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13.02.2018 | Scientific Review

Disability Weights for Pediatric Surgical Procedures: A Systematic Review and Analysis

verfasst von: Emily R. Smith, Tessa Concepcion, Stephanie Lim, Sam Sadler, Dan Poenaru, Anthony T. Saxton, Mark Shrime, Emmanuel Ameh, Henry E. Rice, on behalf of the Global Initiative for Children’s Surgery

Erschienen in: World Journal of Surgery | Ausgabe 9/2018

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Abstract

Background

Metrics to measure the burden of surgical conditions, such as disability weights (DWs), are poorly defined, particularly for pediatric conditions. To summarize the literature on DWs of children’s surgical conditions, we performed a systematic review of disability weights of pediatric surgical conditions in low- and middle-income countries (LMICs).

Method

For this systematic review, we searched MEDLINE for pediatric surgery cost-effectiveness studies in LMICs, published between January 1, 1996, and April 1, 2017. We also included DWs found in the Global Burden of Disease studies, bibliographies of studies identified in PubMed, or through expert opinion of authors (ES and HR).

Results

Out of 1427 publications, 199 were selected for full-text analysis, and 30 met all eligibility criteria. We identified 194 discrete DWs published for 66 different pediatric surgical conditions. The DWs were primarily derived from the Global Burden of Disease studies (72%). Of the 194 conditions with reported DWs, only 12 reflected pre-surgical severity, and 12 included postsurgical severity. The methodological quality of included studies and DWs for specific conditions varied greatly.

Interpretation

It is essential to accurately measure the burden, cost-effectiveness, and impact of pediatric surgical disease in order to make informed policy decisions. Our results indicate that the existing DWs are inadequate to accurately quantify the burden of pediatric surgical conditions. A wider set of DWs for pediatric surgical conditions needs to be developed, taking into account factors specific to the range and severity of surgical conditions.

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Alkire BC, Raykar NP, Shrime MG et al (2015) Global access to surgical care: a modelling study. Lancet Glob Health 3(6):e316–e323CrossRefPubMedPubMedCentral

Shrime MG, Bickler SW, Alkire BC, Mock C (2015) Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health 3(Suppl 2):S8–S9CrossRefPubMed

Bickler SN, Weiser TG, Kassebaum N et al (2015) Global burden of surgical conditions. In: Debas HT, Donkor P, Gawande A, Jamison DT, Kruk ME, Mock CN (eds) Essential surgery: disease control priorities, 3rd edn, vol 1. The International Bank for Reconstruction and Development/The World Bank (c) 2015 International Bank for Reconstruction and Development/The World Bank, Washington, DC

Saxton AT, Poenaru D, Ozgediz D et al (2016) Economic analysis of children’s surgical care in low- and middle-income countries: a systematic review and analysis. PLoS ONE 11(10):e0165480CrossRefPubMedPubMedCentral

Alkire BC, Shrime MG, Dare AJ, Vincent JR, Meara JG (2015) Global economic consequences of selected surgical diseases: a modelling study. Lancet Glob Health 3(Suppl 2):S21–S27CrossRefPubMedPubMedCentral

Butler EK, Tran TM, Nagarajan N et al (2017) Epidemiology of pediatric surgical needs in low-income countries. PLoS ONE 12(3):e0170968CrossRefPubMedPubMedCentral

Venter PA, Christianson AL, Hutamo CM, Makhura MP, Gericke GS (1995) Congenital anomalies in rural black South African neonates–a silent epidemic? S Afr Med J S Afr tydskrif vir geneeskunde 85(1):15–20

Ozgediz D, Poenaru D (2012) The burden of pediatric surgical conditions in low and middle income countries: a call to action. J Pediatr Surg 47(12):2305–2311CrossRefPubMed

Murray C, Lopez A (1996) The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries and risk factors in 1990 and projected to 2020. Harvard University Press, Cambridge

10.

Salomon JA, Haagsma JA, Davis A et al (2015) Disability weights for the Global Burden of Disease 2013 study. Lancet Glob Health 3(11):e712–e723CrossRefPubMed

11.

