
70.
Lansingh VC, Carter MJ, Martens M (2007) Global cost-effectiveness of cataract surgery. Ophthalmology 114:1670–1678PubMed
71.
Alterman DM, Goldman MH (2008) International volunteerism during general surgical residency: a resident’s experience. J Surg Educ 65:378–383PubMed
72.
Aziz SR, Ziccardi VB, Chuang SK (2012) Survey of residents who have participated in humanitarian medical missions. J Oral Maxillofac Surg 70:e147–e157PubMed
73.
Belyansky I, Williams KB, Gashti M, Heitmiller RF (2011) Surgical relief work in Haiti: a practical resident learning experience. J Surg Educ 68:213–217PubMed
74.
Boyd NH, Cruz RM (2011) The importance of international medical rotations in selection of an otolaryngology residency. J Grad Med Educ 3:414–416PubMedCentralPubMed
75.
Cameron BH, Rambaran M, Sharma DP, Taylor RH (2010) International surgery: the development of postgraduate surgical training in Guyana. Can J Surg 53:11–16PubMedCentralPubMed
76.
Campbell A, Sherman R, Magee WP (2010) The role of humanitarian missions in modern surgical training. Plast Reconstr Surg 126:295–302PubMed
77.
Campbell A, Sullivan M, Sherman R, Magee WP (2011) The medical mission and modern cultural competency training. J Am Coll Surg 212:124–129PubMed
78.
Henry JA, Groen RS, Price RR et al (2013) The benefits of international rotations to resource-limited settings for U.S. surgery residents. Surgery 153:445–454PubMed
79.
Hughes C, Wong A, McCormack S et al (2012) International efforts in plastic surgery: the Hartford Hospital, Connecticut Children’s Medical Center and University of Connecticut experience in Ecuador. Connecticut Med 76:19–22
80.
Hughes C, Zani S, O’Connell B, Daoud I (2010) International surgery and the University of Connecticut experience: lessons from a short-term surgical mission. Connecticut Med 74:157–160
81.
Jarman BT, Cogbill TH, Kitowski NJ (2009) Development of an international elective in a general surgery residency. J Surg Educ 66:222–224PubMed
82.
Lee DK, Weinstein S (2009) International public health in third world country medical missions: when small legs walk, we all stand a little taller. J Am Podiatr Med Assoc 99:371–376PubMed
83.
Matar WY, Trottier DC, Balaa F, Fairful-Smith R, Moroz P (2012) Surgical residency training and international volunteerism: a national survey of residents from 2 surgical specialties. Can J Surg 55:S191–S199PubMedCentralPubMed
84.
Ozgediz D, Roayaie K, Debas H, Schechter WS, Farmer D (2005) Surgery in developing countries: essential training in residency. Arch Surg (Chicago, Ill: 1960) 140:795–800
85.
Ozgediz D, Wang J, Jayaraman S et al (2008) Surgical training and global health: initial results of a 5-year partnership with a surgical training program in a low-income country. Arch Surg (Chicago, Ill: 1960) 143:860–865 discussion 865
86.
Riviello R, Lipnick M, Ozgediz D (2011) Medical missions, surgical education, and capacity building. J Am Coll Surg 213:572–574PubMed
87.
Butler MW (2010) Fragmented international volunteerism: need for a global pediatric surgery network. J Pediatr Surg 45:303–309PubMed
88.
Cam C, Karateke A, Ozdemir A et al (2010) Fistula campaigns–are they of any benefit? Taiwan J Obstet Gynecol 49:291–296PubMed
89.
Mitchell KB, Balumuka D, Kotecha V, Said SA, Chandika A (2012) Short-term surgical missions: joining hands with local providers to ensure sustainability. South Afr J Surg 50:2
90.
Donkor P, Bankas DO, Agbenorku P, Plange-Rhule G, Ansah SK (2007) Cleft lip and palate surgery in Kumasi, Ghana: 2001-2005. J Craniofac Surg 18:1376–1379PubMed
91.
Uetani M, Jimba M, Niimi T et al (2006) Effects of a long-term volunteer surgical program in a developing country: the case in Vietnam from 1993 to 2003. Cleft Palate Craniofac J 43:616–619PubMed
92.
Fletcher A, Donoghue M, Devavaram J et al (1999) Low uptake of eye services in rural India: a challenge for programs of blindness prevention. Arch Ophthalmol 117:1393–1399PubMed
93.
Browning A, Patel TL (2004) FIGO initiative for the prevention and treatment of vaginal fistula. Int J Gynaecol Obstet 86:317–322PubMed
94.
Hsia RY, Mbembati NA, Macfarlane S, Kruk ME (2012) Access to emergency and surgical care in sub-Saharan Africa: the infrastructure gap. Health Policy Plan 27:234–244PubMed
95.
Lewis G, de Bernis L (2006) Obstetric fistula: guiding principles for clinical management and programme development. Periodical [serial online]. World Health Organization. Accessed 7 July 2013
96.
Troup L (2007) The USNS Mercy’s Southeast Asia humanitarian cruise: the perioperative experience. AORN J 86:781–790PubMed
97.
Walk RM, Donahue TF, Sharpe RP, Safford SD (2011) Three phases of disaster relief in Haiti–pediatric surgical care on board the United States Naval Ship Comfort. J Pediatr Surg 46:1978–1984PubMed
98.
