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Toward a standard approach to measurement and reporting of perioperative mortality rate as a global indicator for surgery.

Ariyaratnam, Roshan (author)
Palmqvist, Charlotta L (author)
Hider, Phil (author)
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Laing, Grant L (author)
Stupart, Douglas (author)
Wilson, Leona (author)
Clarke, Damian L (author)
Hagander, Lars (author)
Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Kirurgi och folkhälsa,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Surgery and public health,Lund University Research Groups
Watters, David A (author)
Gruen, Russell L (author)
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 (creator_code:org_t)
Elsevier BV, 2015
2015
English.
In: Surgery. - : Elsevier BV. - 1532-7361 .- 0039-6060. ; 158:1, s. 17-26
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • The proportion of patients who die during or after surgery, otherwise known as the perioperative mortality rate (POMR), is a credible indicator of the safety and quality of operative care. Its accuracy and usefulness as a metric, however, particularly one that enables valid comparisons over time or between jurisdictions, has been limited by lack of a standardized approach to measurement and calculation, poor understanding of when in relation to surgery it is best measured, and whether risk-adjustment is needed. Our aim was to evaluate the value of POMR as a global surgery metric by addressing these issues using 4, large, mixed, surgical datasets that represent high-, middle-, and low-income countries.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kirurgi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Surgery (hsv//eng)

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