{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:03:21Z","timestamp":1788267801138,"version":"build-2803163510"},"reference-count":31,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T00:00:00Z","timestamp":1433289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T00:00:00Z","timestamp":1433289600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pediatric surgical practice is different in low\u2010 and middle\u2010income countries as compared to North America. While resources are limited, the impact of pediatric surgical procedures is significant. The objective of this study was to calculate and compare disability\u2010adjusted life years (DALYs) averted in a Kenyan and Canadian surgical unit for a subset of pediatric congenital anomalies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medical records of children having undergone surgical procedures for 13 congenital conditions in both surgical units were collected over 12\u00a0months. DALYs for each condition were calculated using previously obtained disability weights derived in each country. Age\u2010adjusted life expectancy rates from the WHO were used to determine years of life lost. Risk of permanent disability without surgery and probability of successful treatment values were obtained from the literature and included in the DALY calculation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The conditions accounting for the largest total number of averted DALYs in Kenya were hydrocephalus (60.8 %) and spina bifida (18.1 %), whereas in Canada they were hydrocephalus (24.2 %) and undescended testes (19.2 %). A total of 23,169 DALYs were averted through 1042 surgical procedures (22.2 DALYs per procedure) during the study period in Kenya, compared to 5497 DALYs through 373 procedures (14.7 DALYs per procedure) in Canada.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Using recent developments in burden of disease measurement, the results point to the significant impact of pediatric surgical centers in addressing the global burden of congenital surgical disease. The study carries significant implications for resource allocation and training.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-015-3103-8","type":"journal-article","created":{"date-parts":[[2015,6,3]],"date-time":"2015-06-03T16:37:00Z","timestamp":1433349420000},"page":"2198-2206","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Quantifying the Disability from Congenital Anomalies Averted Through Pediatric Surgery: A Cross\u2010Sectional Comparison of a Pediatric Surgical Unit in Kenya and Canada"],"prefix":"10.1002","volume":"39","author":[{"given":"D.","family":"Poenaru","sequence":"first","affiliation":[{"name":"Department of Surgery McMaster University MUMC 4E L8S 4K1 Hamilton ON Canada"},{"name":"BethanyKids at MyungSung Christian Medical Center Addis Ababa Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Pemberton","sequence":"additional","affiliation":[{"name":"Department of Surgery McMaster University MUMC 4E L8S 4K1 Hamilton ON Canada"},{"name":"Department of Clinical Epidemiology and Biostatistics McMaster University L8S 4K1 Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Frankfurter","sequence":"additional","affiliation":[{"name":"Department of Surgery McMaster University MUMC 4E L8S 4K1 Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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