作者
John G. Meara,Andrew Leather,Lars Hagander,Blake C. Alkire,Nivaldo Alonso,Emmanuel A. Ameh,Stephen W. Bickler,Lesong Conteh,Anna Dare,Justin E. Davies,Eunice Dérivois Mérisier,Shenaaz El‐Halabi,Paul Farmer,Atul A. Gawande,Rowan Gillies,Sarah Greenberg,Caris Grimes,Russell L. Gruen,Edna Adan Ismail,Thaim B Kamara,Chris Lavy,Ganbold Lundeg,Nyengo Mkandawire,Nakul Raykar,Johanna N. Riesel,Edgar B. Rodas,John Rose,Nobhojit Roy,Mark G. Shrime,Richard Sullivan,Stéphane Verguet,David Watters,Thomas G. Weiser,Iain H. Wilson,Gavin Yamey,Winnie Yip
摘要
Remarkable gains have been made in global health in the past 25 years, but progress has not been uniform. Mortality and morbidity from common conditions needing surgery have grown in the world's poorest regions, both in real terms and relative to other health gains. At the same time, development of safe, essential, life-saving surgical and anaesthesia care in low-income and middle-income countries (LMICs) has stagnated or regressed. In the absence of surgical care, case-fatality rates are high for common, easily treatable conditions including appendicitis, hernia, fractures, obstructed labour, congenital anomalies, and breast and cervical cancer.