GUIDING RESEARCH

Disease Control Priorities, 3rd Edition

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Among several goals, the third edition of Disease Control Priorities (DCP3) made progress in dispelling the myth that surgical care is too expensive. It additionally estimated preventable mortality due to some surgical conditions in LMICS and put forth a recommendation of 44 essential procedures.

VIDEOS
 

WHO's Dr. Tedros Addressing the Global Surgery Community

At the 2019 National Surgical, Obstetric, and Anesthesia Planning Conference in Dubai, the World Health Organization's Director General, Dr. Tedros Adhanom, spoke about the role of surgery in achieving Universal Health Coverage.

The Evolution of Global Surgery

Dr. John Meara, director of Harvard Medical School's Program in Global Surgery and Social Change, provides a primer on the development of the global surgery field and highlights its progress in promoting access to surgery across the world.

Macroeconomics of Global Surgery

Dr. Blake Alkire of the Global OHNS Initiative and Harvard Program in Global Surgery and Social Change highlights the essential role of macroeconomics in understanding the global burden of surgical disease. 

Research in Global Surgery

Drs. Bethany Hedt-Gauthier and George Dyer describe the role of research within global surgery and relay their personal experiences with international surgical research.

GLOBAL OHNS PUBLICATIONS
 
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Maxwell P. KligermanShaina LamourSamuel Okerosi  for the Global OHNS Initiative

This is a commentary on how the COVID-19 pandemic poses significant challenges for otolaryngologists practicing in low- and middle-income countries (LMICs). This commentary highlights some of the particular challenges in low resource settings, including limited testing, insufficient personal protective equipment, small numbers of surgeons, and competing socio-economic demands. 

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This article presents opinions from otolaryngology-head and neck surgery physicians in high- and low/middle-income countries to help explain the geographic-specific, patient and institutional-related barriers to care that contribute to under- or overestimate the presence and effect of common head and neck conditions.

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This commentary addresses the disproportionate representation by foreign authors in global health literature.  To avert this inequity and improve global otolaryngology–head and neck surgery research, the authors propose a framework that emphasizes local representation and capacity building in research.

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This study aims to develop an international expert consensus on priority otolaryngology-head and neck surgery conditions and procedures globally for which national health systems should be capable of caring.

 This study seeks to better understand the impact of the otolaryngology-specific workforce on the burden of related diseases.

 This study seeks to better understand the impact of the otolaryngology-specific workforce on the burden of related diseases.

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Hawa M Ali, Stellina Y H Lee, Farizeh Jashek-Ahmed, Amina Seguya, Erynne Faucett, Jenna Van Beck, Emma Stapleton, Shazia Peer, Inna A Husain, Joshua Wiedermann, Valerie Salano, Global OHNS

 This study seeks to explore the impact of female sex on the experiences of trainees and surgeons in otolaryngology from LMIC and HIC.

 
MEMBER PUBLICATIONS

Patterson, R.H*., Fischman, V.*, Wasserman, I., Siu, J., Shrime, M.G., Fagan, J.J, Koch, W., Alkire, B.

This analysis evaluated the global macroeconomic burden of head and neck cancer and the role for surgery. An estimated $535 billion lost in economic productivity by the year 2030 due to head and neck cancer mortality. Further, countries and regions with proportionally fewer surgical providers have worse head and neck cancer care outcomes.

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Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery

Fagan J.

This is a free operative surgery text created through multinational collaboration and edited by Johan Fagan. It is used widely internationally, and is intended particularly for those surgeons in the developing world and low-resource settings who are unable to access textbooks.

Bhutta, M., Bu X.,  de Muñoz, PC., Garg, S., Konge, K.

This WHO analysis examined some of the published literature on the current global workforce for ear and hearing care, outlined the status of both the primary-care workforce, and discussed models of training health workers in ear and hearing care. It also  highlighted important knowledge gaps and areas for future research and reporting.

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This study aims to determine the feasibility of training otolaryngologists to perform head and neck ultrasound in low- and middle-income countries over a short timeframe by evaluating an ultrasound training course for otolaryngologists in semirural Kenya.

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This editorial illustrates how otolaryngologists in low- and middle-income countries (LMICs) treating infectious complications face challenges not commonly encountered in high-income countries (HICs).

This study suggests that the American Joint Committee on Cancer (AJCC)/International Union Against Cancer (UICC) should refine staging to serve the needs of clinicians and their patients in resource-constrained settings.

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This paper presents the UCT-Africa strategy to overcome the unprecedented disruption of specialist training that the COVID-19 pandemic has caused globally.

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This report demonstrates the effort that has been made in Tanzania’s journey to meet the needs of profoundly deaf children.

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This case report reviews the case of a 40-year-old woman with an unusual IMT in the maxillary sinus that presented as a challenge in diagnosis and management.

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This scoping review aims to identify and summarize the significant challenges in accessing ear and hearing care services in LMICs, recognize gaps in the literature, and identify potential solutions.

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This clinical guideline aims to help front-line health workers to manage ear disease and hearing impairments, contribute to primary health care, and hence start to make a substantial reduction in ear disease and hearing care burden.

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This commentary focuses on best practices in transcultural communications between US doctors and foreign patients with an emphasis on cultural competency, using alternative medicine as an exemplar for how to collaborate with patients to develop treatment plans that respect their cultural beliefs and lifestyles. 

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This editorial review a training and implementation model for head and neck oncology in Mozambique and write about a model for head and neck oncology service delivery in this country. 

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This study characterizes the article processing charges of open access publishing in otolaryngology-head and neck surgery journals.