Cardiac surgery and small island states: a bridge too far?

Vista sencilla de ítem
dc.contributor.authorVervoort, Dominique
dc.contributor.authorVinck, Eric
dc.contributor.authorTiwari, Kaushal Kishore
dc.contributor.authorTiwari, Kaushal Kishore
dc.contributor.authorTapaua, Noah
dc.date.accessioned2020-11-19T21:15:33Z
dc.date.available2020-11-19T21:15:33Z
dc.date.issued2020
dc.description.abstractenglishBackground Small island developing states (SIDS) make up nearly 1% of the world’s population, with 65 million people across 58 countries. Small island developing states have some of the highest rates of rheumatic heart disease in addition to a substantial burden of congenital heart defects and a growing burden of ischemic heart disease. Here, we present an overview of cardiac surgical services in SIDS, with a focus on Papua New Guinea, the Maldives, and Aruba. Methods We performed a literature review using the PubMed/MEDLINE and Google Scholar databases to identify articles describing cardiac surgery services in SIDS. Case studies of the history and current state of cardiac surgery in Papua New Guinea, the Maldives, and Aruba were developed and informed by local clinical experience. Results Nine SIDS have independent cardiac surgical centers and 5 SIDS have local centers supported by visiting teams. Papua New Guinea started cardiac surgery in 1993 and is served by a public center, performing nearly 100 cardiac surgeries per year. The Maldives introduced cardiac surgery services in 2018, with 1 local cardiac surgeon supported by Nepalese cardiac surgeons, performing 33 cardiac surgeries in 15 months. In Aruba, no local cardiac center exists and over 150 patients are sent abroad for cardiac surgery, representing 12% of total health spending. Conclusions Small island developing states have limited availability of cardiac surgery but pressing clinical needs. Independent cardiac centers exist with acceptable outcomes and lower costs than foreign treatment, which suggests the need to strengthen regionalization models to deliver cardiac surgical care in SIDS.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1016/j.athoracsur.2020.05.150
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn1552-6529
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/5089
dc.language.isoeng
dc.publisherElsevierspa
dc.publisher.journalAnnals of thoracic surgeryspa
dc.relation.ispartofseriesAnnals of thoracic surgery, 1552-6529, 2020spa
dc.relation.urihttps://www.sciencedirect.com/science/article/abs/pii/S0003497520312066
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsAcceso abierto
dc.rights.creativecommons2020-07-25
dc.rights.localAcceso abiertospa
dc.subject.decsMisiones médicasspa
dc.subject.decsLabio leporinospa
dc.subject.decsPobrezaspa
dc.titleCardiac surgery and small island states: a bridge too far?spa
dc.title.translatedCardiac surgery and small island states: a bridge too far?spa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

Archivos

Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
Dominique Vervoort, Eric E. Vinck _2020.pdf
Tamaño:
333.92 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar

Colecciones

Artículos