World Journal of Surgery

, Volume 39, Issue 1, pp 29–35

Global Public Health Impact of Recovered Supplies from Operating Rooms: A Critical Analysis with National Implications

  • Eric L. Wan
  • Li Xie
  • Miceile Barrett
  • Pablo A. Baltodano
  • Andres F. Rivadeneira
  • Jonathan Noboa
  • Maya Silver
  • Richard Zhou
  • Suzy Cho
  • Tammie Tam
  • Alp Yurter
  • Carol Gentry
  • Jorge Palacios
  • Gedge D. Rosson
  • Richard J. Redett
Original Scientific Report

DOI: 10.1007/s00268-014-2834-2

Cite this article as:
Wan, E.L., Xie, L., Barrett, M. et al. World J Surg (2015) 39: 29. doi:10.1007/s00268-014-2834-2

Abstract

Background

In modern operating rooms, clean and unused medical supplies are routinely discarded and can be effectively recovered and redistributed abroad to alleviate the environmental burden of donor hospitals and to generate substantial health benefits at resource-poor recipient institutions.

Methods

We established a recovery and donation program to collect clean and unused supplies for healthcare institutions in developing nations. We analyzed items donated over a 3-year period (September 2010–November 2013) by quantity and weight, and estimated the projected value of the program under potential nationwide participation. To capture the health benefits attributable to the donated supplies at recipient institutions, we partnered with two tertiary-care centers in Guayaquil, Ecuador and conducted a pilot study on the utility of the donated supplies at the recipient institutions (October 2013). We determined the disability-adjusted life years (DALY) averted for all patients undergoing procedures involving donated items and estimated the annual attributable DALY as well as the cost per DALY averted both by supply and by procedure.

Results

Approximately, 2 million lbs (907,185 kg) per year of medical supplies are recoverable from large non-rural US academic medical centers. Of these supplies, 19 common categories represent a potential for donation worth US $15 million per year, at a cost-utility of US $2.14 per DALY averted.

Conclusions

Hospital operating rooms continue to represent a large source of recoverable surgical supplies that have demonstrable health benefits in the recipient communities. Cost-effective recovery and need-based donation programs can significantly alleviate the global burden of surgical diseases.

Supplementary material

268_2014_2834_MOESM1_ESM.doc (27 kb)
Table S1. Scoring System Table S2. Calculated Discounted Life Expectancy for Ecuador (DOC 26 kb)

Copyright information

© Société Internationale de Chirurgie 2014

Authors and Affiliations

  • Eric L. Wan
    • 1
  • Li Xie
    • 1
  • Miceile Barrett
    • 1
  • Pablo A. Baltodano
    • 1
  • Andres F. Rivadeneira
    • 2
  • Jonathan Noboa
    • 3
  • Maya Silver
    • 1
  • Richard Zhou
    • 1
  • Suzy Cho
    • 1
  • Tammie Tam
    • 1
  • Alp Yurter
    • 1
  • Carol Gentry
    • 1
  • Jorge Palacios
    • 2
  • Gedge D. Rosson
    • 1
  • Richard J. Redett
    • 1
  1. 1.Department of Plastic and Reconstructive SurgeryThe Johns Hopkins University School of MedicineBaltimoreUSA
  2. 2.Department of Plastic & Reconstructive SurgeryLuis Vernaza HospitalGuayaquilEcuador
  3. 3.Damien House OrganizationGuayaquilEcuador