Determining the Minimum Dataset for Surgical Patients in Africa: A Delphi Study

Background It is often difficult for clinicians in African low- and middle-income countries middle-income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi study was to develop a standardised perioperative dataset for use in a registry. Meth...

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Veröffentlicht in:World journal of surgery 2023-03, Vol.47 (3), p.581-592
Hauptverfasser: Kluyts, Hyla-Louise, Bedwell, Gillian J., Bedada, Alemayehu G., Fadalla, Tarig, Hewitt-Smith, Adam, Mbwele, Bernard A., Mrara, Busisiwe, Omigbodun, Akinyinka, Omoshoro-Jones, Jones, Turton, Edwin W., Belachew, Fitsum K., Chu, Kathryn, Cloete, Esther, Ekwen, Gerald, Elfagieh, Mohamed Ahmed, Elfiky, Mahmoud, Maimbo, Mayaba, Morais, Atilio, Mpirimbanyi, Christophe, Munlemvo, Dolly, Ndarukwa, Pisirai, Smalle, Isaac, Torborg, Alexandra, Ulisubisya, Mpoki, Fawzy, Maher, Gobin, Veekash, Mbeki, Motselisi, Ngumi, Zipporah, Patel-Mujajati, Ushmaben, Sama, Hamza D., Tumukunde, Janat, Antwi-Kusi, Akwasi, Basenaro, Apollo, Lamacraft, Gillian, Madzimbamuto, Farai, Maswime, Salome, Msosa, Vanessa, Mulwafu, Wakisa, Youssouf, Coulibaly, Pearse, Rupert, Biccard, Bruce M.
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Sprache:eng
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Zusammenfassung:Background It is often difficult for clinicians in African low- and middle-income countries middle-income countries to access useful aggregated data to identify areas for quality improvement. The aim of this Delphi study was to develop a standardised perioperative dataset for use in a registry. Methods A Delphi method was followed to achieve consensus on the data points to include in a minimum perioperative dataset. The study consisted of two electronic surveys, followed by an online discussion and a final electronic survey (four Rounds). Results Forty-one members of the African Perioperative Research Group participated in the process. Forty data points were deemed important and feasible to include in a minimum dataset for electronic capturing during the perioperative workflow by clinicians. A smaller dataset consisting of eight variables to define risk-adjusted perioperative mortality rate was also described. Conclusions The minimum perioperative dataset can be used in a collaborative effort to establish a resource accessible to African clinicians in improving quality of care.
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-022-06815-3