Salomon JA, Vos T, Hogan DR et al (2012) Common values in assessing health outcomes from disease and injury: disability weights measurement study for the Global Burden of Disease Study 2010. Lancet (London, England) 380(9859):2129–2143CrossRef

12.

World Health Organization. The global burden of disease: 2004 update. http://www.who.int/healthinfo/global_burden_disease/2004_report_update/en/. Accessed 11 Aug 2015

13.

Stouthard MEA, Essink-Bot ML, Bonsel GJ et al (1997) Disability weights for diseases in the Netherlands. Erasmus University Rotterdam, Department of Public Health, Rotterdam

14.

Bickler S, Ozgediz D, Gosselin R et al (2010) Key concepts for estimating the burden of surgical conditions and the unmet need for surgical care. World J Surg 34(3):374–380. https://doi.org/10.1007/s00268-009-0261-6 CrossRefPubMed

15.

Gosselin R, Ozgediz D, Poenaru D (2013) A square peg in a round hole? Challenges with DALY-based “burden of disease” calculations in surgery and a call for alternative metrics. World J Surg 37(11):2507–2511. https://doi.org/10.1007/s00268-013-2182-7 CrossRefPubMed

16.

Poenaru D, Ozgediz D, Gosselin RA (2014) Burden, need, or backlog: a call for improved metrics for the global burden of surgical disease. Int J Surg (London, England) 12(5):483–486CrossRef

17.

Murray CJ, Acharya AK (1997) Understanding DALYs (disability-adjusted life years). J Health Econ 16(6):703–730CrossRefPubMed

18.

Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. J Clin Epidemiol 62(10):1006–1012CrossRefPubMed

19.

Shrime MG, Alkire BC, Grimes C, Chao TE, Poenaru D, Verguet S (2017) Cost-effectiveness in global surgery: pearls, pitfalls, and a checklist. World J Surg. https://doi.org/10.1007/s00268-017-3875-0 CrossRefPubMed

20.

Drummond M (2005) Methods for the economic evaluation of health care programmes, Oxford medical publications, 3rd edn. Oxford University Press, Oxford, New York

21.

Mathers C, Fat DM, Boerma JT (2008) The global burden of disease: 2004 update. World Health Organization, GenevaCrossRef

22.

Higashi H, Barendregt JJ, Kassebaum NJ, Weiser TG, Bickler SW, Vos T (2015) The burden of selected congenital anomalies amenable to surgery in low and middle-income regions: cleft lip and palate, congenital heart anomalies and neural tube defects. Arch Dis Child 100(3):233–238CrossRefPubMed

23.

Saunders JE, Barrs DM, Gong W, Wilson BS, Mojica K, Tucci DL (2015) Cost effectiveness of childhood cochlear implantation and deaf education in nicaragua: a disability adjusted life year model. Otol Neurotol 36(8):1349–1356CrossRefPubMed

24.

Emmett SD, Tucci DL, Smith M et al (2015) GDP matters: cost effectiveness of cochlear implantation and deaf education in Sub-Saharan Africa. Otol Neurotol 36(8):1357–1365CrossRefPubMed

25.

Wang L, Wen H, Feng X, Jiang X, Duan X (2012) Analysis of economic burden for patients with cystic echinococcosis in five hospitals in northwest China. Trans R Soc Trop Med Hyg 106(12):743–748CrossRefPubMed

26.

Budke CM, Jiamin Q, Qian W, Torgerson PR (2005) Economic effects of echinococcosis in a disease-endemic region of the Tibetan Plateau. Am J Trop Med Hyg 73(1):2–10PubMedCrossRef

27.

Poenaru D, Pemberton J, Frankfurter C, Cameron BH, Stolk E (2017) Establishing disability weights for congenital pediatric surgical conditions: a multi-modal approach. Popul Health Metr 15(1):8CrossRefPubMedPubMedCentral

28.

Poenaru D, Pemberton J, Cameron BH (2015) The burden of waiting: DALYs accrued from delayed access to pediatric surgery in Kenya and Canada. J Pediatr Surg 50(5):765–770CrossRefPubMed

29.

