Identifying a Basket of Surgical Procedures to Standardize Global Surgical Metrics: An International Delphi Study.

Annals of Surgery
Maria L OdlandThomas G Weiser

Abstract

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. 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. 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." 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 ...Continue Reading

References

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Citations

Jun 17, 2021·BMJ Global Health·Danyca Shadé BreedtUNKNOWN AfroSurg Collaborative
Jun 14, 2021·American Journal of Surgery·Kenneth L AbbottUNKNOWN Society for Improving Medical Professional Learning

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Methods Mentioned

BETA
biopsy

Software Mentioned

REDCap

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