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• W3104855513 abstract "Introduction: The global burden of surgical disease is likely immense, but surgical care has been largely neglected in low- and middle-income countries, partly due to a lack of region-specific evidence describing the prevalence. In preparation for the opening of a charitable surgical center, the organization One World Surgery conducted a census, needs assessment, and a series of charitable outreach primary care clinics in several bateys (sugar workers’ towns) in the eastern Dominican Republic. This study aims to use information collected by the organization to determine the prevalence of untreated surgical conditions in an underserved region of a high-middle-income country. Methods: Population data from a series of bateys surrounding the city of San Pedro de Macoris on the country’s eastern plains, a region with significant sugarcane, was determined from a census and needs assessment performed by community health workers between April and December 2019. This information was used to invite patients to charitable outreach primary care clinics led by volunteer US-based physicians between September 2019 and February 2020, during which the number of patients with untreated surgical conditions was calculated. Results: Volunteer physicians recommended at least 1 surgery for 147 individuals among a population of 4070 (3.61%). Fifty-two percent of surgical patients were male and 36.7% were age 60 and above. The most common surgical diagnoses were cataract, pterygium, and hernias/hydroceles. The most needed specialties were ophthalmology (1.74%), general surgery (1.01%), and orthopedics (0.69%). Conclusion: The population of bateys (sugar workers’ towns) in the eastern Dominican Republic, a high-middle-income country, has a high prevalence of untreated surgical disease. This is likely due partly to the population of the bateys being underserved compared to the country overall, and partly to the country’s increasing life expectancy. However, since most patients with untreated surgical conditions are of working age or below, it will be important with respect to national productivity for the Dominican Republic and other high-middle-income countries to increase surgical capacity along with other more traditionally prioritized health care initiatives." @default.
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• W3104855513 date "2020-11-01" @default.
• W3104855513 modified "2023-10-01" @default.
• W3104855513 title "Prevalence of untreated surgical conditions in bateys (Sugar Workers’ Towns) of the Eastern Dominican Republic: a retrospective cross-sectional study" @default.
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• W3104855513 doi "https://doi.org/10.1097/gh9.0000000000000039" @default.
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