Vij Neeraj, Beyda David
Department of Orthopedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, USA.
Department of Bioethics and Humanism, University of Arizona College of Medicine-Phoenix, Phoenix, USA.
Cureus. 2023 Feb 15;15(2):e35031. doi: 10.7759/cureus.35031. eCollection 2023 Feb.
Introduction The mortality of orthopedic trauma is very high, however, a large proportion is considered preventable. Global orthopedics was historically centered around the direct delivery of nonsurgical and surgical medical care. There has been an evolution towards increased sustainability. Purpose The purpose of this paper is to evaluate the accomplishment of the four pillars of global surgery by five commonly referenced orthopedic global surgery organizations. Methods This institutional review board (IRB)-exempt cross-sectional data studied Global Orthopedic Alliance, Operation Rainbow, the Institute for Global Orthopaedics and Traumatology (IGOT), One World Surgery (OWS), and the Canadian Orthopedic Association for Global Surgery (COAGS) through the lens of the four pillars of global surgery: knowledge exchange, advocacy, research initiative, surgical education. The knowledge exchange pillar was examined through the three most popular online knowledge exchange platforms in orthopedics. The advocacy pillar was examined through each organization's individually created website. The research initiative was examined through a comprehensive literature search. The surgical education pillar was examined through resident-level educational resources. The data was summarized descriptively. Results A total of four organizations demonstrated activity within the pillar of knowledge exchange. A total of three organizations demonstrated activity with the pillar of advocacy. A total of three groups demonstrated activity within the pillar of the research initiative. A total of two groups had activity within the pillar of surgical education. Conclusions The landscape regarding global orthopedic surgery programs has evolved greatly to encompass the four pillars of global surgery. Within the past 10 years, there has been increased emphasis on the knowledge exchange and research initiative pillars. Surgical education remains the pillar with the least emphasis. As global orthopedic surgery programs continue to evolve, increasing emphasis should be placed on all four of these pillars to increase sustainability.
引言 骨科创伤的死亡率非常高，然而，很大一部分被认为是可以预防的。历史上，全球骨科主要围绕非手术和手术医疗护理的直接提供。现在已经朝着提高可持续性发展。目的 本文旨在评估五个经常被引用的骨科全球手术组织在全球手术四大支柱方面的成就。方法 本机构审查委员会（IRB）豁免的横断面数据通过全球手术的四大支柱视角研究了全球骨科联盟、彩虹行动、全球骨科与创伤研究所（IGOT）、世界外科组织（OWS）和加拿大全球外科骨科协会（COAGS）：知识交流、宣传、研究倡议、外科教育。知识交流支柱通过骨科三个最受欢迎的在线知识交流平台进行考察。宣传支柱通过每个组织各自创建的网站进行考察。研究倡议通过全面的文献检索进行考察。外科教育支柱通过住院医师级别的教育资源进行考察。数据进行描述性总结。结果 共有四个组织在知识交流支柱内开展了活动。共有三个组织在宣传支柱方面开展了活动。共有三个团体在研究倡议支柱内开展了活动。共有两个团体在外科教育支柱内开展了活动。结论 全球骨科手术项目的格局已经发生了很大变化，涵盖了全球手术的四大支柱。在过去10年里，对知识交流和研究倡议支柱的重视有所增加。外科教育仍然是最不受重视的支柱。随着全球骨科手术项目不断发展，应更加重视所有这四大支柱以提高可持续性。
