Determining the Minimum Dataset for Surgical Patients in Africa: A Delphi Study
Corresponding Author
Hyla-Louise Kluyts
Department Anaesthesiology, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Molotlegi Street, Ga-Rankuwa, Pretoria, South Africa
[email protected]Search for more papers by this authorGillian J. Bedwell
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorAlemayehu G. Bedada
Department of Surgery, Faculty of Medicine, Princess Marina Hospital, University of Botswana, Corner of Notwane and Mobuto Road, Gaborone, Botswana
Search for more papers by this authorTarig Fadalla
Ribat Neurospine Center, Ribat University Hospital, The National Ribat University, Nile Street Burri, Khartoum, Sudan
Search for more papers by this authorAdam Hewitt-Smith
Department of Anaesthesia and Critical Care, Faculty of Health Sciences, Busitema University, Mbale Campus, Mbale, Uganda
Search for more papers by this authorBernard A. Mbwele
Department of Epidemiology, Mbeya Zonal Referral Hospital, University of Dar Es Salaam, Mbeya, Tanzania
Search for more papers by this authorBusisiwe Mrara
Department of Anaesthesiology, Nelson Mandela Academic Hospital, Walter Sisulu University, Sissons Street Campus, Fortgale, Mthatha, Eastern Cape, South Africa
Search for more papers by this authorAkinyinka Omigbodun
College of Medicine, University College Hospital Ibadan, University of Ibadan, Ibadan, Nigeria
Search for more papers by this authorJones Omoshoro-Jones
Department of Surgery, Chris Hani-Baragwanath Academic Hospital, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
Search for more papers by this authorEdwin W. Turton
Faculty of Health Sciences, University of the Free State and Pelonomi Tertiary Hospital, PO Box 339 (G67), Bloemfontein, South Africa
Search for more papers by this authorFitsum K. Belachew
Debre Berhan University, Debre Berhan, Ethiopia
Search for more papers by this authorKathryn Chu
Centre for Global Surgery, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Search for more papers by this authorEsther Cloete
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorGerald Ekwen
JJ Dosen County Referral Hospital, Maryland, Liberia
Search for more papers by this authorMahmoud Elfiky
Faculty of Medicine, Cairo University, Giza, Egypt
Search for more papers by this authorAtilio Morais
Departamento de Cirurgias Faculdade De Medicina, College of Cardiovascular and Thoracic Surgery, Hospital Central de Maputo, Universidade Eduardo Mondlane, Maputo, Mozambique
Search for more papers by this authorChristophe Mpirimbanyi
Kibungo Referral Hospital, Kibungo, Rwanda
Search for more papers by this authorDolly Munlemvo
University Hospital of Kinshasa, Kinshasa, Democratic Republic of the Congo
Search for more papers by this authorPisirai Ndarukwa
Bindura University of Science Education, Bindura, Zimbabwe
School of Nursing and Public Health, University of Kwa-Zulu Natal, Durban, South Africa
Search for more papers by this authorIsaac Smalle
College of Medicine and Allied Health Sciences, University of Sierra Leone, Connaught Hospital, Freetown, Sierra Leone
Search for more papers by this authorAlexandra Torborg
Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of Kwa-Zulu Natal, Durban, South Africa
Search for more papers by this authorMpoki Ulisubisya
Hubert Kairuki Memorial University, Mbeya Zonal Referral Hospital, Mbeya, Tanzania
Search for more papers by this authorMaher Fawzy
Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt
Search for more papers by this authorVeekash Gobin
Jawaharall Nehru Hospital, Ministry of Health and Wellness, Rose Belle, Mauritius
Search for more papers by this authorMotselisi Mbeki
Kalafong Provincial Tertiary Hospital, University of Pretoria, Pretoria, South Africa
Search for more papers by this authorZipporah Ngumi
School of Medicine, Kenyatta National Hospital, University of Nairobi, Nairobi, Kenya
Search for more papers by this authorUshmaben Patel-Mujajati
Levy Mwanawasa University Teaching Hospital, University of Zambia, Lusaka, Zambia
Search for more papers by this authorHamza D. Sama
Anesthesia Resuscitation and Critical Care Medicine, Sylvanus Olympio University Teaching Hospital, Lomé, Togo
Search for more papers by this authorJanat Tumukunde
College of Health Sciences, Makerere University, Kampala, Uganda
Search for more papers by this authorAkwasi Antwi-Kusi
Komfo Anokye Teaching Hospital, Kumasi, Ghana
Search for more papers by this authorApollo Basenaro
MPH Ministry of Health and Social Services, Windhoek, Namibia
Search for more papers by this authorGillian Lamacraft
University of the Free State, Bloemfontein, South Africa
Search for more papers by this authorFarai Madzimbamuto
Department of Anaesthesia, University of Botswana, Gaborone, Botswana
Search for more papers by this authorSalome Maswime
Department of Global Surgery, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorWakisa Mulwafu
Kamuzu University of Health Sciences, Queen Elizabeth Central Hospital Blantyre, Blantyre, Malawi
Search for more papers by this authorCoulibaly Youssouf
Centre Hospitalier Universitaire Point G, BP 333, Bamako, Mali
Search for more papers by this authorRupert Pearse
Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
Search for more papers by this authorBruce M. Biccard
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorCorresponding Author
Hyla-Louise Kluyts
Department Anaesthesiology, Dr George Mukhari Academic Hospital, Sefako Makgatho Health Sciences University, Molotlegi Street, Ga-Rankuwa, Pretoria, South Africa
[email protected]Search for more papers by this authorGillian J. Bedwell
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorAlemayehu G. Bedada
