An Epidemiological Study of Major Surgical Procedures in an Urban Population of East Delhi

Abstract

Surgery has become an integral part of global health care, with an estimated 234 million operations performed yearly. The World Bank in 2002 reported that an estimated 164 million disability-adjusted life years, representing 11% of the entire disease burden, were attributable to surgically treatable conditions. To study the prevalence of various surgical operations undergone by individuals in their life time, in an urbanized community of Delhi. Cross-sectional study, conducted from October 2008 to April 2009 in Vivek Vihar—an urban affluent colony in Delhi. A total of 3,043 individuals residing in 622 households were interviewed as part of the study. Total number of households with some member having ever undergone surgery was 306 (49.2%). 12.3% of our study population (375 out of 3,043) had undergone one or the other form of major surgical operation in their life time. Caesarean section was found to be the most common surgical procedure performed. 61.7% surgeries were elective in nature and 81.9% were performed in a private hospital. The lifetime prevalence of surgical procedures was 1.77% among children, 12.6% among adult males and 15.8% among adult females (p < 0.001). It was observed that the expense of surgeries conducted in private hospitals was more compared to government. Our findings suggest that surgery occurs at a substantial rate, at least among the urban affluent, with most of the patients choosing to refer to a private hospital for their surgery.