强调心胸外科医生在全球健康背景下的作用:行动呼吁。
Emphasizing the role of cardiothoracic surgeons within the global health context: a call to action.
作者信息
Anyinkeng Achanga Bill Smith, Alassiri Abdullah K, Ibekwe Jonas L, Nchonganyi Efuetlateh John Paul, Fodop Samuel G Junior, Victory Bassey Effiom, Okonta Kelechi E
机构信息
Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Association of Future African Cardiothoracic Surgeons (AFAC), Yaounde, Cameroon.
出版信息
Ann Med Surg (Lond). 2025 Aug 5;87(9):5887-5891. doi: 10.1097/MS9.0000000000003678. eCollection 2025 Sep.
INTRODUCTION
Worldwide, cardiovascular thoracic diseases (ischemic heart diseases) are the second most common global cause of disability-adjusted life years (DALYs. Globally, 17 million lives are lost annually, and 80% occur in LMICs as a result of CVD, and 75% of the world lacks access to cardiac surgery with some regions (Sub-Saharan Africa) having 0.07 pediatric cardiac surgeons and 0.12 adult cardiac surgeons per million population. This is a global cause for concern and needs immediate attention.
METHOD
Through literature review, we elaborate on key points such as the global burden of cardiothoracic surgical diseases, the current status of cardiothoracic surgical care around the world, and the inherent benefits of building a strong cardiothoracic surgical care capability for health systems globally. Search engines used were: PUBMED, SCOPUS, MEDLINE, Cochrane, and Google Scholar.
RESULTS
Cardiothoracic diseases make up an important part of the global health burden of diseases as cardiothoracic care can be linked to over 15 of the 17 Sustainable Development Goals, giving the tremendous part played by cardiothoracic surgeons in the Health System Surgical Initiatives.
CONCLUSION
We, therefore, recommend policymakers and global health actors: increase the involvement of cardiothoracic surgeons within the global health systems and dialogues; integrate and enforce cardiothoracic surgical care within the global surgery movement; and most importantly promote the training and education of cardiothoracic surgeons in LMICs in the field of global public health and as well involve cardiothoracic surgeons in the national surgical system strengthening process.
引言
在全球范围内,心血管胸科疾病(缺血性心脏病)是导致伤残调整生命年(DALYs)的第二大常见全球病因。全球每年有1700万人丧生,其中80%是由心血管疾病导致的,且80%发生在低收入和中等收入国家(LMICs),世界上75%的地区无法获得心脏手术服务,一些地区(撒哈拉以南非洲)每百万人口仅有0.07名小儿心脏外科医生和0.12名成人心脏外科医生。这是一个全球关注的问题,需要立即引起重视。
方法
通过文献综述,我们阐述了诸如心胸外科疾病的全球负担、世界各地心胸外科护理的现状以及为全球卫生系统建立强大的心胸外科护理能力所带来的内在益处等关键点。使用的搜索引擎有:PUBMED、SCOPUS、MEDLINE、Cochrane和谷歌学术。
结果
心胸疾病构成了全球疾病健康负担的重要部分,因为心胸护理与17项可持续发展目标中的15项以上相关联,这表明心胸外科医生在卫生系统外科倡议中发挥了巨大作用。
结论
因此,我们建议政策制定者和全球卫生行动者:增加心胸外科医生在全球卫生系统和对话中的参与度;将心胸外科护理纳入并强化到全球外科运动中;最重要的是,促进低收入和中等收入国家心胸外科医生在全球公共卫生领域的培训和教育,并让心胸外科医生参与国家外科系统强化进程。
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