Priorities for peri-operative research in Africa

The African Peri-operative Research Group (APORG) working group

doi:10.1111/anae.14934

Priorities for peri-operative research in Africa

The African Peri-operative Research Group (APORG) working group

Research output: Contribution to journal › Article › peer-review

21 Citations (Scopus)

Abstract

Deaths following surgery are the third largest contributor to deaths globally, and in Africa are twice the global average. There is a need for a peri-operative research agenda to ensure co-ordinated, collaborative research efforts across Africa in order to decrease peri-operative mortality. The objective was to determine the top 10 research priorities for peri-operative research in Africa. A Delphi technique was used to establish consensus on the top research priorities. The top 10 research priorities identified were (1) Develop training standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (2) Develop minimum provision of care standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (3) Early identification and management of mothers at risk from peripartum haemorrhage in the peri-operative period; (4) The role of communication and teamwork between surgical, anaesthetic, nursing and other teams involved in peri-operative care; (5) A facility audit/African World Health Organization situational analysis tool audit to assess emergency and essential surgical care, which includes anaesthetic equipment available and level of training and knowledge of peri-operative healthcare providers (surgeons, anaesthetists and nurses); (6) Establishing evidence-based practice guidelines for peri-operative physicians in Africa; (7) Economic analysis of strategies to finance access to surgery in Africa; (8) Establishment of a minimum dataset surgical registry; (9) A quality improvement programme to improve implementation of the surgical safety checklist; and (10) Peri-operative outcomes associated with emergency surgery. These peri-operative research priorities provide the structure for an intermediate-term research agenda to improve peri-operative outcomes across Africa.

Original language	English
Pages (from-to)	e28-e33
Number of pages	6
Journal	Anaesthesia
Volume	75
Issue number	S1
DOIs	https://doi.org/10.1111/anae.14934
Publication status	Published - 5 Jan 2020

Bibliographical note

Funding Information:
The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu‐Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared.

Funding Information:
The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu-Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared.

Publisher Copyright:
© 2020 Association of Anaesthetists

Keywords

anaesthesia
research
surgery

Access to Document

10.1111/anae.14934Licence: Unspecified

Cite this

@article{8f1bdf396ea04074afb3e8c7aac4063b,

title = "Priorities for peri-operative research in Africa",

abstract = "Deaths following surgery are the third largest contributor to deaths globally, and in Africa are twice the global average. There is a need for a peri-operative research agenda to ensure co-ordinated, collaborative research efforts across Africa in order to decrease peri-operative mortality. The objective was to determine the top 10 research priorities for peri-operative research in Africa. A Delphi technique was used to establish consensus on the top research priorities. The top 10 research priorities identified were (1) Develop training standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (2) Develop minimum provision of care standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (3) Early identification and management of mothers at risk from peripartum haemorrhage in the peri-operative period; (4) The role of communication and teamwork between surgical, anaesthetic, nursing and other teams involved in peri-operative care; (5) A facility audit/African World Health Organization situational analysis tool audit to assess emergency and essential surgical care, which includes anaesthetic equipment available and level of training and knowledge of peri-operative healthcare providers (surgeons, anaesthetists and nurses); (6) Establishing evidence-based practice guidelines for peri-operative physicians in Africa; (7) Economic analysis of strategies to finance access to surgery in Africa; (8) Establishment of a minimum dataset surgical registry; (9) A quality improvement programme to improve implementation of the surgical safety checklist; and (10) Peri-operative outcomes associated with emergency surgery. These peri-operative research priorities provide the structure for an intermediate-term research agenda to improve peri-operative outcomes across Africa.",

keywords = "anaesthesia, research, surgery",

author = "Biccard, {B. M.} and Torborg, {A. M.} and Madden, {V. J.} and U. Plenge and {du Toit}, L. and M. Flint and P. Forget and A. Hewitt-Smith and A. Mohamed and Omigbodun, {A. O.} and A. Antwi-Kusi and Bedada, {A. G.} and Ndonga, {A. K.} and A. Morais and B. Mbwele and B. Narcisse and Ashebir, {D. Z.} and Munlemvo, {D. M.} and Polepole, {D. M.} and A. Basenero and Smalle, {I. O.} and Madzimbamuto, {F. D.} and G. Ekwen and Kluyts, {H. L.} and J. Tumukunde and Elfiky, {M. A.} and M. Fawzy and M. Maimbo and M. Jalloh and Ulisubisya, {M. M.} and N. Ouedragogo and Mawandza, {P. D.G.} and Sama, {H. D.} and Rakotoarison, {S. R.} and U. Patel-Mujajati and Y. Coulibaly and Ngumi, {Z. W.W.} and E. Zoumenou and {The African Peri-operative Research Group (APORG) working group}",

note = "Funding Information: The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu‐Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared. Funding Information: The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu-Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared. Publisher Copyright: {\textcopyright} 2020 Association of Anaesthetists",

year = "2020",

month = jan,

day = "5",

doi = "10.1111/anae.14934",

language = "English",

volume = "75",

pages = "e28--e33",

journal = "Anaesthesia",

issn = "0003-2409",

publisher = "Wiley-Blackwell",

number = "S1",

}

TY - JOUR

T1 - Priorities for peri-operative research in Africa

AU - Biccard, B. M.

