The Current Status of Global Urology
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GLOBAL HEALTH (K MCCAMMON, SECTION EDITOR)
The Current Status of Global Urology K. B Scotland 1 & G. M Watson 2 Accepted: 9 September 2020 / Published online: 11 November 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose of Review Everybody will be aware of the inequality in the provision of healthcare across the planet, but relatively few people will be aware of the scale of the problem. In this article, we will summarize what is known about the problem, what is being done to address the deficiencies and an argument will be made for a more collaborative approach. Recent Findings There has traditionally been sparse data on the outcomes of surgical humanitarian missions. Recent studies assessing the effects of planned mission trips have revealed widely varying complication rates. There continues to be little published on long-term outcomes of these missions. New work suggests the importance of collaboration between visiting surgeons and the surgical staff in host countries. Summary The role of coordinated premission planning and postmission healthcare is crucial to the success of surgical missions. There is also an increased focus on collaboration in global surgical humanitarian missions between all stakeholders. Increased calls for accountability as regards the benefit of these missions will require the use of validated outcomes measures to evaluate the effectiveness of these efforts. Keywords Global partnerships . Global surgery . Surgical mission . Medical mission
Introduction Global surgery refers to the practice of surgery throughout the world, but particularly incorporates a focus on the provision of surgical care across all healthcare systems [1•]. The inequities in access to treatment of surgical disease have only recently begun to attract wider attention. The millennium ushered in an international collaborative statement setting out certain goals to be achieved over the next 15 years (i.e. by 2015). All of the items listed would be welcomed—eradication of extreme poverty and hunger, universal primary education, promotion of gender equality, reduced child mortality, improved mental health, combat against HIV, AIDS and malaria, ensured environmental sustainability, and the formation of global partnerships [2]. However, surgery was not mentioned as a priority, This article is part of the Topical Collection on Global Health * G. M Watson [email protected] 1
Department of Urology, UCLA, Los Angeles, CA, USA
2
Department of Urology, East Sussex NHS Hospitals Trust, East Sussex, England
and this exclusion ultimately led to the report by the Lancet Commission on Global Surgery [3].
The Lancet Commission on Global Surgery Of the 7.4 billion people on the planet, 5 billion do not have access to surgery within 2 h of their home. This lack of availability of emergency surgery is responsible for 30% of all avoidable deaths, constituting more deaths than does HIV, malaria, and tuberculosis combined [3]. At any one time, 33 million people face catastrophic expenditure on h
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