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Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report

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Davies, JI, Gelb, AW, Gore-Booth, J, Martin, J, Mellin-Olsen, J, Åkerman, C, Ameh, EA, Biccard, BM, Braut, GS, Chu, KM, Derbew, M, Ersdal, HL, Guzman, JM, Hagander, L, Haylock-Loor, C, Holmer, H, Johnson, W, Juran, S, Kassebaum, NJ, Laerdal, T, Leather, AJM, Lipnick, MS, Ljungman, D, Makasa, EM, Meara, JG, Newton, MW, Østergaard, D, Reynolds, T, Romanzi, LJ, Santhirapala, V, Shrime, MG, Søreide, K, Steinholt, M, Suzuki, E, Varallo, JE, Visser, GHA, Watters, D & Weiser, TG 2021, 'Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report', PLOS Medicine, bind 18, nr. 8, e1003749, s. e1003749. https://doi.org/10.1371/journal.pmed.1003749

APA

Davies, J. I., Gelb, A. W., Gore-Booth, J., Martin, J., Mellin-Olsen, J., Åkerman, C., Ameh, E. A., Biccard, B. M., Braut, G. S., Chu, K. M., Derbew, M., Ersdal, H. L., Guzman, J. M., Hagander, L., Haylock-Loor, C., Holmer, H., Johnson, W., Juran, S., Kassebaum, N. J., ... Weiser, T. G. (2021). Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report. PLOS Medicine, 18(8), e1003749. [e1003749]. https://doi.org/10.1371/journal.pmed.1003749

CBE

Davies JI, Gelb AW, Gore-Booth J, Martin J, Mellin-Olsen J, Åkerman C, Ameh EA, Biccard BM, Braut GS, Chu KM, Derbew M, Ersdal HL, Guzman JM, Hagander L, Haylock-Loor C, Holmer H, Johnson W, Juran S, Kassebaum NJ, Laerdal T, Leather AJM, Lipnick MS, Ljungman D, Makasa EM, Meara JG, Newton MW, Østergaard D, Reynolds T, Romanzi LJ, Santhirapala V, Shrime MG, Søreide K, Steinholt M, Suzuki E, Varallo JE, Visser GHA, Watters D, Weiser TG. 2021. Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report. PLOS Medicine. 18(8):e1003749. https://doi.org/10.1371/journal.pmed.1003749

MLA

Vancouver

Davies JI, Gelb AW, Gore-Booth J, Martin J, Mellin-Olsen J, Åkerman C o.a. Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report. PLOS Medicine. 2021 aug;18(8):e1003749. e1003749. https://doi.org/10.1371/journal.pmed.1003749

Author

Davies, Justine I ; Gelb, Adrian W ; Gore-Booth, Julian ; Martin, Janet ; Mellin-Olsen, Jannicke ; Åkerman, Christina ; Ameh, Emmanuel A ; Biccard, Bruce M ; Braut, Geir Sverre ; Chu, Kathryn M ; Derbew, Miliard ; Ersdal, Hege Langli ; Guzman, Jose Miguel ; Hagander, Lars ; Haylock-Loor, Carolina ; Holmer, Hampus ; Johnson, Walter ; Juran, Sabrina ; Kassebaum, Nicolas J ; Laerdal, Tore ; Leather, Andrew J M ; Lipnick, Michael S ; Ljungman, David ; Makasa, Emmanuel M ; Meara, John G ; Newton, Mark W ; Østergaard, Doris ; Reynolds, Teri ; Romanzi, Lauri J ; Santhirapala, Vatshalan ; Shrime, Mark G ; Søreide, Kjetil ; Steinholt, Margit ; Suzuki, Emi ; Varallo, John E ; Visser, Gerard H A ; Watters, David ; Weiser, Thomas G. / Global surgery, obstetric, and anaesthesia indicator definitions and reporting : An Utstein consensus report. I: PLOS Medicine. 2021 ; Bind 18, Nr. 8. s. e1003749.

Bibtex

@article{d9d9e1be35c64ad7bfa090b4eef6816d,
title = "Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report",
abstract = "BACKGROUND: Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally.METHODS AND FINDINGS: The Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees.CONCLUSIONS: To track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.",
author = "Davies, {Justine I} and Gelb, {Adrian W} and Julian Gore-Booth and Janet Martin and Jannicke Mellin-Olsen and Christina {\AA}kerman and Ameh, {Emmanuel A} and Biccard, {Bruce M} and Braut, {Geir Sverre} and Chu, {Kathryn M} and Miliard Derbew and Ersdal, {Hege Langli} and Guzman, {Jose Miguel} and Lars Hagander and Carolina Haylock-Loor and Hampus Holmer and Walter Johnson and Sabrina Juran and Kassebaum, {Nicolas J} and Tore Laerdal and Leather, {Andrew J M} and Lipnick, {Michael S} and David Ljungman and Makasa, {Emmanuel M} and Meara, {John G} and Newton, {Mark W} and Doris {\O}stergaard and Teri Reynolds and Romanzi, {Lauri J} and Vatshalan Santhirapala and Shrime, {Mark G} and Kjetil S{\o}reide and Margit Steinholt and Emi Suzuki and Varallo, {John E} and Visser, {Gerard H A} and David Watters and Weiser, {Thomas G}",
year = "2021",
month = aug,
doi = "10.1371/journal.pmed.1003749",
language = "English",
volume = "18",
pages = "e1003749",
journal = "PLOS Medicine",
issn = "1549-1277",
publisher = "Public Library of Science",
number = "8",

