Global geographical discrepancy in numerical distribution of cardiovascular surgeries and human resource development in South Asia

Hosain, Nazmul; Amin, Farzana; Maruf, Mohammad Fazle; Chowdhury, Muhammad Abdul Quaium; Chowdhury, Minhazur Rahman; Mahmud, Ahsan Uddin; Akter, Tahmina; Anisuzzaman, Md; Rahim, Asif

doi:10.1016/j.xjon.2022.05.002

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…The estimated out-of-pocket expense for health care is 57.9% which is much higher than the global average of 18%. 9 The healthcare expenditure in Nepal is only 4.45% in comparison to 16.77% of its gross domestic product per capita in the United States. 10 This financial burden has restricted the use of newer and advanced devices which often tends to be more expensive.…”

Section: Commentsmentioning

confidence: 99%

“…Cardiovascular surgery is the single biggest cause of mortality in the country with estimated 27% deaths, 11,12 and in comparison, to the neighboring countries in South Asia, the volume of surgery remains low with 77.6 cardiac surgeries per million population, which is a minor improvement compared to previously reported a few years back but still ranks among the lowest in the region. 9,13 With this huge burden of disease in a population of approximately 29.1 million, there is still a tremendous need for trained surgeons in the country. At present, only two institutions are overseeing a training program for cardiovascular and thoracic surgery in the country with four individuals provided that opportunity annually.…”

Section: Commentsmentioning

confidence: 99%

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Review of current status of cardiovascular and thoracic surgery in Nepal: An analysis from collection of institutional database

Rajbanshi,

Panthee,

Joshi

et al. 2023

Asian Cardiovasc Thorac Ann

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Objective Data collected from various institutions around the country was analyzed to assess the current status of cardiovascular and thoracic surgery in the country. Methods We collected data from institutions performing cardiovascular and thoracic surgery from all over the country through direct correspondence for the year 2019. Individual institution data on the number of surgeries performed for cardiac, vascular, and thoracic surgery and its outcome in terms of mortality were compiled. The data were further evaluated depending on the type of procedures performed. Results Overall, a total of 2264 cardiac surgeries were performed in the country in the year 2019. The majority of the surgeries were for valvular heart surgery accounting for 34.3%, followed by congenital surgeries (32.8%) and surgeries for coronary artery disease (25.9%). A total of 649 thoracic surgeries were documented, which is probably marginally less than the actual numbers because we were unable to include an additional few institutions performing low-volume or isolated thoracic procedures in this report. A total of 852 vascular procedures were performed in the country, which is probably underreported. The mortality rates for complex congenital procedures were higher than those reported in the literature and that of adult procedures such as valvular heart disease and coronary artery disease similar to literature. Conclusion We evaluated the recent status of cardiovascular and thoracic surgery in the country with respect to the type of procedures and the postoperative outcomes.

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Section: Commentsmentioning

confidence: 99%