Essential Equipment for Baseline Otolaryngology-Head and Neck Surgery Care: A Global Cross-Sectional Survey. Srinivasan, T., Cherches, A., Seguya, A., Pandey, A., Fei-Zhang, D., Nuss, S., Elwell, Z., Adeyemo, A., Alkire, B. C., Bangash, A. H., Cahill, G., Daudu, D., Der Mussa, C., Din, T., Fagan, J. J., Hapunda, R., Ibekwe, T., Maina, I., Mukuzi, A., Patterson, R. H., Shaye, D. A., Smith, E. R., Sprow, H., Waterworth, C. J., Wiedermann, J. P., Xu, M. J., Zalaquett, N., Kahinga, A. A., Tamir, S. O., & Initiative, G. O. Laryngoscope Investigative Otolaryngology, 10(1):e70078, 2025. _eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1002/lio2.70078
Essential Equipment for Baseline Otolaryngology-Head and Neck Surgery Care: A Global Cross-Sectional Survey [link]Paper  doi  abstract   bibtex   8 downloads  
Objective Availability of surgical equipment and access to essential clinical services remains an important barrier to surgical care delivery, particularly in low- and middle-income countries (LMICs). This study aims to characterize the relative availability of essential equipment for otolaryngology-head and neck surgery (OHNS) care across World Bank income groups. Methods We conducted a cross-sectional survey on otolaryngologists' perceptions on the availability of surgical equipment and ancillary services in their respective practice settings per a 5-point Likert scale ranging from never to always available. The study was disseminated online via professional societies, personal contacts, and social media. Eligible participants included otolaryngologists from 194 WHO-recognized countries, which were grouped by World Bank income group classification and WHO region. Results The study involved 146 otolaryngologists, 69 (47%) from high-income countries (HICs), and 77 (53%) from LMICs. LMIC respondents were predominantly from the African and South-East Asian regions, which comprised 48% and 7.8% of all LMIC respondents, respectively. Results revealed significant differences in the availability of otologic, rhinologic, and endoscopic airway equipment between HICs and LMICs. Differences existed among commonly used equipment such as tympanomastoidectomy equipment and rigid bronchoscopy, to subspecialized equipment such as functional endoscopic sinus surgery equipment and cochlear implants (p \textless 0.05 each). Conclusions The study highlighted key disparities in the availability of essential equipment for baseline OHNS care, especially for pediatric airway and otologic conditions. These results can be used to guide investment and advocacy efforts to improve specialty-specific surgical infrastructure relative to the global burden of OHNS diseases in low-resource settings. Level of Evidence 3
@article{srinivasan_essential_2025,
	title = {Essential {Equipment} for {Baseline} {Otolaryngology}-{Head} and {Neck} {Surgery} {Care}: {A} {Global} {Cross}-{Sectional} {Survey}},
	volume = {10},
	copyright = {© 2025 The Author(s). Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society.},
	issn = {2378-8038},
	shorttitle = {Essential {Equipment} for {Baseline} {Otolaryngology}-{Head} and {Neck} {Surgery} {Care}},
	url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/lio2.70078},
	doi = {10.1002/lio2.70078},
	abstract = {Objective Availability of surgical equipment and access to essential clinical services remains an important barrier to surgical care delivery, particularly in low- and middle-income countries (LMICs). This study aims to characterize the relative availability of essential equipment for otolaryngology-head and neck surgery (OHNS) care across World Bank income groups. Methods We conducted a cross-sectional survey on otolaryngologists' perceptions on the availability of surgical equipment and ancillary services in their respective practice settings per a 5-point Likert scale ranging from never to always available. The study was disseminated online via professional societies, personal contacts, and social media. Eligible participants included otolaryngologists from 194 WHO-recognized countries, which were grouped by World Bank income group classification and WHO region. Results The study involved 146 otolaryngologists, 69 (47\%) from high-income countries (HICs), and 77 (53\%) from LMICs. LMIC respondents were predominantly from the African and South-East Asian regions, which comprised 48\% and 7.8\% of all LMIC respondents, respectively. Results revealed significant differences in the availability of otologic, rhinologic, and endoscopic airway equipment between HICs and LMICs. Differences existed among commonly used equipment such as tympanomastoidectomy equipment and rigid bronchoscopy, to subspecialized equipment such as functional endoscopic sinus surgery equipment and cochlear implants (p {\textless} 0.05 each). Conclusions The study highlighted key disparities in the availability of essential equipment for baseline OHNS care, especially for pediatric airway and otologic conditions. These results can be used to guide investment and advocacy efforts to improve specialty-specific surgical infrastructure relative to the global burden of OHNS diseases in low-resource settings. Level of Evidence 3},
	language = {en},
	number = {1},
	urldate = {2025-02-14},
	journal = {Laryngoscope Investigative Otolaryngology},
	author = {Srinivasan, Tarika and Cherches, Alexander and Seguya, Amina and Pandey, Akansha and Fei-Zhang, David and Nuss, Sarah and Elwell, Zachary and Adeyemo, Adebolajo and Alkire, Blake C. and Bangash, Ali Haider and Cahill, Gabrielle and Daudu, Davina and Der Mussa, Carolina and Din, Taseer and Fagan, Johannes J. and Hapunda, Racheal and Ibekwe, Titus and Maina, Ivy and Mukuzi, Allan and Patterson, Rolvix H. and Shaye, David A. and Smith, Emily R. and Sprow, Holly and Waterworth, Christopher James and Wiedermann, Joshua P. and Xu, Mary Jue and Zalaquett, Nader and Kahinga, Aveline Aloyce and Tamir, Sharon Ovnat and Initiative, Global OHNS},
	year = {2025},
	note = {\_eprint: https://onlinelibrary.wiley.com/doi/pdf/10.1002/lio2.70078},
	keywords = {equipment, global surgery, health disparities, infrastructure, low-resource},
	pages = {e70078},
}
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