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

Ariyaratnam, Roshan ; Palmqvist, Charlotta L ; Hider, Phil ; Laing, Grant L ; Stupart, Douglas ; Wilson, Leona ; Clarke, Damian L ; Hagander, Lars LU orcid ; Watters, David A and Gruen, Russell L (2015) In Surgery 158(1). p.17-26
Abstract
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.
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author
; ; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Surgery
volume
158
issue
1
pages
17 - 26
publisher
Elsevier
external identifiers
  • pmid:25958067
  • wos:000356320400004
  • pmid:25958067
  • scopus:84938682396
ISSN
1532-7361
DOI
10.1016/j.surg.2015.03.024
language
English
LU publication?
yes
id
4135db93-9556-403c-938e-10f94a02cab6 (old id 5453588)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/25958067?dopt=Abstract
date added to LUP
2016-04-01 09:53:12
date last changed
2022-04-19 20:30:29
@article{4135db93-9556-403c-938e-10f94a02cab6,
  abstract     = {{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.}},
  author       = {{Ariyaratnam, Roshan and Palmqvist, Charlotta L and Hider, Phil and Laing, Grant L and Stupart, Douglas and Wilson, Leona and Clarke, Damian L and Hagander, Lars and Watters, David A and Gruen, Russell L}},
  issn         = {{1532-7361}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{17--26}},
  publisher    = {{Elsevier}},
  series       = {{Surgery}},
  title        = {{Toward a standard approach to measurement and reporting of perioperative mortality rate as a global indicator for surgery.}},
  url          = {{http://dx.doi.org/10.1016/j.surg.2015.03.024}},
  doi          = {{10.1016/j.surg.2015.03.024}},
  volume       = {{158}},
  year         = {{2015}},
}