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

Hyla-Louise Kluyts¹, Gillian J Bedwell², Alemayehu G Bedada³, Tarig Fadalla⁴, Adam Hewitt-Smith⁵, Bernard A Mbwele⁶, Busisiwe Mrara⁷, Akinyinka Omigbodun⁸, Jones Omoshoro-Jones⁹, Edwin W Turton¹⁰, Fitsum K Belachew¹¹, Kathryn Chu¹², Esther Cloete², Gerald Ekwen¹³, Mohamed Ahmed Elfagieh¹⁴, Mahmoud Elfiky¹⁵, Mayaba Maimbo¹⁶, Atilio Morais¹⁷, Christophe Mpirimbanyi¹⁸, Dolly Munlemvo¹⁹, Pisirai Ndarukwa^{20

21}, Isaac Smalle²², Alexandra Torborg²³, Mpoki Ulisubisya²⁴, Maher Fawzy²⁵, Veekash Gobin²⁶, Motselisi Mbeki²⁷, Zipporah Ngumi²⁸, Ushmaben Patel-Mujajati²⁹, Hamza D Sama³⁰, Janat Tumukunde³¹, Akwasi Antwi-Kusi³², Apollo Basenaro³³, Gillian Lamacraft³⁴, Farai Madzimbamuto³⁵, Salome Maswime³⁶, Vanessa Msosa³⁷, Wakisa Mulwafu³⁸, Coulibaly Youssouf³⁹, Rupert Pearse⁴⁰, Bruce M Biccard²

Affiliations

¹ Department Anaesthesiology, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Molotlegi Street, Ga-Rankuwa, Pretoria, South Africa. hyla.kluyts@smu.ac.za.
² Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
³ Department of Surgery, Faculty of Medicine, Princess Marina Hospital, University of Botswana, Corner of Notwane and Mobuto Road, Gaborone, Botswana.
⁴ Ribat Neurospine Center, Ribat University Hospital, The National Ribat University, Nile Street Burri, Khartoum, Sudan.
⁵ Department of Anaesthesia and Critical Care, Faculty of Health Sciences, Busitema University, Mbale Campus, Mbale, Uganda.
⁶ Department of Epidemiology, Mbeya Zonal Referral Hospital, University of Dar Es Salaam, Mbeya, Tanzania.
⁷ Department of Anaesthesiology, Nelson Mandela Academic Hospital, Walter Sisulu University, Sissons Street Campus, Fortgale, Mthatha, Eastern Cape, South Africa.
⁸ College of Medicine, University College Hospital Ibadan, University of Ibadan, Ibadan, Nigeria.
⁹ Department of Surgery, Chris Hani-Baragwanath Academic Hospital, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
¹⁰ Faculty of Health Sciences, University of the Free State and Pelonomi Tertiary Hospital, PO Box 339 (G67), Bloemfontein, South Africa.
¹¹ Debre Berhan University, Debre Berhan, Ethiopia.
¹² Centre for Global Surgery, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
¹³ JJ Dosen County Referral Hospital, Maryland, Liberia.
¹⁴ Misurata Cancer Center, Misurata, Libya.
¹⁵ Faculty of Medicine, Cairo University, Giza, Egypt.
¹⁶ Kitwe Teaching Hospital, Kitwe, Zambia.
¹⁷ Departamento de Cirurgias Faculdade De Medicina, College of Cardiovascular and Thoracic Surgery, Hospital Central de Maputo, Universidade Eduardo Mondlane, Maputo, Mozambique.
¹⁸ Kibungo Referral Hospital, Kibungo, Rwanda.
¹⁹ University Hospital of Kinshasa, Kinshasa, Democratic Republic of the Congo.
²⁰ Bindura University of Science Education, Bindura, Zimbabwe.
²¹ School of Nursing and Public Health, University of Kwa-Zulu Natal, Durban, South Africa.
²² College of Medicine and Allied Health Sciences, University of Sierra Leone, Connaught Hospital, Freetown, Sierra Leone.
²³ Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of Kwa-Zulu Natal, Durban, South Africa.
²⁴ Hubert Kairuki Memorial University, Mbeya Zonal Referral Hospital, Mbeya, Tanzania.
²⁵ Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt.
²⁶ Jawaharall Nehru Hospital, Ministry of Health and Wellness, Rose Belle, Mauritius.
²⁷ Kalafong Provincial Tertiary Hospital, University of Pretoria, Pretoria, South Africa.
²⁸ School of Medicine, Kenyatta National Hospital, University of Nairobi, Nairobi, Kenya.
²⁹ Levy Mwanawasa University Teaching Hospital, University of Zambia, Lusaka, Zambia.
³⁰ Anesthesia Resuscitation and Critical Care Medicine, Sylvanus Olympio University Teaching Hospital, Lomé, Togo.
³¹ College of Health Sciences, Makerere University, Kampala, Uganda.
³² Komfo Anokye Teaching Hospital, Kumasi, Ghana.
³³ MPH Ministry of Health and Social Services, Windhoek, Namibia.
³⁴ University of the Free State, Bloemfontein, South Africa.
³⁵ Department of Anaesthesia, University of Botswana, Gaborone, Botswana.
³⁶ Department of Global Surgery, University of Cape Town, Cape Town, South Africa.
³⁷ Kamuzu Central Hospital, Lilongwe, Malawi.
³⁸ Kamuzu University of Health Sciences, Queen Elizabeth Central Hospital Blantyre, Blantyre, Malawi.
³⁹ Centre Hospitalier Universitaire Point G, BP 333, Bamako, Mali.
⁴⁰ Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.