}

RIS

TY - JOUR

T1 - Global surgery, obstetric, and anaesthesia indicator definitions and reporting

T2 - An Utstein consensus report

AU - Davies, Justine I

AU - Gelb, Adrian W

AU - Gore-Booth, Julian

AU - Martin, Janet

AU - Mellin-Olsen, Jannicke

AU - Åkerman, Christina

AU - Ameh, Emmanuel A

AU - Biccard, Bruce M

AU - Braut, Geir Sverre

AU - Chu, Kathryn M

AU - Derbew, Miliard

AU - Ersdal, Hege Langli

AU - Guzman, Jose Miguel

AU - Hagander, Lars

AU - Haylock-Loor, Carolina

AU - Holmer, Hampus

AU - Johnson, Walter

AU - Juran, Sabrina

AU - Kassebaum, Nicolas J

AU - Laerdal, Tore

AU - Leather, Andrew J M

AU - Lipnick, Michael S

AU - Ljungman, David

AU - Makasa, Emmanuel M

AU - Meara, John G

AU - Newton, Mark W

AU - Østergaard, Doris

AU - Reynolds, Teri

AU - Romanzi, Lauri J

AU - Santhirapala, Vatshalan

AU - Shrime, Mark G

AU - Søreide, Kjetil

AU - Steinholt, Margit

AU - Suzuki, Emi

AU - Varallo, John E

AU - Visser, Gerard H A

AU - Watters, David

AU - Weiser, Thomas G

PY - 2021/8

Y1 - 2021/8

N2 - BACKGROUND: Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally.METHODS AND FINDINGS: The Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees.CONCLUSIONS: To track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.

AB - BACKGROUND: Indicators to evaluate progress towards timely access to safe surgical, anaesthesia, and obstetric (SAO) care were proposed in 2015 by the Lancet Commission on Global Surgery. These aimed to capture access to surgery, surgical workforce, surgical volume, perioperative mortality rate, and catastrophic and impoverishing financial consequences of surgery. Despite being rapidly taken up by practitioners, data points from which to derive the indicators were not defined, limiting comparability across time or settings. We convened global experts to evaluate and explicitly define-for the first time-the indicators to improve comparability and support achievement of 2030 goals to improve access to safe affordable surgical and anaesthesia care globally.METHODS AND FINDINGS: The Utstein process for developing and reporting guidelines through a consensus building process was followed. In-person discussions at a 2-day meeting were followed by an iterative process conducted by email and virtual group meetings until consensus was reached. The meeting was held between June 16 to 18, 2019; discussions continued until August 2020. Participants consisted of experts in surgery, anaesthesia, and obstetric care, data science, and health indicators from high-, middle-, and low-income countries. Considering each of the 6 indicators in turn, we refined overarching descriptions and agreed upon data points needed for construction of each indicator at current time (basic data points), and as each evolves over 2 to 5 (intermediate) and >5 year (full) time frames. We removed one of the original 6 indicators (one of 2 financial risk protection indicators was eliminated) and refined descriptions and defined data points required to construct the 5 remaining indicators: geospatial access, workforce, surgical volume, perioperative mortality, and catastrophic expenditure. A strength of the process was the number of people from global institutes and multilateral agencies involved in the collection and reporting of global health metrics; a limitation was the limited number of participants from low- or middle-income countries-who only made up 21% of the total attendees.CONCLUSIONS: To track global progress towards timely access to quality SAO care, these indicators-at the basic level-should be implemented universally as soon as possible. Intermediate and full indicator sets should be achieved by all countries over time. Meanwhile, these evolutions can assist in the short term in developing national surgical plans and collecting more detailed data for research studies.

UR - http://www.scopus.com/inward/record.url?scp=85113766661&partnerID=8YFLogxK

U2 - 10.1371/journal.pmed.1003749

DO - 10.1371/journal.pmed.1003749

M3 - Journal article

C2 - 34415914

VL - 18

SP - e1003749

JO - PLOS Medicine

JF - PLOS Medicine

SN - 1549-1277

IS - 8

M1 - e1003749

ER -

ID: 67624161