The DOI matches its Crossref record; 43 of the 45 references it cites were found in a registry or an index.
Global cardiac surgery: Access to cardiac surgical care around the world
Open accessAbstract
Objective Cardiovascular disease is the leading cause of death worldwide, responsible for 17.5 million deaths every year, of which 80% occur in low- and middle-income countries. Some 75% of the world does not have access to cardiac surgery when needed because of lack of infrastructure, human resources, and financial coverage. This study aims to map access to cardiac surgery around the world. Methods A scoping review was done on access to cardiac surgery for an undifferentiated population. Workforce data were collected from the Cardiothoracic Surgery Network database and used to calculate numbers and ratios of adult and pediatric cardiac surgeons to population. Results A total of 12,180 adult cardiac surgeons and 3858 pediatric cardiac surgeons were listed in the Cardiothoracic Surgery Network in August 2017, equaling 1.64 (0-181.82) adult cardiac surgeons and 0.52 (0-25.97) pediatric cardiac surgeons per million population globally. Large disparities existed between regions, ranging from 0.12 adult cardiac surgeons and 0.08 pediatric cardiac surgeons per million population (sub-Saharan Africa) to 11.12 adult cardiac surgeons and 2.08 pediatric cardiac surgeons (North America). Low-income countries possessed 0.04 adult cardiac surgeons and 0.03 pediatric cardiac surgeons per million population, compared with 7.15 adult cardiac surgeons and 1.67 pediatric cardiac surgeons in high-income countries. Conclusions This study maps the current global state of access to cardiac surgery. Disparities exist between and within world regions, with a positive correlation between a nation's economic status and access to cardiac surgery. Low early mortality rates in low-resource settings suggest the possibility of high-quality cardiac surgery in low- and middle-income countries. There is the need to increase human and physical resources, while focusing on safety, quality, and efficiency to improve access to cardiac surgery for the 4.5 billion people without.
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“As a result, there are approximately 2.5 million people in need of cardiac surgery in low-income countries.14”
From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [14]
In the citing paper
“Globally, a recent study using the Cardiothoracic Surgery Network data estimated that many countries, particularly in Africa, do not have a paediatric cardiac surgery centre despite that their populations sometimes exceed 70 million.14”
From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [14]
In the citing paper
“There are also major disparities in the distribution of congenital heart surgeons, with a rate of 0.08 surgeons per million vs 2.08 surgeons per million inhabitants in sub-Saharan Africa and in North America, respectively (Fig. 1).”
From Tetralogy of Fallot in Low- and Middle-Income Countries (2024) · cites this paper as [14]
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Cites
Global status report on noncommunicable diseases 2010.
Alwan, A. (2011) · Cited by 8,494
Wang, H., Naghavi, M., Allen, C., Barber, R. M., Bhutta, Z. A., Carter, A., Casey, D. C., Charlson, F. J., Chen, A. Z., Coates, M. M., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)31012-1 · Cited by 6,596
Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development
Meara, J. G., Leather, A. J. M., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., Bickler, S. W., Conteh, L., Dare, A. J., Davies, J., et al. (2015) · The Lancet · doi:10.1016/s0140-6736(15)60160-x · Cited by 3,851
Birth prevalence of congenital heart disease worldwide
van der Linde, D., Konings, E. E. M., Slager, M. A., Witsenburg, M., Helbing, W. A., Takkenberg, J. J. M., & Roos-Hesselink, J. W. (2011) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2011.08.025 · Cited by 3,452
Zuhlke, L. J., Engel, M. E., Karthikeyan, G., Rangarajan, S., Mackie, P., Cupido, B. J., Mauff, K. A. L., Islam, S., Joachim, A., Daniels, R., et al. (2014) · European Heart Journal · doi:10.1093/eurheartj/ehu449 · Cited by 603
Chao, T. E., Sharma, K., Mandigo, M., Hagander, L. E., Resch, S., Weiser, T. G., & Meara, J. G. (2014) · The Lancet Global Health · doi:10.1016/s2214-109x(14)70213-x · Cited by 373
Cost‐effectiveness of Surgery in Low‐ and Middle‐income Countries: A Systematic Review
Grimes, C. E., Henry, J. C. A., Maraka, J., Mkandawire, N. C., & Cotton, M. (2013) · World Journal of Surgery · doi:10.1007/s00268-013-2243-y · Cited by 254
Global Burden of Surgical Conditions
Bickler, S. W., Weiser, T. G., Kassebaum, N. J., Higashi, H., Chang, D. C., Barendregt, J. J., Noormahomed, E. V., & Vos, T. (2015) · World Bank, Washington, DC eBooks · doi:10.1596/978-1-4648-0346-8_ch2 · Cited by 178
Challenges on the management of congenital heart disease in developing countries
Mocumbi, A. O., Lameira, E. R. P., Yaksh, A., Paul, L., Ferreira, M. B. C., & Sidi, D. (2009) · International Journal of Cardiology · doi:10.1016/j.ijcard.2009.11.006 · Cited by 152
Cardiac Surgery Capacity in Sub—Saharan Africa: Quo Vadis?
