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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00007947naa a2200961 4500
001oai:gup.ub.gu.se/307381
003SwePub
008240910s2021 | |||||||||||000 ||eng|
009oai:lup.lub.lu.se:a6c8b69a-34e9-4c0b-9a39-6cbe72675847
009oai:prod.swepub.kib.ki.se:147405049
024a https://gup.ub.gu.se/publication/3073812 URI
024a https://doi.org/10.1371/journal.pmed.10037492 DOI
024a https://lup.lub.lu.se/record/a6c8b69a-34e9-4c0b-9a39-6cbe726758472 URI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1474050492 URI
040 a (SwePub)gud (SwePub)lud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Davies, J. I.u University of Birmingham,University of the Witwatersrand,Stellenbosch University4 aut
2451 0a Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report
264 c 2021-08-20
264 1b Public Library of Science (PLoS),c 2021
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a australian-resuscitation-council
653 a international liaison committee
653 a american-heart-association
653 a recommended guidelines
653 a political priority
653 a stroke-foundation
653 a health
653 a cardiopulmonary
653 a statement
653 a outcomes
653 a General & Internal Medicine
700a Gelb, A. W.u University of California, San Francisco4 aut
700a Gore-Booth, J.u Baerum Hospital4 aut
700a Mellin-Olsen, J.u University of California, San Francisco,Baerum Hospital4 aut
700a Martin, J.u University of Western Ontario,King's College London4 aut
700a Akerman, C.u Dell Medical School,Harvard Business School4 aut
700a Ameh, E. A.u National hospital, Abuja4 aut
700a Biccard, B. M.u Groote Schuur Hospital,University of Cape Town4 aut
700a Braut, G. S.u Stavanger University Hospital4 aut
700a Chu, K. M.u Stellenbosch University4 aut
700a Derbew, M.u Black Lion Hospital, Ethiopia4 aut
700a Hagander, Larsu Lund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Barnkirurgi,Forskargrupper vid Lunds universitet,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Pediatric surgery,Lund University Research Groups4 aut0 (Swepub:lu)med-lhd
700a Guzman, J. M.u Harvard Medical School,Boston Children's Hospital4 aut
700a Hagander, L.4 aut
700a Haylock-Loor, C.4 aut
700a Holmer, Hampusu Karolinska Institute,Lund University,Lunds universitet,Barnkirurgi,Forskargrupper vid Lunds universitet,Pediatric surgery,Lund University Research Groups,University Medical Center Utrecht4 aut0 (Swepub:lu)med-hsh
700a Johnson, W.u Loma Linda University4 aut
700a Juran, S.u Harvard Medical School4 aut
700a Kassebaum, N. J.4 aut
700a Laerdal, T.4 aut
700a Leather, A. J. M.4 aut
700a Lipnick, M. S.u University of California, San Francisco,Norwegian University of Science and Technology4 aut
700a Ljungman, Davidu Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xljuda
700a Makasa, E. M. M.u University of the Witwatersrand4 aut
700a Meara, J. G.4 aut
700a Newton, M. W.u Vanderbilt University4 aut
700a Ostergaard, D.u University of Copenhagen4 aut
700a Reynolds, T.u World Health Organization Centre for Health Development4 aut
700a Romanzi, L. J.u Harvard Medical School4 aut
700a Santhirapala, V.u Harvard Medical School,Guy's and St Thomas' NHS Foundation Trust4 aut
700a Shrime, Mark G.u Royal College of Surgeons in Ireland,Harvard Medical School4 aut0 (Swepub:lu)ma3176sh
700a Soreide, K.u Stavanger University Hospital,University of Bergen4 aut
700a Steinholt, M.4 aut
700a Suzuki, E.4 aut
700a Varallo, J. E.4 aut
700a Visser, G. H. A.4 aut
700a Watters, D.4 aut
700a Weiser, T. G.u University of Edinburgh,Stanford University4 aut
700a Ljungman, Davu Sahlgrenska Academy4 aut
710a University of Birminghamb University of the Witwatersrand4 org
773t Plos Medicined : Public Library of Science (PLoS)g 18:8q 18:8x 1549-1277x 1549-1676
856u https://journals.plos.org/plosmedicine/article/file?id=10.1371/journal.pmed.1003749&type=printable
856u http://dx.doi.org/10.1371/journal.pmed.1003749x freey FULLTEXT
8564 8u https://gup.ub.gu.se/publication/307381
8564 8u https://doi.org/10.1371/journal.pmed.1003749
8564 8u https://lup.lub.lu.se/record/a6c8b69a-34e9-4c0b-9a39-6cbe72675847
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:147405049

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