Cost‐effectiveness of Surgery in Low‐ and Middle‐income Countries: A Systematic Review

Abstract

Simple surgical interventions that are life-saving and disability-preventing should be considered as part of public health policy in LMIC. We recommend an investment in surgical care and its integration with other public health measures at the district hospital level, rather than investment in single disease strategies.

An estimate of hernia prevalence in Nepal from a countrywide community survey

“…The additive morbidity and mortality associated with emergency surgery diminishes its cost-and clinically-effective, particularly for inguinal hernias presenting with obstruction or strangulation. [14,24,31,32] Lastly, these findings demonstrate that inguinal hernias left untreated are associated with significant disability. Hernias result in disability due to embarrassment, pain and limitation of activities.…”

The Cost of Intramedullary Nailing for Femoral Shaft Fractures in Dar es Salaam, Tanzania

“…Many of these injuries are surgically treatable, yet a widespread perception persists that surgery is inordinately expensive presents a major barrier to & Erik J. Kramer erik.kramer@yale.edu the implementation of surgery in the global health agenda [2,3]. However, recent studies have demonstrated strong evidence that surgery, including orthopaedic intervention, is often as cost-effective as many non-surgical interventions in widespread use in LMICs [4][5][6][7]. Musculoskeletal injuries contributed heavily to this growing burden as a result of the proliferation of access to motorized transportation and corresponding increases in morbidity and mortality in LMICs [8,9].…”

Applications of a Noninvasive Respiratory Volume Monitor for Critical Care Medicine

“…The first major concern is cost. 11 Although the cost of a new RVM is approximately $5,000, Respiratory Motion has permanently donated 2 monitors to the Kijabe Hospital under their global outreach program to improve patient care and education. The philanthropic mission is to improve patient care and practitioner education in the peri-intubation period and decrease the need for other expensive and invasive testing, such as arterial blood gas measurement.…”