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What is the Cost of Free Cleft Surgery in the Middle East?

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Abstract

Background

This project explores the costs of cleft lip and/or palate surgeries in Palestine and Sudan, two low- and middle-income countries (LMIC), in the Middle East. Our purpose is to examine the veracity of advertisements from international cleft organizations claiming that “250 US dollars (USD) covers the cost of a single cleft surgery.” We hypothesize that the actual cost of surgery is greater than 250 USD.

Methods

Costs for each cleft surgery were organized broadly into 5 categories: hospital charges, personnel (time and money spent for health professionals to travel to LMIC, including lost wages), tests, consumables, and reusables. Each item was priced at market value during the time of data collection. Following itemization of actual costs, we compared the costs per cleft surgery among four surgical practice models: (1) visiting international surgical teams, (2) visiting international surgeon working with local teams, (3) local teams working at government hospitals, and (4) local teams working at private hospitals.

Results

Our results suggest that 250 USD is an underestimate of actual costs per cleft surgery in all models. The most expensive model in both Palestine and Sudan was the first model, visiting international teams performing all team functions; the cheapest surgical model in both countries was a local team working at government hospitals. The largest cost for any of these models is travel and lost wages for international team members. Eliminating this single cost (travel) decreases overall cost tremendously, but still does not approach the advertised cost of 250 USD.

Conclusions

We conclude that 250 USD underestimates the actual costs to perform a single cleft surgery in Palestine and Sudan. If international cleft organizations are genuinely committed to creating sustainable international cleft programs, they should focus exclusively on training local professionals to perform surgery in hospitals of their own choosing.

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Acknowledgements

We would like to acknowledge funding from the NIDCR through an R56 mechanism for the grant entitled “Oral-facial Clefts: Discovery and Characterization of New Genes mechanism,” the United Palestinian Appeal based in Washington, DC, USA (http://helpupa.org/); the Sudanese American Medical Association, based in Wichita, Kansas, USA (https://www.sama-sd.org/contact-us/). A very special thanks to the local cleft team members in both Palestine and Sudan.

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Authors and Affiliations

  1. Division of Plastic Surgery, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MCL # 2020, Cincinnati, OH, 45229, USA

    Samar Sheriff, Haithem M. Elhadi Babiker, Ashton L. Roach, Natalyia Biskup & John A. van Aalst

  2. Department of Economics, University of Cincinnati, 2925 Campus Green Dr, Cincinnati, OH, 45221, USA

    Lenisa V. Chang

  3. Jordan University of Science and Technology, Al-Rumtha, Irbid, 22110, Jordan

    Hassan J. Zawahrah

  4. Acibadem University School of Medicine, Kerem Aydinlar Kampusu, Kayisdagi Caddesi No:32, 34752, Atasehir, Istanbul, Turkey

    Sonay Beyatli

Authors
  1. Samar Sheriff
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  2. Hassan J. Zawahrah
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  3. Lenisa V. Chang
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  4. Sonay Beyatli
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  5. Haithem M. Elhadi Babiker
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  6. Ashton L. Roach
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  7. Natalyia Biskup
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  8. John A. van Aalst
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Corresponding author

Correspondence to John A. van Aalst.

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Sheriff, S., Zawahrah, H.J., Chang, L.V. et al. What is the Cost of Free Cleft Surgery in the Middle East?. World J Surg 42, 1239–1247 (2018). https://doi.org/10.1007/s00268-017-4309-8

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  • DOI: https://doi.org/10.1007/s00268-017-4309-8

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