Shillcutt SD, Clarke MG, Kingsnorth AN (2010) Cost-effectiveness of groin hernia surgery in the Western Region of Ghana. Arch Surg 145(10):954–961CrossRefPubMed

30.

Shillcutt SD, Sanders DL, Teresa Butron-Vila M, Kingsnorth AN (2013) Cost-effectiveness of inguinal hernia surgery in northwestern Ecuador. World J Surg 37(1):32–41. https://doi.org/10.1007/s00268-012-1808-5 CrossRefPubMed

31.

Eeson G, Birabwa-Male D, Pennington M, Blair GK (2015) Costs and cost-effectiveness of pediatric inguinal hernia repair in Uganda. World J Surg 39(2):343–349. https://doi.org/10.1007/s00268-014-2818-2 CrossRefPubMed

32.

Badrinath R, Kakembo N, Kisa P, Langer M, Ozgediz D, Sekabira J (2014) Outcomes and unmet need for neonatal surgery in a resource-limited environment: estimates of global health disparities from Kampala, Uganda. J Pediatr Surg 49(12):1825–1830CrossRefPubMed

33.

Wu K, Yang L, Wu A et al (2015) Single-site laparoscopic appendectomy in children using conventional instruments: a prospective, randomized, control trial. Pediatr Surg Int 31(2):167–171CrossRefPubMed

34.

Ford K, Poenaru D, Moulot O et al (2016) Gastroschisis: bellwether for neonatal surgery capacity in low resource settings? J Pediatr Surg 51(8):1262–1267CrossRefPubMed

35.

Butler MW, Ozgediz D, Poenaru D et al (2015) The Global Paediatric Surgery Network: a model of subspecialty collaboration within global surgery. World J Surg 39(2):335–342. https://doi.org/10.1007/s00268-014-2843-1 CrossRefPubMed

36.

Davis MC, Than KD, Garton HJ (2014) Cost effectiveness of a short-term pediatric neurosurgical brigade to Guatemala. World Neurosurg 82(6):974–979CrossRefPubMed

37.

Chen AT, Pedtke A, Kobs JK, Edwards GS Jr, Coughlin RR, Gosselin RA (2012) Volunteer orthopedic surgical trips in Nicaragua: a cost-effectiveness evaluation. World J Surg 36(12):2802–2808. https://doi.org/10.1007/s00268-012-1754-2 CrossRefPubMed

38.

Wu VK, Poenaru D (2013) Burden of surgically correctable disabilities among children in the Dadaab Refugee Camp. World J Surg 37(7):1536–1543. https://doi.org/10.1007/s00268-012-1899-z CrossRefPubMed

39.

Warf BC, Alkire BC, Bhai S et al (2011) Costs and benefits of neurosurgical intervention for infant hydrocephalus in sub-Saharan Africa. J Neurosur Pediatr 8(5):509–521CrossRef

40.

Rattray KW, Harrop TC, Aird J, Tam T, Beveridge M, Gollogly JG (2013) The cost effectiveness of reconstructive surgery in Cambodia. Asian Biomed 7(3):319–324

41.

Poenaru D (2016) The burden of pediatric surgical disease in low-resource settings: discovering it, measuring it, and addressing it. J Pediatr Surg 51(2):216–220. https://doi.org/10.1016/j.jpedsurg.2015.10.065 CrossRefPubMed

42.

Gosselin RA, Gialamas G, Atkin DM (2011) Comparing the cost-effectiveness of short orthopedic missions in elective and relief situations in developing countries. World J Surg 35(5):951–955. https://doi.org/10.1007/s00268-010-0947-9 CrossRefPubMedPubMedCentral

43.

Hackenberg B, Ramos MS, Campbell A et al (2015) Measuring and comparing the cost-effectiveness of surgical care delivery in low-resource settings: cleft lip and palate as a model. J Craniofacial Surg 26(4):1121–1125CrossRef

44.

Poenaru D (2013) Getting the job done: analysis of the impact and effectiveness of the SmileTrain program in alleviating the global burden of cleft disease. World J Surg 37(7):1562–1570. https://doi.org/10.1007/s00268-012-1876-6 CrossRefPubMed

45.

