Top

World Journal of Surgery

Published in:

01-04-2020 | Surgical Symposium Contribution

Surgical Burden of Musculoskeletal Conditions in Low- and Middle-Income Countries

Authors: Manjul Joshipura, Richard A. Gosselin

Published in: World Journal of Surgery | Issue 4/2020

Abstract

Background

The burden of musculoskeletal conditions is growing worldwide. In low- and middle-income countries (LMIC), the burden cannot be fully estimated, due to paucity of credible data. Further, no attempt has been made so far to estimate surgical burden of musculoskeletal conditions. This is a difficult task and accurate estimation of what would constitute surgical burden out of the total musculoskeletal burden in LMIC is not possible, due to number of constraints.

Methods

This review looks at current understanding of the musculoskeletal conditions, that can be measured in LMIC and the limitations based on previous studies and past global burden of diseases estimates.

Results

An attempt has been made to identify major conditions where a range of surgical burden can be predicted.

Conclusion

We conclude that there is huge scope for improvement in the current surveillance mechanism of surgical procedures undertaken for musculoskeletal conditions in LMIC so that the surgical burden can be more accurately predicted. Unless this burden can be highlighted, the attention to these conditions in LMIC will be limited.

Fuller AT, Butler EK, Tran TM (2015) Surgeons over seas assessment of surgical need (SOSAS) Uganda: update for Household Survey. World J Surg 39(12):2900–2907. https://doi.org/10.1007/s00268-015-3191-5 CrossRefPubMed

Ozgediz D, Chu K, Ford N (2011) Surgery in global health delivery. Mt Sinai J Med 78(3):327–341CrossRef

Jamison D, Breman J, Measham A et al (2006) Disease control priorities in developing countries, 2nd edn. World Bank and Oxford University Press, Washington

Shrime M, Sleemi A, Ravilla T (2015) Charitable platforms in global surgery: a systematic review of their effectiveness, cost-effectiveness, sustainability, and role training. World J Surg 39:10. https://doi.org/10.1007/s00268-014-2516-0 CrossRefPubMed

Weiser T, Regenbogen S, Thompson K et al (2008) An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 372(9633):139–144CrossRef

Shrime MG, Bickler SW, Alkire BC et al (2016) Global burden of surgical disease: an estimation from the provider perspective. Lancet Global Health 3:S8–S9CrossRef

WHO (2003) The burden of musculoskeletal conditions at the start of the millenium. WHO, Geneva Report No.: 919

Arnett F, Edworthy S, Bloch D et al (1988) The American Rheumatism Association Revised 1987 criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31(3):315–324CrossRef

Busija L, Bridgett L, Williams SR et al (2010) Osteoarthritis. Best Pract Res Clin Rheumatol 24(6):757–768CrossRef

10.

WHO (1994) Assessment of fracture risk and its application to screening for postmenopausal osteopororsis. WHO, Geneva (Report No.: 843)

11.

Cooper C, Cole Z, Holroyd C et al (2011) Secular trends in the incidence of hip and other osteoporotic fractures. Osteoporos Int 22(5):1277–1288CrossRef

12.

Tamm A, Lintrop M, Veske K et al (2008) Prevalence of patello- and tibiofemoral osteoarthritis in Elva, Southern Estonia. J Rheumatol 35(3):543–544PubMed

13.

Weinstein SL (1999) Nat Hist. Spine 24:2592–2600CrossRef

14.

Reigo T, Timpka T, Tropp H (1999) 0 The epidemiology of back pain in vocational age groups. Scand J Prim Health Care 17:17–21CrossRef

15.

Mock C, Cherian M (2008) The global burden of musculoskeletal injuries: challenges and solutions. Clin Orthop Relat Res 466(10):2306–2316CrossRef

16.

Mock C, Quansah R, Krishnan R et al (2004) Strengthening the prevention and care of injuries worldwide. Lancet 363:2172–2179CrossRef

17.

WHO (2013) Global status report on road safety. WHO, Geneva

18.

Ameratunga S, Hijar M, Norton R (2006) Road-traffic injuries: confronting disparities to address a global-health problem. Lancet 367(9521):1533–1540CrossRef

19.

Mathew G, Hanson B (2009) Global burden of trauma: need for effective fracture therapies Indian. J Orthop 43(2):111–116

20.

Mock C, Joshipura M, Arreola-Risa C (2012) An estimate of the number of lives that could be saved through improvements in trauma care globally. World J Surg 36(5):959–963. https://doi.org/10.1007/s00268-012-1459-6 CrossRefPubMed

21.

Murray CJ, Lopez AD (1996) The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Harvard School of Public Health, Cambridge (Report No.: 1)

22.

Woolf A, Erwin J, March L (2012) The need to address the burden of musculoskeletal conditions. Best Pract Res Clin Rheumatol 26(2):183–224CrossRef

23.

Lozano R, Naghavi M, Foreman K et al (2012) Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 390:2095–2128CrossRef

24.

Hay S, HALE Collaborators (2017) Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet 390:1260–1344CrossRef

25.

Mock C, Lormand J, Goosen J et al (2004) Guidelines for essential trauma care. WHO, Geneva

26.

Grimes C, Law R, Borgstein E et al (2012) Systematic review of met and unmet need of surgical disease in rural sub-Saharan Africa. World J Surg 36(1):8–23. https://doi.org/10.1007/s00268-011-1330-1 CrossRefPubMed

27.

Debas HT, Donkor P, Gawande A et al (2015) Essential surgery: disease control priorities, vol 1, 3rd edn. The World Bank, WashingtonCrossRef

Title: Surgical Burden of Musculoskeletal Conditions in Low- and Middle-Income Countries
Authors: Manjul Joshipura
Richard A. Gosselin
Publication date: 01-04-2020
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 4/2020
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-018-4790-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Surgical Burden of Musculoskeletal Conditions in Low- and Middle-Income Countries

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 4/2020

The Safety and Survival Outcome of Hepatectomy with Combined Bile Duct Resection for Colorectal Liver Metastasis

Laparoscopic Trans-Abdominal Retromuscular (TARM) Repair for Ventral Hernia: A Novel, Low-Cost Technique for Sublay and Posterior Component Separation

Infiltration Depth is the Most Relevant Risk Factor for Overall Metastases in Early Esophageal Adenocarcinoma

Tortuosity of the Descending Thoracic Aorta in Patients with Aneurysm and Type B Dissection

Surgery of the Primary Tumor Offers Survival Benefits of Breast Cancer with Synchronous Ipsilateral Supraclavicular Lymph Node Metastasis

Minimally Invasive Pilonidal Excision: Preliminary Report