{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:14:11Z","timestamp":1770815651092,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Surgical care is an important, yet often neglected component of child health in low\u2010 and middle\u2010income countries (LMICs). This study examines the potential impact of scaling up surgical care at first\u2010level hospitals in LMICs within the first 20 years of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Epidemiological data from the global burden of disease 2019 Study and a counterfactual method developed for the disease control priorities; 3rd Edition were used to estimate the number of treatable deaths in the under 20 year age group if surgical care could be scaled up at first\u2010level hospitals. Our model included three digestive diseases, four maternal and neonatal conditions, and seven common traumatic injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An estimated 314,609 (95% UI, 239,619\u2013402,005) deaths per year in the under 20 year age group could be averted if surgical care were scaled up at first\u2010level hospitals in LMICs. Most of the treatable deaths are in the under\u20105 year age group (80.9%) and relates to improved obstetrical care and its effect on reducing neonatal encephalopathy due to birth asphyxia and trauma. Injuries are the leading cause of treatable deaths after age 5 years. Sixty\u2010one percent of the treatable deaths occur in lower middle\u2010income countries. Overall, scaling up surgical care at first\u2010level hospitals could avert 5\u00b71% of the total deaths in children and adolescents under 20 years of age in LMICs per year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improving the capacity of surgical services at first\u2010level hospitals in LMICs has the potential to avert many deaths within the first 20 years of life.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06622-w","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T15:07:07Z","timestamp":1656601627000},"page":"2114-2122","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Estimates of Treatable Deaths Within the First 20 Years of Life from Scaling Up Surgical Care at First\u2010Level Hospitals in Low\u2010 and Middle\u2010Income Countries"],"prefix":"10.1002","volume":"46","author":[{"given":"Alicia 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