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

<h4>Background</h4>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...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Justine I Davies, Adrian W Gelb, Julian Gore-Booth, Janet Martin, Jannicke Mellin-Olsen, Christina Åkerman, Emmanuel A Ameh, Bruce M Biccard, Geir Sverre Braut, Kathryn M Chu, Miliard Derbew, Hege Langli Ersdal, Jose Miguel Guzman, Lars Hagander, Carolina Haylock-Loor, Hampus Holmer, Walter Johnson, Sabrina Juran, Nicolas J Kassebaum, Tore Laerdal, Andrew J M Leather, Michael S Lipnick, David Ljungman, Emmanuel M Makasa, John G Meara, Mark W Newton, Doris Østergaard, Teri Reynolds, Lauri J Romanzi, Vatshalan Santhirapala, Mark G Shrime, Kjetil Søreide, Margit Steinholt, Emi Suzuki, John E Varallo, Gerard H A Visser, David Watters, Thomas G Weiser
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Acceso en línea:https://doaj.org/article/8d3644f78fb849509e357b512ce5f054
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:8d3644f78fb849509e357b512ce5f054
record_format dspace
spelling oai:doaj.org-article:8d3644f78fb849509e357b512ce5f0542021-12-02T19:55:38ZGlobal surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.1549-12771549-167610.1371/journal.pmed.1003749https://doaj.org/article/8d3644f78fb849509e357b512ce5f0542021-08-01T00:00:00Zhttps://doi.org/10.1371/journal.pmed.1003749https://doaj.org/toc/1549-1277https://doaj.org/toc/1549-1676<h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.Justine I DaviesAdrian W GelbJulian Gore-BoothJanet MartinJannicke Mellin-OlsenChristina ÅkermanEmmanuel A AmehBruce M BiccardGeir Sverre BrautKathryn M ChuMiliard DerbewHege Langli ErsdalJose Miguel GuzmanLars HaganderCarolina Haylock-LoorHampus HolmerWalter JohnsonSabrina JuranNicolas J KassebaumTore LaerdalAndrew J M LeatherMichael S LipnickDavid LjungmanEmmanuel M MakasaJohn G MearaMark W NewtonDoris ØstergaardTeri ReynoldsLauri J RomanziVatshalan SanthirapalaMark G ShrimeKjetil SøreideMargit SteinholtEmi SuzukiJohn E VaralloGerard H A VisserDavid WattersThomas G WeiserPublic Library of Science (PLoS)articleMedicineRENPLoS Medicine, Vol 18, Iss 8, p e1003749 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
spellingShingle Medicine
R
Justine I Davies
Adrian W Gelb
Julian Gore-Booth
Janet Martin
Jannicke Mellin-Olsen
Christina Åkerman
Emmanuel A Ameh
Bruce M Biccard
Geir Sverre Braut
Kathryn M Chu
Miliard Derbew
Hege Langli Ersdal
Jose Miguel Guzman
Lars Hagander
Carolina Haylock-Loor
Hampus Holmer
Walter Johnson
Sabrina Juran
Nicolas J Kassebaum
Tore Laerdal
Andrew J M Leather
Michael S Lipnick
David Ljungman
Emmanuel M Makasa
John G Meara
Mark W Newton
Doris Østergaard
Teri Reynolds
Lauri J Romanzi
Vatshalan Santhirapala
Mark G Shrime
Kjetil Søreide
Margit Steinholt
Emi Suzuki
John E Varallo
Gerard H A Visser
David Watters
Thomas G Weiser
Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
description <h4>Background</h4>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.<h4>Methods and findings</h4>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.<h4>Conclusions</h4>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.
format article
author Justine I Davies
Adrian W Gelb
Julian Gore-Booth
Janet Martin
Jannicke Mellin-Olsen
Christina Åkerman
Emmanuel A Ameh
Bruce M Biccard
Geir Sverre Braut
Kathryn M Chu
Miliard Derbew
Hege Langli Ersdal
Jose Miguel Guzman
Lars Hagander
Carolina Haylock-Loor
Hampus Holmer
Walter Johnson
Sabrina Juran
Nicolas J Kassebaum
Tore Laerdal
Andrew J M Leather
Michael S Lipnick
David Ljungman
Emmanuel M Makasa
John G Meara
Mark W Newton
Doris Østergaard
Teri Reynolds
Lauri J Romanzi
Vatshalan Santhirapala
Mark G Shrime
Kjetil Søreide
Margit Steinholt
Emi Suzuki
John E Varallo
Gerard H A Visser
David Watters
Thomas G Weiser
author_facet Justine I Davies
Adrian W Gelb
Julian Gore-Booth
Janet Martin
Jannicke Mellin-Olsen
Christina Åkerman
Emmanuel A Ameh
Bruce M Biccard
Geir Sverre Braut
Kathryn M Chu
Miliard Derbew
Hege Langli Ersdal
Jose Miguel Guzman
Lars Hagander
Carolina Haylock-Loor
Hampus Holmer
Walter Johnson
Sabrina Juran
Nicolas J Kassebaum
Tore Laerdal
Andrew J M Leather
Michael S Lipnick
David Ljungman
Emmanuel M Makasa
John G Meara
Mark W Newton
Doris Østergaard
Teri Reynolds
Lauri J Romanzi
Vatshalan Santhirapala
Mark G Shrime
Kjetil Søreide
Margit Steinholt
Emi Suzuki
John E Varallo
Gerard H A Visser
David Watters
Thomas G Weiser
author_sort Justine I Davies
title Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
title_short Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
title_full Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
title_fullStr Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
title_full_unstemmed Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report.
title_sort global surgery, obstetric, and anaesthesia indicator definitions and reporting: an utstein consensus report.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/8d3644f78fb849509e357b512ce5f054
work_keys_str_mv AT justineidavies globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT adrianwgelb globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT juliangorebooth globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT janetmartin globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT jannickemellinolsen globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT christinaakerman globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT emmanuelaameh globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT brucembiccard globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT geirsverrebraut globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT kathrynmchu globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT miliardderbew globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT hegelangliersdal globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT josemiguelguzman globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT larshagander globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT carolinahaylockloor globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT hampusholmer globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT walterjohnson globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT sabrinajuran globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT nicolasjkassebaum globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT torelaerdal globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT andrewjmleather globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT michaelslipnick globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT davidljungman globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT emmanuelmmakasa globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT johngmeara globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT markwnewton globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT dorisøstergaard globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT terireynolds globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT laurijromanzi globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT vatshalansanthirapala globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT markgshrime globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT kjetilsøreide globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT margitsteinholt globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT emisuzuki globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT johnevarallo globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT gerardhavisser globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT davidwatters globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
AT thomasgweiser globalsurgeryobstetricandanaesthesiaindicatordefinitionsandreportinganutsteinconsensusreport
_version_ 1718375851777589248