PMID- 31574003
OWN - NLM
STAT- MEDLINE
DCOM- 20200924
LR  - 20210204
IS  - 1531-7080 (Electronic)
IS  - 0268-4705 (Linking)
VI  - 35
IP  - 1
DP  - 2020 Jan
TI  - Cardiac surgical missions: what works, what does not, where we need to go from 
      here.
PG  - 76-79
LID - 10.1097/HCO.0000000000000691 [doi]
AB  - PURPOSE OF REVIEW: Although overall neonatal and infant mortality continues to 
      decrease around the world, years of life lost to congenital heart disease (CHD) 
      rank among the top 10 leading causes for that age group in Latin America, Central 
      Asia, Africa and the Middle East. Short-term surgical missions (STSMs) continue 
      to be the only resource available in some areas of the world. RECENT FINDINGS: 
      There is a need for better communications between charity organizations and the 
      supported institutions. We observe a raising concern with the limited published 
      information on the results of the STSMs and a call for patient safety, the use of 
      international databases and accountability.Funding and human resources in 
      low-income and middle-income countries (LMIC) are a persistent problem and a 
      shift toward long-term collaboration rather than short-term visits opens the path 
      to sustainability.The cost-effectiveness of STSMs treating congenital heart 
      disease in LMIC seems to be very high whereas the management of adults with CHD 
      and rheumatic valvulopathies appear as a growing concern. SUMMARY: Pediatric 
      cardiac surgery STSMs continue to deserve full support and funding, long-term 
      commitments, accountability and coordinated international funding are needed to 
      achieve global sustainable coverage.
FAU - Polivenok, Igor
AU  - Polivenok I
AD  - Pediatric Cardiology, Zaitcev Institute for General and Urgent Surgery, Kharkiv, 
      Ukraine Pediatric Cardiology-Children's Mercy Hospital, University of 
      Missouri-Kansas City School of Medicine, Kansas Inova Children Hospital, Falls 
      Church, Virginia.
FAU - Gelatt, Mark
AU  - Gelatt M
FAU - Cardarelli, Marcelo
AU  - Cardarelli M
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Curr Opin Cardiol
JT  - Current opinion in cardiology
JID - 8608087
SB  - IM
MH  - Adult
MH  - *Cardiac Surgical Procedures
MH  - Child
MH  - Communication
MH  - Humans
MH  - Infant
MH  - *Medical Missions
EDAT- 2019/10/02 06:00
MHDA- 2020/09/25 06:00
CRDT- 2019/10/02 06:00
PHST- 2019/10/02 06:00 [pubmed]
PHST- 2020/09/25 06:00 [medline]
PHST- 2019/10/02 06:00 [entrez]
AID - 00001573-202001000-00014 [pii]
AID - 10.1097/HCO.0000000000000691 [doi]
PST - ppublish
SO  - Curr Opin Cardiol. 2020 Jan;35(1):76-79. doi: 10.1097/HCO.0000000000000691.