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Haider A, Scott JW, Gause CD, Meheš M, Hsiung G, Prelvukaj A, Yanocha D, Baumann LM, Ahmed F, Ahmed N, Anderson S, Angate H, Arfaa L, Asbun H, Ashengo T, Asuman K, Ayala R, Bickler S, Billingsley S, Bird P, Botman M, Butler M, Buyske J, Capozzi A, Casey K, Clayton C, Cobey J, Cotton M, Deckelbaum D, Derbew M, deVries C, Dillner J, Downham M, Draisin N, Echinard D, Elneil S, ElSayed A, Estelle A, Finley A, Frenkel E, Frykman PK, Gheorghe F, Gore-Booth J, Henker R, Henry J, Henry O, Hoemeke L, Hoffman D, Ibanga I, Jackson EV, Jani P, Johnson W, Jones A, Kassem Z, Kisembo A, Kocan A, Krishnaswami S, Lane R, Latif A, Levy B, Linos D, Linz P, Listwa LA, Magee D, Makasa E, Marin ML, Martin C, McQueen K, Morgan J, Moser R, Neighbor R, Novick WM, Ogendo S, Omigbodun A, Onajin-Obembe B, Parsan N, Philip BK, Price R, Rasheed S, Ratel M, Reynolds C, Roser SM, Rowles J, Samad L, Sampson J, Sanghvi H, Sellers ML, Sigalet D, Steffes BC, Stieber E, Swaroop M, Tarpley J, Varghese A, Varughese J, Wagner R, Warf B, Wetzig N, Williamson S, Wood J, Zeidan A, Zirkle L, Allen B, Abdullah F. Development of a Unifying Target and Consensus Indicators for Global Surgical Systems Strengthening: Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance). World J Surg 2018; 41:2426-2434. [PMID: 28508237 PMCID: PMC5596034 DOI: 10.1007/s00268-017-4028-1] [Citation(s) in RCA: 27] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
After decades on the margins of primary health care, surgical and anaesthesia care is gaining increasing priority within the global development arena. The 2015 publications of the Disease Control Priorities third edition on Essential Surgery and the Lancet Commission on Global Surgery created a compelling evidenced-based argument for the fundamental role of surgery and anaesthesia within cost-effective health systems strengthening global strategy. The launch of the Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care in 2015 has further coordinated efforts to build priority for surgical care and anaesthesia. These combined efforts culminated in the approval of a World Health Assembly resolution recognizing the role of surgical care and anaesthesia as part of universal health coverage. Momentum gained from these milestones highlights the need to identify consensus goals, targets and indicators to guide policy implementation and track progress at the national level. Through an open consultative process that incorporated input from stakeholders from around the globe, a global target calling for safe surgical and anaesthesia care for 80% of the world by 2030 was proposed. In order to achieve this target, we also propose 15 consensus indicators that build on existing surgical systems metrics and expand the ability to prioritize surgical systems strengthening around the world.
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Affiliation(s)
- Adil Haider
- Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA
- Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA
| | - John W Scott
- Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA
- Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA
| | - Colin D Gause
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | - Mira Meheš
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Grace Hsiung
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | - Albulena Prelvukaj
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Dana Yanocha
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Lauren M Baumann
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | | | | | | | - Herve Angate
- The Pan African Association of Surgeons, Parktown, Johannesburg, South Africa
| | - Lisa Arfaa
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Horacio Asbun
- Department of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA
- Society of American Gastrointestinal and Endoscopic Surgeons, Los Angeles, CA, USA
| | - Tigistu Ashengo
- St. Paul Medical College, Addis Ababa, Ethiopia
- Jhpiego, An Affiliate of Johns Hopkins University Baltimore, Baltimore, MD, USA
| | - Kisembo Asuman
- African Agency for Integrated Development, Kampala, Uganda
| | | | - Stephen Bickler
- Alliance for Surgery and Anaesthesia Presence, Lupsingen, Switzerland
| | | | - Peter Bird
- AIC Kijabe Hospital, Kijabe County, Kenya
| | - Matthijs Botman
- Netherlands Society for International Surgery, Amsterdam, The Netherlands
| | | | - Jo Buyske
- American Board of Surgery, Philadelphia, PA, USA
| | | | - Kathleen Casey
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | | | - James Cobey
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
- Johns Hopkins School of Public Health, Baltimore, MD, USA
| | - Michael Cotton
- International Collaboration for Essential Surgery, Angwin, CA, USA
| | - Dan Deckelbaum
- Centre for Global Surgery, Montreal, QC, Canada
- McGill University Health Centre, Montreal, QC, Canada
| | - Miliard Derbew
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | - Catherine deVries