Walk RM, Glaser J, Marmon LM, Donahue TF, Bastien J, Safford SD (2012) Continuing promise 2009—assessment of a recent pediatric surgical humanitarian mission. J Pediatr Surg 47:652–657PubMed
99.
Ray JM, Lindsay RW, Kumar AR (2010) Treatment of earthquake-related craniofacial injuries aboard the USNS Comfort during Operation Unified Response. Plast Reconstr Surg 126:2102–2108PubMed
100.
Fletcher A, Vijaykumar V, Selvaraj S, Thulasiraj RD, Ellwein LB (1998) The Madurai Intraocular Lens Study. III: Visual functioning and quality of life outcomes. Am J Ophthalmol 125:26–35PubMed
101.
World Health Organization (2005) State of the world’s sight: VISION 2020: the right to sight 1999-2005. Periodical [serial online]. Accessed 7 July 2013
102.
Hamlin EC, Muleta M, Kennedy RC (2002) Providing an obstetric fistula service. Br J Urol Int 89:50–53
103.
Muleta M, Rasmussen S, Kiserud T (2010) Obstetric fistula in 14,928 Ethiopian women. Acta Obstet Gynecol Scand 89:945–951PubMed
104.
Frajzyngier V, Ruminjo J, Barone MA (2012) Factors influencing urinary fistula repair outcomes in developing countries: a systematic review. Am J Obstet Gynecol 207:248–258PubMedCentralPubMed
105.
Pareja R, Nick AM, Schmeler KM et al (2012) Quality of laparoscopic radical hysterectomy in developing countries: a comparison of surgical and oncologic outcomes between a comprehensive cancer center in the United States and a cancer center in Colombia. Gynecol Oncol 125:326–329PubMed
106.
Reddy SG, Reddy LV, Reddy RR (2009) Developing and standardizing a center to treat cleft and craniofacial anomalies in a developing country like India. J Craniofac Surg 20:1664–1667PubMed
107.
Youssef A, Harrison WJ (2010) Establishing a children’s orthopedic hospital for Malawi: an assessment after 5 years. Malawi Med J 22:75–78PubMedCentralPubMed
108.
Venkatesh R, Muralikrishnan R, Balent LC, Prakash SK, Prajna NV (2005) Outcomes of high volume cataract surgeries in a developing country. Br J Ophthalmol 89:1079–1083PubMedCentralPubMed
109.
Ezegwui IR, Ajewole J (2009) Monitoring cataract surgical outcome in a Nigerian mission hospital. Int Ophthalmol 29:7–9PubMed
110.
Del Rossi C, Attanasio A, Del Curto S, D’Agostino S, De Castro R (2003) Treatment of vaginal atresia at a missionary hospital in Bangladesh: results and followup of 20 cases. J Urol 170:864–866PubMed
111.
Del Rossi C, Attanasio A, Domenichelli V, De Castro R (1999) Treatment of the Mayer-Rokitansky-Kuster-Hauser syndrome in Bangladesh: results of 10 total vaginal replacements with sigmoid colon at a missionary hospital. J Urol 162:1138–1139 discussion 1140PubMed
112.
Del Rossi C, Fontechiari S, Casolari E, Fainardi V, Caravaggi F, Lombardi L (2008) Treatment of congenital anomalies in a missionary hospital in Bangladesh: results of 17 paediatric surgical missions. Acta Bio Med 79:260–263
113.
Vogel JP, Betran AP, Widmer M et al (2012) Role of faith-based and nongovernment organizations in the provision of obstetric services in 3 African countries. Am J Obstet Gynecol 207:e491–e497
114.
International Federation of Gynecology and Obstetrics (2011) Global competency-based fistula surgery training manual. Periodical [serial online]. Accessed 7 July 2013
115.
Muleta M (1997) Obstetric fistulae: a retrospective study of 1210 cases at the Addis Ababa Fistula Hospital. J Obstet Gynaecol 17:68–70PubMed
116.
Waaldijk K (2008) Obstetric fistula surgery: art and science: basics. Waaldijk
117.
Wall LL (2007) Where should obstetric vesico-vaginal fistulas be repaired: At the district general hospital or a specialized fistula center? Int J Gynaecol Obstet 99:S28–S31PubMed
118.
Colson A, Adhikari S, Sleemi A, Laxminarayan R (2013) Quantifying uncertainty in intervention effectiveness: an application in obstetric fistula
119.
Gosselin R, 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 30:505–511. doi:10.​1007/​s00268-005-0609-5 PubMed
120.
Brilliant LB, Pokrel RP, Grasset NC et al (1985) Epidemiology of blindness in Nepal. Bull World Health Organ 63:375–386PubMedCentralPubMed
121.
Wall LL, Arrowsmith SD, Lassey AT, Danso K (2006) Humanitarian ventures or ‘fistula tourism?’: the ethical perils of pelvic surgery in the developing world. Int Urogynecol J Pelvic Floor Dysfunct 17:559–562PubMed
Metadata
Title
Charitable Platforms in Global Surgery: A Systematic Review of their Effectiveness, Cost-Effectiveness, Sustainability, and Role Training
Authors
Mark G. Shrime
Ambereen Sleemi
Thulasiraj D. Ravilla
Publication date
01-01-2015
Publisher
Springer US
Published in
World Journal of Surgery / Issue 1/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-014-2516-0

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