dc.creator | Tallón Aguilar, Luis | es |
dc.creator | Capitan-Morales, Luis-Cristobal | es |
dc.creator | Gómez Rosado, Juan Carlos | es |
dc.date.accessioned | 2023-05-10T13:56:40Z | |
dc.date.available | 2023-05-10T13:56:40Z | |
dc.date.issued | 2022-10-31 | |
dc.identifier.citation | Tallón Aguilar, L., Capitan-Morales, L. y Gómez Rosado, J.C. (2022). Elective surgery system strengthening development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries. The Lancet, 400 (10363), 1607-1617. https://doi.org/10.1016/S0140-6736(22)01846-3. | |
dc.identifier.issn | 0140-6736;1474-547X | es |
dc.identifier.uri | https://hdl.handle.net/11441/145804 | |
dc.description.abstract | Background
The 2015 Lancet Commission on global surgery identified surgery and anaesthesia as indispensable parts of holistic health-care systems. However, COVID-19 exposed the fragility of planned surgical services around the world, which have also been neglected in pandemic recovery planning. This study aimed to develop and validate a novel index to support local elective surgical system strengthening and address growing backlogs.
Methods
First, we performed an international consultation through a four-stage consensus process to develop a multidomain index for hospital-level assessment (surgical preparedness index; SPI). Second, we measured surgical preparedness across a global network of hospitals in high-income countries (HICs), middle-income countries (MICs), and low-income countries (LICs) to explore the distribution of the SPI at national, subnational, and hospital levels. Finally, using COVID-19 as an example of an external system shock, we compared hospitals' SPI to their planned surgical volume ratio (SVR; ie, operations for which the decision for surgery was made before hospital admission), calculated as the ratio of the observed surgical volume over a 1-month assessment period between June 6 and Aug 5, 2021, against the expected surgical volume based on hospital administrative data from the same period in 2019 (ie, a pre-pandemic baseline). A linear mixed-effects regression model was used to determine the effect of increasing SPI score. | es |
dc.format | application/pdf | es |
dc.format.extent | 11 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | The Lancet, 400 (10363), 1607-1617. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.title | Elective surgery system strengthening development, measurement, and validation of the surgical preparedness index across 1632 hospitals in 119 countries | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.projectID | 16.136.79 | es |
dc.relation.projectID | NIHR300175 | es |
dc.relation.publisherversion | https://www.sciencedirect.com/science/article/pii/S0140673622018463?via%3Dihub | es |
dc.identifier.doi | 10.1016/S0140-6736(22)01846-3 | es |
dc.journaltitle | The Lancet | es |
dc.publication.volumen | 400 | es |
dc.publication.issue | 10363 | es |
dc.publication.initialPage | 1607 | es |
dc.publication.endPage | 1617 | es |
dc.contributor.funder | Association of Coloproctology of Great Britain and Ireland | es |
dc.contributor.funder | Bowel Research UK | es |
dc.contributor.funder | British Association of Surgical Oncology | es |
dc.contributor.funder | British Gynaecological Cancer Society, and Medtronic | es |
dc.contributor.funder | National Institute for Health Research (NIHR) Global Health Research Unit Grant | es |
dc.contributor.funder | NIHR Doctoral Research Fellowship | es |
dc.contributor.funder | Royal College of Surgeons of England COVID-19 recovery research group | es |