Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics

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dc.contributor.authorOdland, ML
dc.contributor.authorNepogodiev, D
dc.contributor.authorMorton, D
dc.contributor.authorMartin, J
dc.contributor.authorBekele, A
dc.contributor.authorGhosh, D
dc.contributor.authorAdemuyiwa, AO
dc.contributor.authorDavies, JI
dc.contributor.authorWesier, TM
dc.date.accessioned2022-01-21T14:03:06Z
dc.date.available2022-01-21T14:03:06Z
dc.date.issued2021-12
dc.descriptionscholarly articlesen_US
dc.description.abstractObjective: We aimed to define a globally applicable list of surgical procedures, or "basket," which could represent a health system's capacity to provide surgical care and standardize global surgical measurement. Summary of background data: Six indicators have been proposed to assess access to safe, affordable, timely surgical and anesthesia care, with a focus on laparotomy, cesarean section, and treatment of open fracture. However, comparability, particularly for these procedures, has been limited by a lack of definitional clarity and their overly broad scope. Methods: We conducted a 3 round international expert Delphi exercise between April and June 2019 using REDCap to identify a set of procedures representative of surgical capacity. To be included, procedures had to be important for treating common conditions, well-defined, and impactful (ie, well-recognized clinical or functional benefit). Procedures were eliminated or prioritized in each round, and those noted as "extremely" or "very important" by ≥50% of respondents in round 3 were included in the final "basket." Results: Altogether 331 respondents from 78 countries participated in the Delphi process. A final basket of 32 procedures representing disease categories in trauma, cancer, congenital anomalies, maternal/reproductive health, aging, and infection were identified for inclusion to assess surgical capacity. Conclusions: This surgical basket facilitates a more standardized assessment of a country's surgical system. Further testing and refinement will likely be needed, but this basket can be used immediately to guide ongoing monitoring and evaluation of global surgery capacities to improve and strengthen surgery and anesthesia care.en_US
dc.identifier.citationOdland ML, Nepogodiev D, Morton D, Martin J, Bekele A, Ghosh D, Ademuyiwa AO, Davies JI, Weiser TG. Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study. Ann Surg. 2021 Dec 1;274(6):1107-1114. doi: 10.1097/SLA.0000000000004611. PMID: 33214454.en_US
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/10654
dc.language.isoenen_US
dc.publisherWalters Kluweren_US
dc.subjectMetricsen_US
dc.subjectHealth system capacityen_US
dc.subjectAnesthesia careen_US
dc.subjectGlobal surgeryen_US
dc.subjectResearch Subject Categories::MEDICINE::Surgeryen_US
dc.titleIdentifying a Basket of Surgical Procedures to Standardize Global Surgical Metricsen_US
dc.typeArticleen_US
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