Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Department of Community Health Sciences, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Pediatr Surg Int. 2021 Jul;37(7):957-964. doi: 10.1007/s00383-021-04875-5. Epub 2021 Mar 10.
The lack of access to essential surgery for many of our world's children is a global health crisis. A third of all deaths in the pediatric population are due to surgical conditions. In low- and middle-income countries, an average of nine in ten children lack access to basic surgical care.
This review examines ten commitment statements ratified by numerous global pediatric surgical organizations aimed at addressing existing gaps in global surgical care for children. They are substantiated by a review of literature and represent over-arching principles.
They prompt the recognition of childhood surgical disease as a global health priority and advocate for availability to safe surgical and anesthetic care. Calls to action highlight the importance of capacity building in the areas of education, data gathering, workforce, research, and international collaborations.
Eventually, there is the hope for widespread approval of the guiding principles they represent and that the statements themselves, as encapsulations of these beliefs, may act as a continued call for advocacy and action for the necessary work, resources, and funding to mitigate global pediatric surgical disparities.
全球有许多儿童无法获得基本的外科手术，这是一场全球健康危机。儿科人群中三分之一的死亡是由于手术条件造成的。在中低收入国家，平均每十个儿童中有九个无法获得基本的外科护理。
本综述审查了十项由众多全球儿科外科组织批准的承诺声明，旨在解决儿童全球外科护理方面现存的差距。这些声明以文献综述为依据，代表了总体原则。
它们促使人们认识到儿童外科疾病是全球健康的优先事项，并倡导提供安全的外科和麻醉护理。行动呼吁强调了在教育、数据收集、劳动力、研究和国际合作领域能力建设的重要性。
最终，希望广泛认可这些原则，并希望这些声明本身作为这些信念的体现，可以继续呼吁倡导和采取必要的工作、资源和资金，以减轻全球儿科手术差距。
