Advanced

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 ; 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.
Please use this url to cite or link to this publication:
author
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
  • 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
2015-06-04 18:20:51
date last changed
2017-08-27 03:02:40
@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},
  volume       = {158},
  year         = {2015},
}