Humanitarian Surgical Care in the US Military Treatment Facilities in Afghanistan From 2002 to 2013 | Global Health | JAMA Surgery | JAMA Network
[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
Alkire  BC, Raykar  NP, Shrime  MG,  et al.  Global access to surgical care: a modelling study.  Lancet Glob Health. 2015;3(6):e316-e323.PubMedGoogle ScholarCrossref
Edwards  MJ, Lustik  M, Burnett  MW, Eichelberger  M.  Pediatric inpatient humanitarian care in combat: Iraq and Afghanistan 2002 to 2012.  J Am Coll Surg. 2014;218(5):1018-1023.PubMedGoogle ScholarCrossref
Edwards  MJ, Lustik  M, Eichelberger  MR, Elster  E, Azarow  K, Coppola  C.  Blast injury in children: an analysis from Afghanistan and Iraq, 2002-2010.  J Trauma Acute Care Surg. 2012;73(5):1278-1283.PubMedGoogle ScholarCrossref
North Atlantic Treaty Organization Military Agency for Standardization Agreement.  Statistical Classification of Diseases, Injuries and Causes of Death. Brussels, Belgium: North Atlantic Treaty Organization; 1989.
Debas  HT, Donkor  P, Gawande  A, Jamison  DT, Kruk  ME, Mock  CN.  Disease Control Priorities, Vol 1: Essential Surgery. 3rd ed. Washington, DC: World Bank; 2015.Crossref
Meara  JG, Leather  AJ, Hagander  L,  et al.  Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development.  Lancet. 2015;386(9993):569-624.PubMedGoogle ScholarCrossref
Research Letter
January 2018

Humanitarian Surgical Care in the US Military Treatment Facilities in Afghanistan From 2002 to 2013

Author Affiliations
  • 1Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland
  • 2Department of Surgery, Uniformed Services University of the Health Sciences and Walter Reed National Military Medical Center, Bethesda, Maryland
JAMA Surg. 2018;153(1):84-86. doi:10.1001/jamasurg.2017.3142

Medical units of the US military have operated for more than 15 years in Afghanistan, a country with among the lowest estimates of access to safe, timely surgical and anesthesia care.1 Surgeons from the US military have delivered humanitarian surgical care (HSC) to local national civilians throughout the conflict, although previous large reports about this care focused on children.2,3 To provide a more comprehensive accounting, we conducted a retrospective study on HSC provided by deployed US military medical units to local national civilians during the Afghanistan conflict.

The Walter Reed National Military Medical Center Department of Research Programs determined that this study was exempt from review by an institutional review board and did not require participant consent as all records received and analyzed by investigators were deidentified. P < .05 was considered statistically significant. Data were collected from January 1, 2002, to March 21, 2013, and data analysis took place from July 1, 2015, to March 1, 2016.