Department of Surgery, Faculty of Medicine, Princess Marina Hospital, University of Botswana, Corner of Notwane and Mobuto Road, Gaborone, Botswana
Search for more papers by this authorTarig Fadalla
Ribat Neurospine Center, Ribat University Hospital, The National Ribat University, Nile Street Burri, Khartoum, Sudan
Search for more papers by this authorAdam Hewitt-Smith
Department of Anaesthesia and Critical Care, Faculty of Health Sciences, Busitema University, Mbale Campus, Mbale, Uganda
Search for more papers by this authorBernard A. Mbwele
Department of Epidemiology, Mbeya Zonal Referral Hospital, University of Dar Es Salaam, Mbeya, Tanzania
Search for more papers by this authorBusisiwe Mrara
Department of Anaesthesiology, Nelson Mandela Academic Hospital, Walter Sisulu University, Sissons Street Campus, Fortgale, Mthatha, Eastern Cape, South Africa
Search for more papers by this authorAkinyinka Omigbodun
College of Medicine, University College Hospital Ibadan, University of Ibadan, Ibadan, Nigeria
Search for more papers by this authorJones Omoshoro-Jones
Department of Surgery, Chris Hani-Baragwanath Academic Hospital, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
Search for more papers by this authorEdwin W. Turton
Faculty of Health Sciences, University of the Free State and Pelonomi Tertiary Hospital, PO Box 339 (G67), Bloemfontein, South Africa
Search for more papers by this authorFitsum K. Belachew
Debre Berhan University, Debre Berhan, Ethiopia
Search for more papers by this authorKathryn Chu
Centre for Global Surgery, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Search for more papers by this authorEsther Cloete
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorGerald Ekwen
JJ Dosen County Referral Hospital, Maryland, Liberia
Search for more papers by this authorMahmoud Elfiky
Faculty of Medicine, Cairo University, Giza, Egypt
Search for more papers by this authorAtilio Morais
Departamento de Cirurgias Faculdade De Medicina, College of Cardiovascular and Thoracic Surgery, Hospital Central de Maputo, Universidade Eduardo Mondlane, Maputo, Mozambique
Search for more papers by this authorChristophe Mpirimbanyi
Kibungo Referral Hospital, Kibungo, Rwanda
Search for more papers by this authorDolly Munlemvo
University Hospital of Kinshasa, Kinshasa, Democratic Republic of the Congo
Search for more papers by this authorPisirai Ndarukwa
Bindura University of Science Education, Bindura, Zimbabwe
School of Nursing and Public Health, University of Kwa-Zulu Natal, Durban, South Africa
Search for more papers by this authorIsaac Smalle
College of Medicine and Allied Health Sciences, University of Sierra Leone, Connaught Hospital, Freetown, Sierra Leone
Search for more papers by this authorAlexandra Torborg
Discipline of Anaesthesiology and Critical Care, Nelson R Mandela School of Medicine, University of Kwa-Zulu Natal, Durban, South Africa
Search for more papers by this authorMpoki Ulisubisya
Hubert Kairuki Memorial University, Mbeya Zonal Referral Hospital, Mbeya, Tanzania
Search for more papers by this authorMaher Fawzy
Faculty of Medicine, Cairo University Hospitals, Cairo University, Cairo, Egypt
Search for more papers by this authorVeekash Gobin
Jawaharall Nehru Hospital, Ministry of Health and Wellness, Rose Belle, Mauritius
Search for more papers by this authorMotselisi Mbeki
Kalafong Provincial Tertiary Hospital, University of Pretoria, Pretoria, South Africa
Search for more papers by this authorZipporah Ngumi
School of Medicine, Kenyatta National Hospital, University of Nairobi, Nairobi, Kenya
Search for more papers by this authorUshmaben Patel-Mujajati
Levy Mwanawasa University Teaching Hospital, University of Zambia, Lusaka, Zambia
Search for more papers by this authorHamza D. Sama
Anesthesia Resuscitation and Critical Care Medicine, Sylvanus Olympio University Teaching Hospital, Lomé, Togo
Search for more papers by this authorJanat Tumukunde
College of Health Sciences, Makerere University, Kampala, Uganda
Search for more papers by this authorAkwasi Antwi-Kusi
Komfo Anokye Teaching Hospital, Kumasi, Ghana
Search for more papers by this authorApollo Basenaro
MPH Ministry of Health and Social Services, Windhoek, Namibia
Search for more papers by this authorGillian Lamacraft
University of the Free State, Bloemfontein, South Africa
Search for more papers by this authorFarai Madzimbamuto
Department of Anaesthesia, University of Botswana, Gaborone, Botswana
Search for more papers by this authorSalome Maswime
Department of Global Surgery, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorWakisa Mulwafu
Kamuzu University of Health Sciences, Queen Elizabeth Central Hospital Blantyre, Blantyre, Malawi
Search for more papers by this authorCoulibaly Youssouf
Centre Hospitalier Universitaire Point G, BP 333, Bamako, Mali
Search for more papers by this authorRupert Pearse
Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK
Search for more papers by this authorBruce M. Biccard
Department of Anaesthesia and Perioperative Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa
Search for more papers by this authorSupplementary Information: The online version contains supplementary material available at https://doi.org/10.1007/s00268-022-06815-3.
Copyright comment: Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
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.
Supporting Information
| Filename | Description |
|---|---|
| wjsbf01827-sup-0001.pdfPDF document, 233.5 KB | Supplementary file1 (PDF 233 kb) |
| wjsbf01827-sup-0002.docxapplication/docx, 18.5 KB | Supplementary file2 (DOCX 18 kb) |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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