PMID: 36380103
DOI: 10.1007/s00268-022-06815-3

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

Hyla-Louise Kluyts et al. World J Surg. 2023 Mar.

. 2023 Mar;47(3):581-592.

doi: 10.1007/s00268-022-06815-3. Epub 2022 Nov 15.

Authors

Affiliations

¹ Department Anaesthesiology, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Molotlegi Street, Ga-Rankuwa, Pretoria, South Africa. hyla.kluyts@smu.ac.za.
² Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa.
³ Department of Surgery, Faculty of Medicine, Princess Marina Hospital, University of Botswana, Corner of Notwane and Mobuto Road, Gaborone, Botswana.
⁴ Ribat Neurospine Center, Ribat University Hospital, The National Ribat University, Nile Street Burri, Khartoum, Sudan.
⁵ Department of Anaesthesia and Critical Care, Faculty of Health Sciences, Busitema University, Mbale Campus, Mbale, Uganda.
⁶ Department of Epidemiology, Mbeya Zonal Referral Hospital, University of Dar Es Salaam, Mbeya, Tanzania.
⁷ Department of Anaesthesiology, Nelson Mandela Academic Hospital, Walter Sisulu University, Sissons Street Campus, Fortgale, Mthatha, Eastern Cape, South Africa.
⁸ College of Medicine, University College Hospital Ibadan, University of Ibadan, Ibadan, Nigeria.
⁹ Department of Surgery, Chris Hani-Baragwanath Academic Hospital, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa.
¹⁰ Faculty of Health Sciences, University of the Free State and Pelonomi Tertiary Hospital, PO Box 339 (G67), Bloemfontein, South Africa.
¹¹ Debre Berhan University, Debre Berhan, Ethiopia.
¹² Centre for Global Surgery, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
¹³ JJ Dosen County Referral Hospital, Maryland, Liberia.
¹⁴ Misurata Cancer Center, Misurata, Libya.
¹⁵ Faculty of Medicine, Cairo University, Giza, Egypt.
¹⁶ Kitwe Teaching Hospital, Kitwe, Zambia.
¹⁷ Departamento de Cirurgias Faculdade De Medicina, College of Cardiovascular and Thoracic Surgery, Hospital Central de Maputo, Universidade Eduardo Mondlane, Maputo, Mozambique.
¹⁸ Kibungo Referral Hospital, Kibungo, Rwanda.
¹⁹ University Hospital of Kinshasa, Kinshasa, Democratic Republic of the Congo.
²⁰ Bindura University of Science Education, Bindura, Zimbabwe.
²¹ School of Nursing and Public Health, University of Kwa-Zulu Natal, Durban, South Africa.
²² College of Medicine and Allied Health Sciences, University of Sierra Leone, Connaught Hospital, Freetown, Sierra Leone.
²³ Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of Kwa-Zulu Natal, Durban, South Africa.
²⁴ Hubert Kairuki Memorial University, Mbeya Zonal Referral Hospital, Mbeya, Tanzania.
²⁵ Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt.
²⁶ Jawaharall Nehru Hospital, Ministry of Health and Wellness, Rose Belle, Mauritius.
²⁷ Kalafong Provincial Tertiary Hospital, University of Pretoria, Pretoria, South Africa.
²⁸ School of Medicine, Kenyatta National Hospital, University of Nairobi, Nairobi, Kenya.
²⁹ Levy Mwanawasa University Teaching Hospital, University of Zambia, Lusaka, Zambia.
³⁰ Anesthesia Resuscitation and Critical Care Medicine, Sylvanus Olympio University Teaching Hospital, Lomé, Togo.
³¹ College of Health Sciences, Makerere University, Kampala, Uganda.
³² Komfo Anokye Teaching Hospital, Kumasi, Ghana.
³³ MPH Ministry of Health and Social Services, Windhoek, Namibia.
³⁴ University of the Free State, Bloemfontein, South Africa.
³⁵ Department of Anaesthesia, University of Botswana, Gaborone, Botswana.
³⁶ Department of Global Surgery, University of Cape Town, Cape Town, South Africa.
³⁷ Kamuzu Central Hospital, Lilongwe, Malawi.
³⁸ Kamuzu University of Health Sciences, Queen Elizabeth Central Hospital Blantyre, Blantyre, Malawi.
³⁹ Centre Hospitalier Universitaire Point G, BP 333, Bamako, Mali.
⁴⁰ Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.

PMID: 36380103
DOI: 10.1007/s00268-022-06815-3

Abstract

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.

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References

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1. Bishop D, Dyer RA, Maswime S et al (2019) Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study. Lancet Glob Heal 7:e513–e522. https://doi.org/10.1016/S2214-109X(19)30036-1 - DOI
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Determining the Minimum Dataset for Surgical Patients in Africa: A Delphi Study

Affiliations

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

Authors

Affiliations

Abstract

References

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LinkOut - more resources

Full Text Sources