Global economic burden of unmet surgical need for appendicitis

Journal article

Anna Reuter, Lisa Rogge, Mark Monahan, Mwayi Kachapila, Dion G. Morton, Justine Davies, Sebastian Vollmer, NIHR Global Surgery Collaboration
The British Journal of Surgery, vol. 109, 2022 Sep, pp. 995--1003

DOI: 10.1093/bjs/znac195

Link to paper

Cite

APA Click to copy
Reuter, A., Rogge, L., Monahan, M., Kachapila, M., Morton, D. G., Davies, J., … Collaboration, N. I. H. R. G. S. (2022). Global economic burden of unmet surgical need for appendicitis. The British Journal of Surgery, 109, 995–1003. https://doi.org/10.1093/bjs/znac195

Chicago/Turabian Click to copy
Reuter, Anna, Lisa Rogge, Mark Monahan, Mwayi Kachapila, Dion G. Morton, Justine Davies, Sebastian Vollmer, and NIHR Global Surgery Collaboration. “Global Economic Burden of Unmet Surgical Need for Appendicitis.” The British Journal of Surgery 109 (September 2022): 995–1003.

MLA Click to copy
Reuter, Anna, et al. “Global Economic Burden of Unmet Surgical Need for Appendicitis.” The British Journal of Surgery, vol. 109, Sept. 2022, pp. 995–1003, doi:10.1093/bjs/znac195.

BibTeX Click to copy

@article{reuter2022a,
  title = {Global economic burden of unmet surgical need for appendicitis},
  year = {2022},
  month = sep,
  journal = {The British Journal of Surgery},
  pages = {995--1003},
  volume = {109},
  doi = {10.1093/bjs/znac195},
  author = {Reuter, Anna and Rogge, Lisa and Monahan, Mark and Kachapila, Mwayi and Morton, Dion G. and Davies, Justine and Vollmer, Sebastian and Collaboration, NIHR Global Surgery},
  month_numeric = {9}
}

Abstract

Background: There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis.

Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism.

Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality.

Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.

Global economic burden of unmet surgical need for appendicitis

Journal article

Cite

Abstract

Follow this website