Understanding Outcomes After Major Surgery

Abstract

The global volume of surgery is increasing. Adverse outcomes after surgery have resource implications and long-term impact on quality of life and consequently represent a significant and underappreciated public health issue. Standardization of outcome reporting is essential for evidence synthesis, risk stratification, perioperative care planning, and to inform shared decision-making. The association between short- and long-term outcomes, which persists when corrected for base-line risk, has significant implications for patients and providers and warrants further investigation. Candidate mechanisms include sustained inflammation and reduced physician activity, which may, in the future, be mitigated by targeted interventions.

Anesthesiologists and Community Engagement: A Scoping Review of the Literature

“…3 Patients have significant fears surrounding complications and their potential for additional disability and pain. 4,5 Adverse outcomes also contribute significant resource and economic burdens to health systems. 5 To achieve high-quality care, anesthesiologists need to prioritize patient needs in decision-making and advocate for system changes within medical institutions and public policy.…”

“…4,5 Adverse outcomes also contribute significant resource and economic burdens to health systems. 5 To achieve high-quality care, anesthesiologists need to prioritize patient needs in decision-making and advocate for system changes within medical institutions and public policy. 6 It is widely recognized that disparities in access to high-quality health care are driven by social determinants of health.…”