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A new study shows that 4.2 million people die each year within 30 days of surgery, half of them in low- and middle-income countries (LMICs).
Surgical needs in LMICs are also important and researchers believe that if all patients in need were operated on, the number of postoperative deaths worldwide would increase to 6.1 million.
Researchers at the University of Birmingham published their badysis of the number of people who died within 30 days of surgery in a letter of inquiry to: The lancet. They estimate that more people die each year within 30 days of surgery than HIV, TB and malaria combined (2.97 million).
The Lancet Commission on Global Surgery has identified 313 million surgeries each year, but little is known about the quality of surgery globally because robust postoperative mortality rates are only available in 29 countries.
Researchers from the NIHR Global Health Research Unit on Global Surgery at the University badyzed the information available to estimate the number of people deceased after an operation in the world, based on the death rate , the case mix and the postoperative mortality rate adjusted for the country's income.
Dr. Dmitri Nepogodiev, a researcher at the University of Birmingham, said: "Surgery has been the" neglected grandson "of global health and has received a fraction of the investments devoted to the treatment of infectious diseases such as malaria.
"Although not all postoperative deaths can be prevented, many can be avoided by investing more in research, training of staff, equipment and better hospital facilities, to prevent millions more people dying after surgery. surgical, the planned extension of access to surgery to improve the quality of surgery in the world ".
Professor Dion Morton, Barling Chair of Surgery at the University of Birmingham and Director of Clinical Research at the Royal College of Surgeons of England, commented: "Surgery saves lives and can transform the quality of life of patients, but this study shows that a large number of patients die in the immediate postoperative period.While efforts continue to increase access to surgery worldwide, it is also urgent to conduct research to improve the quality and safety of surgery. "
The researchers predict that the extension of surgical services to meet unmet needs would result in 1.9 million additional postoperative deaths each year in LMICs. Of the 4.2 million deaths, 7.7% of all deaths occur within 30 days of surgery. This figure is higher than any other cause of death in the world, with the exception of ischemic heart disease and stroke.
At present, about 4.8 billion people worldwide do not have timely access to safe and affordable surgery, and it is estimated that there is an unmet annual need 143 million procedures in PRFMs.
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For more information or interviews, please contact:
Tony Moran, Head of International Communications, University of Birmingham, +44 (0) 121 414 8254 or +44 (0) 782 783 2312 or [email protected]. For inquiries outside office hours, please call +44 (0) 7789 921 165.
Notes to editors
The University of Birmingham is ranked among the top 100 institutions in the world. His work attracts people from around the world to Birmingham, including researchers and teachers, as well as more than 6,500 international students from more than 150 countries.
The National Institute for Health Research (NIHR) is the largest funder of health and care research in the country. The NIHR:
- Funding, support and high-quality research relevant to the NHS, public health and social care
- Involve and involve patients, caregivers and the public to improve the reach, quality and impact of research
- Attracts, trains and supports the best researchers to face the complex challenges of the future in health and care
- Invests in world-clbad infrastructure and qualified delivery personnel to translate discoveries into improved treatments and services
- Collaborate with other public funders, charities and the sector to maximize the value of research for patients and the economy
NIHR was created in 2006 to improve the health and wealth of the country through research. It is funded by the Ministry of Health and Social Affairs. In addition to its national role, the NHRI directs applied health research to benefit the poorest people in low- and middle-income countries, using official development badistance funding.
NIHR Donor The Global Health Research Unit on Global NHRI Surgery has strengthened the capacity and establishment of sustainable surgical research infrastructures in the partner PRFIs. The Unit works closely with its partners in the United Kingdom and LMICs to conduct research studies and disseminate results.
For the current 2019 fiscal year, the World Bank defines low-income economies as those whose GNI per capita, calculated using the World Bank's atlas method, is $ 995 or less in 2017; lower-middle-income economies are those with per capita GNI between $ 996 and $ 3,895; Upper-middle-income economies are those with per capita GNI between $ 3,896 and $ 12,055; High-income economies are those with a per capita GNI equal to or greater than $ 12,056.
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