- University of Utah Center for Global Surgery, Salt Lake City, UT, USA
| | | | - Max Downham
- International College of Surgeons, Chicago, IL, USA
| | | | | | | | | | | | | | | | - Philip K Frykman
- Global Pediatric Surgical Technology and Education Project, Irvine, CA, USA
| | | | | | - Richard Henker
- American Association of Nurse Anesthetists, Park Ridge, IL, USA
| | - Jaymie Henry
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | | | | | | | - Iko Ibanga
- Pro-Health International, Edwardsville, IL, USA
| | | | - Pankaj Jani
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | - Walter Johnson
- WHO Global Initiative for Emergency and Essential Surgical Care, Geneva, Switzerland
| | | | | | - Asuman Kisembo
- African Agency for Integrated Development, Kampala, Uganda
| | - Abbey Kocan
- Kupona Foundation, Saratoga Springs, NY, USA
| | - Sanjay Krishnaswami
- World Journal of Surgery, Portland, OR, USA
- Oregon Health and Science University, Portland, OR, USA
| | - Robert Lane
- International Federation of Surgical Colleges, Bogis-Bossey, Switzerland
| | - Asad Latif
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Barbara Levy
- American College of Obstetricians and Gynecologists, Washington, DC, USA
| | - Dimitrios Linos
- Institute of Preventive Medicine, Environmental and Occupational Health - Prolepsis, Attica, Greece
- National and Kapodistrian University, Athens Medical School, Athens, Greece
| | | | | | - Declan Magee
- Royal College of Surgeons of Ireland, Dublin, Ireland
| | - Emmanuel Makasa
- Permanent Mission of the Republic of Zambia to the United Nations, Geneva, Switzerland
| | | | | | - Kelly McQueen
- Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | | | - William M Novick
- University of Tennessee Health Science Center, Memphis, TN, USA
- William Novick Global Cardiac Alliance, Memphis, TN, USA
| | - Stephen Ogendo
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | | | | | - Neil Parsan
- Organization of American States, Washington, DC, USA
| | | | - Raymond Price
- University of Utah Center for Global Surgery, Salt Lake City, UT, USA
| | - Shahnawaz Rasheed
- The Institute of Global Health Innovation, Imperial College London, London, UK
| | | | | | - Steven M Roser
- International Association of Oral and Maxillofacial Surgeons, Chicago, IL, USA
| | - Jackie Rowles
- International Federation of Nurse Anesthetists, Sursee, Switzerland
| | | | - John Sampson
- Global Surgery Initiative, Johns Hopkins University, Baltimore, MD, USA
| | | | | | - David Sigalet
- World Federation of Associations of Pediatric Surgeons, Geneva, Switzerland
| | | | | | - Mamta Swaroop
- Association for Academic Surgery, Los Angeles, CA, USA
| | - John Tarpley
- Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | | | | | | | | | | | - Anne Zeidan
- 2nd Chance Association Reconstructive Surgery for Life Reconstruction, Meyrin, Switzerland
| | | | - Brendan Allen
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Fizan Abdullah
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA.
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA.
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Haider A, Scott JW, Gause CD, Meheš M, Hsiung G, Prelvukaj A, Yanocha D, Baumann LM, Ahmed F, Ahmed N, Anderson S, Angate H, Arfaa L, Asbun H, Ashengo T, Asuman K, Ayala R, Bickler S, Billingsley S, Bird P, Botman M, Butler M, Buyske J, Capozzi A, Casey K, Clayton C, Cobey J, Cotton M, Deckelbaum D, Derbew M, deVries C, Dillner J, Downham M, Draisin N, Echinard D, Elneil S, ElSayed A, Estelle A, Finley A, Frenkel E, Frykman PK, Gheorghe F, Gore-Booth J, Henker R, Henry J, Henry O, Hoemeke L, Hoffman D, Ibanga I, Jackson EV, Jani P, Johnson W, Jones A, Kassem Z, Kisembo A, Kocan A, Krishnaswami S, Lane R, Latif A, Levy B, Linos D, Linz P, Listwa LA, Magee D, Makasa E, Marin ML, Martin C, McQueen K, Morgan J, Moser R, Neighbor R, Novick WM, Ogendo S, Omigbodun A, Onajin-Obembe B, Parsan N, Philip BK, Price R, Rasheed S, Ratel M, Reynolds C, Roser SM, Rowles J, Samad L, Sampson J, Sanghvi H, Sellers ML, Sigalet D, Steffes BC, Stieber E, Swaroop M, Tarpley J, Varghese A, Varughese J, Wagner R, Warf B, Wetzig N, Williamson S, Wood J, Zeidan A, Zirkle L, Allen B, Abdullah F. Erratum to: Development of a Unifying Target and Consensus Indicators for Global Surgical Systems Strengthening: Proposed by the Global Alliance for Surgery, Obstetric, Trauma, and Anaesthesia Care (The G4 Alliance). World J Surg 2017. [PMID: 28642965 DOI: 10.1007/s00268-017-4067-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Adil Haider
- Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.,Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA
| | - John W Scott
- Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.,Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA
| | - Colin D Gause
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | - Mira Meheš
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Grace Hsiung
