{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T18:59:14Z","timestamp":1706295554382},"reference-count":42,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T00:00:00Z","timestamp":1657843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Congenital conditions comprise a significant portion of the global burden of surgical conditions in children. In Somaliland, over 250,000 children do not receive required surgical care annually, although the estimated costs and benefits of scale\u2010up of children's surgical services to address this disease burden is not known.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We developed a Markov model using a decision tree template to project the costs and benefits of scale\u2010up of surgical care for children across Somaliland. We used a proxy set of congenital anomalies across Somaliland to estimate scale\u2010up costs using three different scale\u2010up rates. The cost\u2010effectiveness ratio and net societal monetary benefit were estimated using these models, supported by disability weights in existing literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, we found that scale\u2010up of surgical services at an aggressive rate (22.5%) over a 10\u2010year time horizon is cost effective. Although the scale\u2010up of surgical care for most conditions in the proxy set was cost effective, scale\u2010up of hydrocephalus and spina bifida are not as cost effective as other conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our analysis concludes that it is cost effective to scale\u2010up surgical services for congenital anomalies for children in Somaliland.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-022-06651-5","type":"journal-article","created":{"date-parts":[[2022,7,15]],"date-time":"2022-07-15T12:03:58Z","timestamp":1657886638000},"page":"2489-2497","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Modeling the Scale\u2010up of Surgical Services for Children with Surgically Treatable Congenital Conditions in Somaliland"],"prefix":"10.1002","volume":"46","author":[{"given":"Vivian S.","family":"Vigliotti","sequence":"first","affiliation":[{"name":"Yale New Haven Health New Haven CT USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tessa","family":"Concepcion","sequence":"additional","affiliation":[{"name":"Duke Global Health Institute Duke University Durham NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mubarak","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Edna Adan University Hospital Hargeisa Somaliland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shugri","family":"Dahir","sequence":"additional","affiliation":[{"name":"Edna Adan University Hospital Hargeisa Somaliland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edna Adan","family":"Ismail","sequence":"additional","affiliation":[{"name":"Edna Adan University Hospital Hargeisa Somaliland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Poenaru","sequence":"additional","affiliation":[{"name":"McGill University Montreal QC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henry E.","family":"Rice","sequence":"additional","affiliation":[{"name":"Duke Global Health Institute Duke University Durham NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily R.","family":"Smith","sequence":"additional","affiliation":[{"name":"Duke Global Health Institute Duke University Durham NC USA"},{"name":"Duke Department of Surgery Duke University School of Medicine Durham USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0166408"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.4276"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)60160\u2010X"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.216028"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0165480"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010018\u20104867\u20104"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)60761\u20109"},{"key":"e_1_2_8_9_1","doi-asserted-by":"crossref","unstructured":"PriceR MakasaE HollandsM. 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