AU - Torborg, A. M.

AU - Madden, V. J.

AU - Plenge, U.

AU - du Toit, L.

AU - Flint, M.

AU - Forget, P.

AU - Hewitt-Smith, A.

AU - Mohamed, A.

AU - Omigbodun, A. O.

AU - Antwi-Kusi, A.

AU - Bedada, A. G.

AU - Ndonga, A. K.

AU - Morais, A.

AU - Mbwele, B.

AU - Narcisse, B.

AU - Ashebir, D. Z.

AU - Munlemvo, D. M.

AU - Polepole, D. M.

AU - Basenero, A.

AU - Smalle, I. O.

AU - Madzimbamuto, F. D.

AU - Ekwen, G.

AU - Kluyts, H. L.

AU - Tumukunde, J.

AU - Elfiky, M. A.

AU - Fawzy, M.

AU - Maimbo, M.

AU - Jalloh, M.

AU - Ulisubisya, M. M.

AU - Ouedragogo, N.

AU - Mawandza, P. D.G.

AU - Sama, H. D.

AU - Rakotoarison, S. R.

AU - Patel-Mujajati, U.

AU - Coulibaly, Y.

AU - Ngumi, Z. W.W.

AU - Zoumenou, E.

AU - The African Peri-operative Research Group (APORG) working group

N1 - Funding Information: The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu‐Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared. Funding Information: The final Delphi workshop was funded by the Discipline of Anaesthesiology and Critical Care, University of KwaZulu-Natal. They had no role in the study design, data acquisition, data analysis or writing of the paper. No other competing interests declared. Publisher Copyright: © 2020 Association of Anaesthetists

PY - 2020/1/5

Y1 - 2020/1/5

N2 - Deaths following surgery are the third largest contributor to deaths globally, and in Africa are twice the global average. There is a need for a peri-operative research agenda to ensure co-ordinated, collaborative research efforts across Africa in order to decrease peri-operative mortality. The objective was to determine the top 10 research priorities for peri-operative research in Africa. A Delphi technique was used to establish consensus on the top research priorities. The top 10 research priorities identified were (1) Develop training standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (2) Develop minimum provision of care standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (3) Early identification and management of mothers at risk from peripartum haemorrhage in the peri-operative period; (4) The role of communication and teamwork between surgical, anaesthetic, nursing and other teams involved in peri-operative care; (5) A facility audit/African World Health Organization situational analysis tool audit to assess emergency and essential surgical care, which includes anaesthetic equipment available and level of training and knowledge of peri-operative healthcare providers (surgeons, anaesthetists and nurses); (6) Establishing evidence-based practice guidelines for peri-operative physicians in Africa; (7) Economic analysis of strategies to finance access to surgery in Africa; (8) Establishment of a minimum dataset surgical registry; (9) A quality improvement programme to improve implementation of the surgical safety checklist; and (10) Peri-operative outcomes associated with emergency surgery. These peri-operative research priorities provide the structure for an intermediate-term research agenda to improve peri-operative outcomes across Africa.

AB - Deaths following surgery are the third largest contributor to deaths globally, and in Africa are twice the global average. There is a need for a peri-operative research agenda to ensure co-ordinated, collaborative research efforts across Africa in order to decrease peri-operative mortality. The objective was to determine the top 10 research priorities for peri-operative research in Africa. A Delphi technique was used to establish consensus on the top research priorities. The top 10 research priorities identified were (1) Develop training standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (2) Develop minimum provision of care standards for peri-operative healthcare providers (surgical, anaesthesia and nursing) in Africa; (3) Early identification and management of mothers at risk from peripartum haemorrhage in the peri-operative period; (4) The role of communication and teamwork between surgical, anaesthetic, nursing and other teams involved in peri-operative care; (5) A facility audit/African World Health Organization situational analysis tool audit to assess emergency and essential surgical care, which includes anaesthetic equipment available and level of training and knowledge of peri-operative healthcare providers (surgeons, anaesthetists and nurses); (6) Establishing evidence-based practice guidelines for peri-operative physicians in Africa; (7) Economic analysis of strategies to finance access to surgery in Africa; (8) Establishment of a minimum dataset surgical registry; (9) A quality improvement programme to improve implementation of the surgical safety checklist; and (10) Peri-operative outcomes associated with emergency surgery. These peri-operative research priorities provide the structure for an intermediate-term research agenda to improve peri-operative outcomes across Africa.

KW - anaesthesia

KW - research

KW - surgery

UR - http://www.scopus.com/inward/record.url?scp=85077326391&partnerID=8YFLogxK

U2 - 10.1111/anae.14934

DO - 10.1111/anae.14934

M3 - Article

C2 - 31903576

AN - SCOPUS:85077326391

SN - 0003-2409

VL - 75

SP - e28-e33

JO - Anaesthesia

JF - Anaesthesia

IS - S1

ER -

Priorities for peri-operative research in Africa

Abstract

Bibliographical note

Keywords

Access to Document

Other files and links

Fingerprint

Cite this