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | - Albulena Prelvukaj
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Dana Yanocha
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Lauren M Baumann
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA
| | | | | | | | - Herve Angate
- The Pan African Association of Surgeons, Parktown, Johannesburg, South Africa
| | - Lisa Arfaa
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Horacio Asbun
- Department of Surgery, Mayo Clinic Florida, Jacksonville, FL, USA.,Society of American Gastrointestinal and Endoscopic Surgeons, Los Angeles, CA, USA
| | - Tigistu Ashengo
- St. Paul Medical College, Addis Ababa, Ethiopia.,Jhpiego, An Affiliate of Johns Hopkins University Baltimore, Baltimore, MD, USA
| | - Kisembo Asuman
- African Agency for Integrated Development, Kampala, Uganda
| | | | - Stephen Bickler
- Alliance for Surgery and Anaesthesia Presence, Lupsingen, Switzerland
| | | | - Peter Bird
- AIC Kijabe Hospital, Kijabe County, Kenya
| | - Matthijs Botman
- Netherlands Society for International Surgery, Amsterdam, The Netherlands
| | | | - Jo Buyske
- American Board of Surgery, Philadelphia, PA, USA
| | | | - Kathleen Casey
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | | | - James Cobey
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA.,Johns Hopkins School of Public Health, Baltimore, MD, USA
| | - Michael Cotton
- International Collaboration for Essential Surgery, Angwin, CA, USA
| | - Dan Deckelbaum
- Centre for Global Surgery, Montreal, QC, Canada.,McGill University Health Centre, Montreal, QC, Canada
| | - Miliard Derbew
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | - Catherine deVries
- University of Utah Center for Global Surgery, Salt Lake City, UT, USA
| | | | - Max Downham
- International College of Surgeons, Chicago, IL, USA
| | | | | | | | | | | | | | | | - Philip K Frykman
- Global Pediatric Surgical Technology and Education Project, Irvine, CA, USA
| | | | | | - Richard Henker
- American Association of Nurse Anesthetists, Park Ridge, IL, USA
| | - Jaymie Henry
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | | | | | | | - Iko Ibanga
- Pro-Health International, Edwardsville, IL, USA
| | | | - Pankaj Jani
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | - Walter Johnson
- WHO Global Initiative for Emergency and Essential Surgical Care, Geneva, Switzerland
| | | | | | - Asuman Kisembo
- African Agency for Integrated Development, Kampala, Uganda
| | - Abbey Kocan
- Kupona Foundation, Saratoga Springs, NY, USA
| | - Sanjay Krishnaswami
- World Journal of Surgery, Portland, OR, USA.,Oregon Health and Science University, Portland, OR, USA
| | - Robert Lane
- International Federation of Surgical Colleges, Bogis-Bossey, Switzerland
| | - Asad Latif
- Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, Baltimore, MD, USA
| | - Barbara Levy
- American College of Obstetricians and Gynecologists, Washington, DC, USA
| | - Dimitrios Linos
- Institute of Preventive Medicine, Environmental and Occupational Health - Prolepsis, Attica, Greece.,National and Kapodistrian University, Athens Medical School, Athens, Greece
| | | | | | - Declan Magee
- Royal College of Surgeons of Ireland, Dublin, Ireland
| | - Emmanuel Makasa
- Permanent Mission of the Republic of Zambia to the United Nations, Geneva, Switzerland
| | | | | | - Kelly McQueen
- Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | | | - William M Novick
- University of Tennessee Health Science Center, Memphis, TN, USA.,William Novick Global Cardiac Alliance, Memphis, TN, USA
| | - Stephen Ogendo
- The College of Surgeons of East, Central and Southern Africa, Arusha, Tanzania
| | | | | | - Neil Parsan
- Organization of American States, Washington, DC, USA
| | | | - Raymond Price
- University of Utah Center for Global Surgery, Salt Lake City, UT, USA
| | - Shahnawaz Rasheed
- The Institute of Global Health Innovation, Imperial College London, London, UK
| | | | | | - Steven M Roser
- International Association of Oral and Maxillofacial Surgeons, Chicago, IL, USA
| | - Jackie Rowles
- International Federation of Nurse Anesthetists, Sursee, Switzerland
| | | | - John Sampson
- Global Surgery Initiative, Johns Hopkins University, Baltimore, MD, USA
| | | | | | - David Sigalet
- World Federation of Associations of Pediatric Surgeons, Geneva, Switzerland
| | | | | | - Mamta Swaroop
- Association for Academic Surgery, Los Angeles, CA, USA
| | - John Tarpley
- Vanderbilt University Medical Center, Nashville, TN, USA
| | | | | | | | | | | | | | | | - Anne Zeidan
- 2nd Chance Association Reconstructive Surgery for Life Reconstruction, Meyrin, Switzerland
| | | | - Brendan Allen
- The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA
| | - Fizan Abdullah
- Division of Pediatric Surgery, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Ave, Box 63, Chicago, IL, 60611, USA. .,The Global Alliance for Surgical, Obstetric, Trauma, and Anaesthesia Care, New York, NY, USA.
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