Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries
In: THE LANCET, 2022, Heft 10363, S. 1607-1617
Online
academicJournal
Zugriff:
Background: The 2015 Lancet Commission on global surgery identified surgery and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility of planned surgical services around the world, which have also been neglected in pandemic recovery planning. This study aimed to develop and validate a novel index to support local elective surgical system strengthening and address growing backlogs. Methods: First, we performed an international consultation through a four-stage consensus process to develop a multidomain index for hospital-level assessment (surgical preparedness index; SPI). Second, we measured surgical preparedness across a global network of hospitals in high-income countries (HICs), middle-income countries (MICs), and low-income countries (LICs) to explore the distribution of the SPI at national, subnational, and hospital levels. Finally, using COVID-19 as an example of an external system shock, we compared hospitals' SPI to their planned surgical volume ratio (SVR; ie, operations for which the decision for surgery was made before hospital admission), calculated as the ratio of the observed surgical volume over a 1-month assessment period between June 6 and Aug 5, 2021, against the expected surgical volume based on hospital administrative data from the same period in 2019 (ie, a pre-pandemic baseline). A linear mixed-effects regression model was used to determine the effect of increasing SPI score. Findings: In the first phase, from a longlist of 103 candidate indicators, 23 were prioritised as core indicators of elective surgical system preparedness by 69 clinicians (23 [33%] women; 46 [67%] men; 41 from HICs, 22 from MICs, and six from LICs) from 32 countries. The multidomain SPI included 11 indicators on facilities and consumables, two on staffing, two on prioritisation, and eight on systems. Hospitals were scored from 23 (least prepared) to 115 points (most prepared). In the second phase, surgical preparedness was measured in 1632 hospitals by 4714 ...
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Elective surgery system strengthening: development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries
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Autor/in / Beteiligte Person: | Glasbey, James C ; Abbott, Tom EF ; Ademuyiwa, Adesoji ; Adisa, Adewale ; Alameer, Ehab ; Alshryda, Sattar ; Arnaud, Alexis P ; Bankhead-Kendall, Brittany ; Abou, Chaar MK ; Chaudhry, Daoud ; Costas-Chavarri, Ainhoa ; Cunha, Miguel F ; Davies, Justine I ; Desai, Anant ; Elhadi, Muhammed ; Fiore, Marco ; Fitzgerald, James Edward ; Fourtounas, Maria ; Fowler, Alex James ; Futaba, Kay ; Gallo, Gaetano ; Ghosh, Dhruva ; Gujjuri, Rohan R ; Hamilton, Rebecca ; Haque, Parvez ; Harrison, Ewen M ; Hutchinson, Peter ; Hyman, Gabriella ; Isik, Arda ; Jayarajah, Umesh ; Kaafarani, Haytham MA ; Kadir, Bryar ; Lawani, Ismail ; Lederhuber, Hans ; Li, Elizabeth ; Löffler, Markus W ; Lorena, Maria Aguilera ; Mann, Harvinder ; Martin, Janet ; Mazingi, Dennis ; McClain, Craig D ; McLean, Kenneth A ; Meara, John G ; Ramos-De La Medina, Antonio ; Mengesha, Mengistu ; Minaya, Ana ; Modolo, Maria Marta ; Moore, Rachel ; Morton, Dion ; Nepogodiev, Dmitri ; Ntirenganya, Faustin ; Pata, Francesco ; Pearse, Rupert ; Picciochi, Maria ; Pinkney, Thomas ; Pockney, Peter ; van Ramshorst, Gabrielle H ; Richards, Toby ; Roslani, April Camilla ; Satoi, Sohei ; Sayyed, Raza ; Shaw, Richard ; Simões, Joana FF ; Smart, Neil ; Sullivan, Richard ; Sund, Malin ; Sundar, Sudha ; Tabiri, Stephen ; Taylor, Elliott H ; Venn, Mary L ; Wickramasinghe, Dakshitha ; Wright, Naomi ; Yip, Sebastian Bernardo Shu ; Bhangu, Aneel ; Omar, Oma ; Harrison, Ewen ; Bhangu, Aneel AS ; Siaw-Acheampong, Kwabena ; Benson, Ruth A ; Bywater, Edward ; Dawson, Brett E ; Evans, Jonathan P ; Heritage, Emily ; Jones, Conor S ; Kamarajah, Sivesh K ; Khatri, Chetan ; Khaw, Rachel A ; Keatley, James M ; Knight, Andrew ; Lawday, Samuel ; Mann, Harvinder S ; Marson, Ella J ; McKay, Siobhan C ; Mills, Emily C ; Pellino, Gianluca ; Tiwari, Abhinav ; Trout, Isobel M ; Wilkin, Richard JW ; Abukhalaf, Sadi ; Adamina, Michel ; Ademuyiwa, Adesoji O ; Agarwal, Arnav ; Akkulak, Murat ; Alderson, Derek ; Alakaloko, Felix ; Albertsmeier, Markus ; Alser, Osaid ; Alshaar, Muhammad ; Augestad, Knut Magne ; Ayasra, Faris ; Azevedo, José ; Bankhead-Kendall, Brittany K ; Barlow, Emma ; Beard, David ; Blanco-Colino, Ruth ; Brar, Amanpreet ; Minaya-Bravo, Ana ; Breen, Kerry A ; Bretherton, Chris ; Buarque, Igor Lima ; Burke, Joshua ; Caruana, Edward J ; Chaar, Mohammad ; Chakrabortee, Sohini ; Christensen, Peter ; Cox, Daniel ; Cukier, Moises ; Davidson, Giana H ; Di Saverio, Salomone ; Drake, Thomas M ; Edwards, John G ; Emile, Sameh ; Farik, Shebani ; Ford, Samuel ; Garmanova, Tatiana ; Gomes, Gustavo Mendonça Ataíde ; Grecinos, Gustavo ; Griffiths, Ewen A ; Gruendl, Magdalena ; Halkias, Constantine ; Hisham, Intisar ; Hutchinson, Peter J ; Hwang, Shelley ; Jenkinson, Michael D ; Jonker, Pascal ; Keller, Debby ; Kolias, Angelos ; Kruijff, Schelto ; Leventoglu, Sezai ; Litvin, Andrey ; Loehrer, Andrew ; Major, Piotr ; Mashbari, Hassan N ; Metallidis, Symeon ; Mohan, Helen M ; Moszkowicz, David ; Moug, Susan ; Ng-Kamstra, Joshua S ; Maimbo, Mayaba ; Negoi, Ionut ; Niquen, Milagros ; Olivos, Maricarmen ; Oussama, Kacimi ; Outani, Oumaima ; Parreno-Sacdalanm, Marie Dione ; Rivera, Carlos Jose Perez ; Plas, Willemijn van der ; Qureshi, Ahmad ; Radenkovic, Dejan ; Revell, Elliot J ; Roberts, Keith ; Roslani, April C ; Rutegård, Martin ; Segura-Sampedro, Juan José ; Santos, Irène ; Schache, Andrew ; Schnitzbauer, Andreas A ; Seyi-Olajide, Justina O ; Sharma, Neil ; Shaw, Catherine A ; Shu, Sebastian ; Soreide, Kjetil ; Spinelli, Antonino ; Stewart, Grant D ; Townend, Philip ; Tsoulfas, Georgios ; Vidya, Raghavan ; Vimalachandran, Dale ; Warren, Oliver J ; Wedderburn, Duane ; Booth, Lesley ; Barker, Margaret ; Barker, Neil ; Cooke, Shirley ; Doré, Suzanne ; Horwood, Nigel ; Runigamugabo, Emmy ; Weir, Carrie Tierney ; Bahrami-Hessari, Mike ; Riaz, Asad ; Shah, Jaffer ; Safi, Mohammed ; Thereska, Dariel ; Dajti, Irida ; Cheddadi, Riadh ; Tidjane, Anisse ; Quinteros, Carlos A ; khelfaoui, Ahmed ; Salem, Khalifa M ; Riffi, Omar ; Kacimi, Salah Eddine O ; Loudjedi, Salim ; Damerdji, Tidjani ; Pantoja Pachajoa, Diana A ; Palacios Huatuco, René M ; Alvarez, Fernando A ; Doniquian, Alejandro M ; Abeldaño Zuñiga, Roberto A ; Schlottmann, Francisco ; Cobos, Carlos M ; Gigena, Cecilia ; Forneris, Agustin Albani ; Duro, Agustin ; García-Mansilla, Agustín M ; Busnelli, Virginia Cano ; Poggi, Catalina ; Mercado, Pedro L ; Virgilio, Edoardo ; Maniscalco, Pietro ; Fowler, Alex Jame ; Lederhuber, Han ; Mazingi, Denni ; Mcclain, Craig D ; Mclean, Kenneth A ; Pinkney, Thoma ; Mckay, Siobhan C |
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Zeitschrift: | THE LANCET, 2022, Heft 10363, S. 1607-1617 |
Veröffentlichung: | Lancet, 2022 |
Medientyp: | academicJournal |
DOI: | 10.1016/S0140-6736(22)01846-3 |
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