Global disease burden of conditions requiring emergency surgery. BJS 2014; 101: 9-22.
Published: 25th November 2013
Authors: B. Stewart, P. Khanduri, C. McCord, M. Ohene‐Yeboah, S. Uranues, F. Vega Rivera et al.
Surgical disease is inadequately addressed globally, and emergency conditions requiring surgery contribute substantially to the global disease burden.
This was a review of studies that contributed to define the population‐based health burden of emergency surgical conditions (excluding trauma and obstetrics) and the status of available capacity to address this burden. Further data were retrieved from the Global Burden of Disease Study 2010 and the University of Washington's Institute for Health Metrics and Evaluation online data.
In the index year of 2010, there were 896 000 deaths, 20 million years of life lost and 25 million disability‐adjusted life‐years from 11 emergency general surgical conditions reported individually in the Global Burden of Disease Study. The most common cause of death was complicated peptic ulcer disease, followed by aortic aneurysm, bowel obstruction, biliary disease, mesenteric ischaemia, peripheral vascular disease, abscess and soft tissue infections, and appendicitis. The mortality rate was higher in high‐income countries (
The global burden of surgical emergencies is described insufficiently. The bare estimates indicate a tremendous health burden.
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