Fynn‐Thompson, F., Antunes, M. J., Edwin, F., Yuko-Jowi, C., Mendis, S., Thameur, H., Urban, A. E., Bolman, R. M., III, & Yankah, C. (2014) · The Thoracic and Cardiovascular Surgeon · doi:10.1055/s-0034-1383723 · Cited by 150
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2 of the 45 references couldn’t be matched to a known paper.
Research works printed but not linked: 7
- Sandoval, 2010, Pediatric cardiovascular surgery in South America: current status and regional differences, World J Pediatr Congenit Heart Surg, 1, 321, 10.1177/2150135110381391 · DOI
- Pezzella, 2010, Global aspects of cardiothoracic surgery with focus on developing countries, Asian Cardiovasc Thorac Ann, 18, 299, 10.1177/0218492310370060 · DOI
- Yacoub, 2014, Taking cardiac surgery to the people, J Cardiovasc Transl Res, 7, 797, 10.1007/s12265-014-9598-9 · DOI
- Yankah, 2014, Cardiac surgery capacity in sub-Saharan Africa: Quo vadis?, J Thorac Cardiovasc Surg, 62, 393, 10.1055/s-0034-1383723 · DOI
- Mirabel, 2017, Cardiac surgery in low-income settings: 10 years of experience from two countries, Arch Cardiovasc Dis, 110, 82, 10.1016/j.acvd.2016.05.006 · DOI
- Reichert, 2017, Cardiac surgery in developing countries, J Extra Corpor Technol, 49, 98, 10.1051/ject/201749098 · DOI
- Zilla, 2018, The Cape Town Declaration on access to cardiac surgery in the developing world, Eur J Cardiothorac Surg, 54, 407, 10.1093/ejcts/ezy272 · DOI
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Bai, Z., Han, J., An, J., Wang, H., Du, X., Yang, Z., & Mo, X. (2024) · EClinicalMedicine · doi:10.1016/j.eclinm.2024.102873 · Cited by 293
“35,36 Future research should prioritize investigating the speci fi c causes and in fl uencing factors of health inequalities, particularly in low-SDI regions.”
BackgroundSu, Z., Zou, Z., Hay, S. I., Liu, Y., Li, S., Chen, H., Naghavi, M., Zimmerman, M. S., Martin, G. R., Wilner, L. B., et al. (2022) · EClinicalMedicine · doi:10.1016/j.eclinm.2021.101249 · Cited by 284
Cardiac Surgery in Low- and Middle-Income Countries: A State-of-the-Art Review
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Self-citationBattery‐Free and Wireless Technologies for Cardiovascular Implantable Medical Devices
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Metadata
- Authors
- Vervoort, D., Meuris, B., Meyns, B., & Verbrugghe, P.
- Affiliations
- Harvard University (US)
- Universitair Ziekenhuis Leuven (BE)
- Corresponding author
- Vervoort, Dominique
- Venue
- The Journal of Thoracic and Cardiovascular Surgery
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 159
- Issue
- 3
- Pages
- 987-996.e6
- ISSN
- 0022-5223 (ISSN-L)
- OpenAlex
- W2940834286
- Cited by
- 287
- References
- 45
- Citations by year
- 2026: 39 · 2025: 49 · 2024: 55 · 2023: 46 · 2022: 38 · 2021: 33 · 2020: 22
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Thoracic and Cardiovascular Surgery (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Medicine › Surgery › History of Medical Practice
- Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
- Keywords
- access to cardiac surgery, cardiac surgeons, pediatric cardiac surgery, low- and middle-income countries, global health disparities, cardiovascular mortality, surgical workforce, regional disparities, sub-Saharan Africa
- MeSH terms
- Developing Countries, Health Services Accessibility, Health Services Needs and Demand, Cardiac Surgical Procedures, Humans, Specialization, Global Health, Health Care Costs, Quality Indicators, Health Care, Needs Assessment, Healthcare Disparities, Surgeons
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