Khajanchi MU, Shah H, Thakkar P, Gerdin M, Roy N (2015) Unmet burden of cleft lip and palate in rural Gujarat, India: a population-based study. World J Surg 39(1):41–46. https://doi.org/10.1007/s00268-014-2628-6 CrossRefPubMed

46.

Magee WP Jr, Vander Burg R, Hatcher KW (2010) Cleft lip and palate as a cost-effective health care treatment in the developing world. World J Surg 34(3):420–427. https://doi.org/10.1007/s00268-009-0333-7 CrossRefPubMed

47.

Corlew DS (2010) Estimation of impact of surgical disease through economic modeling of cleft lip and palate care. World J Surg 34(3):391–396. https://doi.org/10.1007/s00268-009-0198-9 CrossRefPubMed

48.

Alkire B, Hughes CD, Nash K, Vincent JR, Meara JG (2011) Potential economic benefit of cleft lip and palate repair in sub-Saharan Africa. World J Surg 35(6):1194–1201. https://doi.org/10.1007/s00268-011-1055-1 CrossRefPubMed

49.

Moon W, Perry H, Baek RM (2012) Is international volunteer surgery for cleft lip and cleft palate a cost-effective and justifiable intervention? A case study from East Asia. World J Surg 36(12):2819–2830. https://doi.org/10.1007/s00268-012-1761-3 CrossRefPubMed

50.

Hughes CD, Babigian A, McCormack S et al (2012) The clinical and economic impact of a sustained program in global plastic surgery: valuing cleft care in resource-poor settings. Plast Reconstr Surg 130(1):87e–94eCrossRefPubMed

51.

Murray CJ, Lopez AD (1997) Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet (London, England) 349(9063):1436–1442CrossRef

52.

Bhalla K, Harrison JE (2015) GBD-2010 overestimates deaths from road injuries in OECD countries: new methods perform poorly. Int J Epidemiol 44(5):1648–1656CrossRefPubMed

53.

GBD 2015 Mortality and Causes of Death Collaborators (2016) Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet (London, England) 388(10053):1459–1544

54.

Haagsma JA, Polinder S, Cassini A, Colzani E, Havelaar AH (2014) Review of disability weight studies: comparison of methodological choices and values. Popul Health Metr 12:20CrossRefPubMedPubMedCentral

55.

Murray CJ (1994) Quantifying the burden of disease: the technical basis for disability-adjusted life years. Bull World Health Organ 72(3):429–445PubMedPubMedCentral

56.

McCord C, Chowdhury Q (2003) A cost effective small hospital in Bangladesh: what it can mean for emergency obstetric care. Int J Gynaecol Obstet 81(1):83–92CrossRefPubMed

57.

Revicki DA, Kaplan RM (1993) Relationship between psychometric and utility-based approaches to the measurement of health-related quality of life. Qual Life Res Int J Qual Life Asp Treat Care Rehabilit 2(6):477–487CrossRef

58.

Murray CJ, Ezzati M, Flaxman AD et al (2012) GBD 2010: design, definitions, and metrics. Lancet (London, England) 380(9859):2063–2066CrossRef

59.

Chen B, Hu S, Wang L et al (2007) Economical strategies of laparoscopic splenectomy: a Chinese single-center experience. Visc Med 23(4):387–391CrossRef

60.

Nord E (2013) Disability weights in the Global Burden of Disease 2010: unclear meaning and overstatement of international agreement. Health Policy (Amsterdam, Netherlands) 111(1):99–104CrossRef

Titel: Disability Weights for Pediatric Surgical Procedures: A Systematic Review and Analysis
verfasst von: Emily R. Smith
Tessa Concepcion
Stephanie Lim
Sam Sadler
Dan Poenaru
Anthony T. Saxton
Mark Shrime
Emmanuel Ameh
Henry E. Rice
on behalf of the Global Initiative for Children’s Surgery
Publikationsdatum: 13.02.2018
Verlag: Springer International Publishing
Erschienen in: World Journal of Surgery / Ausgabe 9/2018
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-018-4537-6

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