有所作为:心脏外科学会间联盟(CSIA)成立 5 周年。

IF 0.7 Q3 Medicine ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-06-01 Epub Date: 2024-06-13 DOI:10.1177/02184923241259191
R M Bolman, P Zilla, F Beyersdorf, P Boateng, J Bavaria, J Dearani, J Pomar, S Kumar, T Chotivatanapong, K Sliwa, J L Eisele, Z Enumah, B Podesser, E A Farkas, T Kofidis, L J Zühlke, R Higgins
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引用次数: 0

摘要

鉴于世界发展中地区对心脏外科的需求几乎无法想象,主要外科医生、心脏病专家、主要心胸外科期刊主编以及医疗行业和政府代表于 2017 年 12 月召开会议,以解决这一令人无法接受的医疗服务差距问题。随后发表的 "开普敦宣言 "向各心脏外科学会发出了号召,要求它们共同倡导加强发展中国家当地可持续的心脏外科能力。心脏外科学会间联盟(CSIA)由此成立,由胸外科医师学会(STS)、美国胸外科学会(AATS)、亚洲心血管和胸外科学会(ASCVTS)、欧洲心胸外科学会(EACTS)和世界心脏联盟(WHF)组成。其指导原则是倡导在低收入国家建立可持续的心脏外科能力。
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Making a difference: 5 years of Cardiac Surgery Intersociety Alliance (CSIA).

Summary: Informed by the almost unimaginable unmet need for cardiac surgery in the developing regions of the world, leading surgeons, cardiologists, editors in chief of the major cardiothoracic journals as well as representatives of medical industry and government convened in December 2017 to address this unacceptable disparity in access to care. The ensuing "Cape Town Declaration" constituted a clarion call to cardiac surgical societies to jointly advocate the strengthening of sustainable, local cardiac surgical capacity in the developing world. The Cardiac Surgery Intersociety Alliance (CSIA) was thus created, comprising The Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), the Asian Society for Cardiovascular and Thoracic Surgery (ASCVTS), the European Association for Cardio-Thoracic Surgery (EACTS) and the World Heart Federation (WHF). The guiding principle was advocacy for sustainable cardiac surgical capacity in low-income countries. As a first step, a global needs assessment confirmed rheumatic heart disease as the overwhelming pathology requiring cardiac surgery in these regions. Subsequently, CSIA published a request for proposals to support fledgling programmes that could demonstrate the backing by their governments and health care institution. Out of 11 applicants, and following an evaluation of the sites, including site visits to the 3 finalists, Mozambique and Rwanda were selected as the first Pilot Sites. Subsequently, a mentorship and training agreement was completed between Mozambique and the University of Cape Town, a middle-income country with a comparable burden of rheumatic heart disease. The agreement entails regular video calls between the heart teams, targeted training across all aspects of cardiac surgery, as well as on-site presence of mentoring teams for complex cases with the strict observance of 'assisting only'. In Rwanda, Team Heart, a US and Rwanda-based non-governmental organization (NGO) that has been performing cardiac surgery in Rwanda and helping to train the cardiac surgery workforce since 2008, has agreed to continue providing mentorship for the local team and to assist in the establishment of independent cardiac surgery with all that entails. This involves intermittent virtual conferences between Rwandan and US cardiologists for surgical case selection. Five years after CSIA was founded, it's 'Seal of Approval' for the sustainability of endorsed programmes in Mozambique and Rwanda has resulted in higher case numbers, a stronger government commitment, significant upgrades of infrastructure, the nurturing of generous consumable donations by industry and the commencement of negotiations with global donors for major grants. Extending the CSIA Seal to additional deserving programmes could further align the international cardiac surgical community with the principle of local cardiac surgery capacity-building in developing countries.

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来源期刊
CiteScore
1.30
自引率
0.00%
发文量
78
期刊介绍: The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.
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