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Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake

Unlike other disasters, injury rates after earthquakes are still on the rise at a global scale. With an estimated one million people injured by earthquakes in the last decade, the burden of injury is considerable. Importantly, the surgical procedures carried out by healthcare facilities are capable...

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Autores principales: Rodriguez-Llanes, Jose Manuel, Hellman, Lina, Wu, Qi, van den Oever, Barbara, Pan, Liang, Albela Miranda, Manuel, Chen, Gao, Zhang, De-Sheng, Guha-Sapir, Debarati, Von Schreeb, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169667/
https://www.ncbi.nlm.nih.gov/pubmed/30294459
http://dx.doi.org/10.1136/bmjgh-2018-000909
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author Rodriguez-Llanes, Jose Manuel
Hellman, Lina
Wu, Qi
van den Oever, Barbara
Pan, Liang
Albela Miranda, Manuel
Chen, Gao
Zhang, De-Sheng
Guha-Sapir, Debarati
Von Schreeb, Johan
author_facet Rodriguez-Llanes, Jose Manuel
Hellman, Lina
Wu, Qi
van den Oever, Barbara
Pan, Liang
Albela Miranda, Manuel
Chen, Gao
Zhang, De-Sheng
Guha-Sapir, Debarati
Von Schreeb, Johan
author_sort Rodriguez-Llanes, Jose Manuel
collection PubMed
description Unlike other disasters, injury rates after earthquakes are still on the rise at a global scale. With an estimated one million people injured by earthquakes in the last decade, the burden of injury is considerable. Importantly, the surgical procedures carried out by healthcare facilities are capable to avert part of this burden. Yet both burdens remain unquantified using understandable metrics. We explored in this analysis a method to calculate them using disability-adjusted life years (DALYs), an internationally accepted measure expressing years of healthy life lost due to a health condition. We used data from a large standardised hospital database of earthquake-related injuries with complete information on International Classification of Diseases for injury and surgical procedures, sex and age information. DALYs and averted DALYs were calculated by injury types and per patient using disability weights available in the literature and expert opinion. We also suggested how DALYs might be further converted into an economic measure using approaches in the published literature. We estimated 10 397 DALYs as the earthquake surgical-injury burden produced in 1861 hospitalised patients treated in a single hospital (on average, 5.6 DALYs per patient). Our study also assessed that 4379 DALYs, or 2.4 DALYs per patient, were averted by surgery (42%). In economic terms, DALY losses amounted to US$36.1 million, from which US$15.2 million were averted by surgery in our case study. We urge to systematically estimate these impacts through improvements in the routine reporting of injury diagnoses and surgical procedures by health systems, potentially improving prevention policies and resource allocation to healthcare facilities.
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spelling pubmed-61696672018-10-05 Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake Rodriguez-Llanes, Jose Manuel Hellman, Lina Wu, Qi van den Oever, Barbara Pan, Liang Albela Miranda, Manuel Chen, Gao Zhang, De-Sheng Guha-Sapir, Debarati Von Schreeb, Johan BMJ Glob Health Analysis Unlike other disasters, injury rates after earthquakes are still on the rise at a global scale. With an estimated one million people injured by earthquakes in the last decade, the burden of injury is considerable. Importantly, the surgical procedures carried out by healthcare facilities are capable to avert part of this burden. Yet both burdens remain unquantified using understandable metrics. We explored in this analysis a method to calculate them using disability-adjusted life years (DALYs), an internationally accepted measure expressing years of healthy life lost due to a health condition. We used data from a large standardised hospital database of earthquake-related injuries with complete information on International Classification of Diseases for injury and surgical procedures, sex and age information. DALYs and averted DALYs were calculated by injury types and per patient using disability weights available in the literature and expert opinion. We also suggested how DALYs might be further converted into an economic measure using approaches in the published literature. We estimated 10 397 DALYs as the earthquake surgical-injury burden produced in 1861 hospitalised patients treated in a single hospital (on average, 5.6 DALYs per patient). Our study also assessed that 4379 DALYs, or 2.4 DALYs per patient, were averted by surgery (42%). In economic terms, DALY losses amounted to US$36.1 million, from which US$15.2 million were averted by surgery in our case study. We urge to systematically estimate these impacts through improvements in the routine reporting of injury diagnoses and surgical procedures by health systems, potentially improving prevention policies and resource allocation to healthcare facilities. BMJ Publishing Group 2018-10-01 /pmc/articles/PMC6169667/ /pubmed/30294459 http://dx.doi.org/10.1136/bmjgh-2018-000909 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Analysis
Rodriguez-Llanes, Jose Manuel
Hellman, Lina
Wu, Qi
van den Oever, Barbara
Pan, Liang
Albela Miranda, Manuel
Chen, Gao
Zhang, De-Sheng
Guha-Sapir, Debarati
Von Schreeb, Johan
Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title_full Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title_fullStr Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title_full_unstemmed Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title_short Time to include burden of surgical injuries after disasters in the Global Surgery agenda? An assessment of DALYs and averted burden by surgery after the 2008 Wenchuan earthquake
title_sort time to include burden of surgical injuries after disasters in the global surgery agenda? an assessment of dalys and averted burden by surgery after the 2008 wenchuan earthquake
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169667/
https://www.ncbi.nlm.nih.gov/pubmed/30294459
http://dx.doi.org/10.1136/bmjgh-2018-000909
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