Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes

Weiser, Thomas; Haynes, Alex B.; Molina, George; Lipsitz, Stuart R.; Esquivel, Micaela; Uribe-Leitz, Tarsicio; Fu, Rui; Azad, Tej D.; Chao, Tiffany E.; Berry, William R.; Gawande, Atul A.

doi:10.1016/s0140-6736(15)60806-6

Cited by 733 publications

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“…2 Attikon University Hospital, Athens, Greece. 3 University of Queensland, Brisbane, Australia. 4 Papageorgiou General Hospital, Thessaloniki, Greece.…”

Section: Resultsmentioning

confidence: 99%

“…Current estimates suggest that 310 million patients undergo surgery worldwide each year, with more procedures taking place in high income countries [2,3]. Findings from epidemiological studies suggest that 4.8 billion people are unable to access safe surgical treatments [4], and the commission has recommended that at least 143 million additional procedures are required each year, primarily in low and middle income countries [5].…”

Section: Introductionmentioning

confidence: 99%

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Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

et al. 2017

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Purpose: As global initiatives increase patient access to surgical treatments, there is a need to define optimal levels of perioperative care. Our aim was to describe the relationship between the provision and use of critical care resources and postoperative mortality.Methods: Planned analysis of data collected during an international 7-day cohort study of adults undergoing elective in-patient surgery. We used risk-adjusted mixed-effects logistic regression models to evaluate the association between admission to critical care immediately after surgery and in-hospital mortality. We evaluated hospital-level associations between mortality and critical care admission immediately after surgery, critical care admission to treat life-threatening complications, and hospital provision of critical care beds. We evaluated the effect of national income using interaction tests. .21]; p < 0.001). This association may differ with national income (high income countries OR 2.50 vs. low and middle income countries OR 4.68; p = 0.07). At hospital level, there was no association between mortality and critical care admission directly after surgery (p = 0.26), critical care admission to treat complications (p = 0.33), or provision of critical care beds (p = 0.70). Findings of the hospital-level analyses were not affected by national income status. A sensitivity analysis including only high-risk patients yielded similar findings. Results Conclusions:We did not identify any survival benefit from critical care admission following surgery.

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“…2 Attikon University Hospital, Athens, Greece. 3 University of Queensland, Brisbane, Australia. 4 Papageorgiou General Hospital, Thessaloniki, Greece.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

et al. 2017

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“…1,21 If it is true that a person's risk of death is higher if their elective surgery is on a Friday compared with earlier in the week, this would have important implications for informed consent and pub lic health. We hypothesized that less experienced surgeons would operate on a Friday compared with other days of the week.…”

Section: Discussionmentioning

confidence: 99%

Association between day of the week of elective surgery and postoperative mortality

Dubois

Vogt

Vinden

et al. 2016

CMAJ

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“…Consciousness consists of two major components: arousal (i.e., the level of consciousness) and awareness of the environment and self (i.e., the content of consciousness). Arousal after cessation of general anesthesia provides an experimental model to investigate the neural mechanism that controls consciousness (3)(4)(5)(6), as yearly more than 312 million patients are placed under general anesthesia worldwide (7). Although the exact mechanism underlying arousal from anesthesia is unknown, ample evidence suggests a remarkable similarity between anesthesia-induced unconsciousness and deep sleep (1,3,4,6,8).…”

Section: Introductionmentioning

confidence: 99%

Endocannabinoid signaling in hypothalamic circuits regulates arousal from general anesthesia in mice

Zhong¹,

Li²,

Gu³

et al. 2017

Journal of Clinical Investigation

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Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes

Abstract: None.

Cited by 733 publications

References 0 publications

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries

Association between day of the week of elective surgery and postoperative mortality

Endocannabinoid signaling in hypothalamic circuits regulates arousal from general anesthesia in mice

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