Costs of surgeries in low- and middle-income countries: a systematic literature review
Rattachement africain : gb, nz, Nigéria, Ghana. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Surgical care is essential for achieving global health equity, yet low- and middle-income countries (LMICs) face major gaps in access and planning, partly due to limited evidence on the costs and resource requirements of surgical interventions. Understanding these costs is vital for designing efficient and equitable health systems. METHODS: We conducted a systematic literature review (covering MEDLINE, EMBASE, Global Health, EconLit and grey literature) to identify studies reporting the costs of surgeries in LMICs from January 2000 to June 2023. Minor and major surgical procedures were considered, focusing on therapeutic procedures (excluding diagnostic interventions). Studies that clearly identified, quantified and costed hospital resources and services deployed in the provision of surgical care, and included at least two of the surgical production factors (ie, consumables, diagnostics, personnel, infrastructure and overhead) in the costing were included. Costs were standardised to 2023 International dollars (I$) for comparability. RESULTS: A total of 74 studies from 29 countries met the inclusion criteria, with 210 cost estimates across 65 procedure groups. Costs varied widely: from I$1.54 for a caesarean section in Tanzania to I$618 098 for paediatric cataract surgery in Zambia. Full costing studies reported higher estimates than partial costing studies. Most studies (60%) originated from upper-middle-income countries, with limited data (10%) from low-income settings. CONCLUSION: This review provides a reference list of surgical procedure costs across LMICs, highlighting considerable cost variation by procedure, specialty and country. The findings underscore the need for better-quality, standardised cost data-especially from low-income countries-to inform national surgical plans, universal health coverage benefit packages and reimbursement policies.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Costs of surgeries in low- and middle-income countries: a systematic literature review
- Date Crossref
- 01/09/2026
- Éditeur
- BMJ
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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London School of Economics and Political Science LSE Health pays non établi dans la noticeUniversité ou école supérieure
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Auckland City Hospital Department of General Surgery pays non établi dans la noticeÉtablissement de santé
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Obafemi Awolowo University Teaching Hospitals Complex Nigéria (code pays fourni par la source)Établissement de santé
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University of Cape Coast Anaesthesia and Pain Management University of Cape Coast, Ghana (code pays fourni par la source)Université ou école supérieure
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Ahmadu Bello University Teaching Hospital Department of General Surgery Kaduna, Nigéria (code pays fourni par la source)Établissement de santé
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University of Oxford pays non établi dans la noticeUniversité ou école supérieure
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Cambridge University Hospitals NHS Foundation Trust Addenbrooke’s Hospital pays non établi dans la noticeOrganisme public
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National Hospital for Neurology and Neurosurgery pays non établi dans la noticeÉtablissement de santé
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UCL Queen Square Institute of Neurology pays non établi dans la noticeUniversité ou école supérieure
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University College London Queen Square Institute of Neurology pays non établi dans la noticeUniversité ou école supérieure
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University Hospital of Wales pays non établi dans la noticeÉtablissement de santé
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African Centre for Health Economics and Policy Research Enugu, Nigéria (pays nommé en fin d’affiliation)Institution
LSE Health — London School of Economics and Political Science, Department of General Surgery — Auckland City Hospital et Obafemi Awolowo University Teaching Hospitals Complex (Nigéria), avec 9 autres affiliations. Pays d’affiliation : Nigéria, Ghana.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.