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Can J Anaesth. 2019 Feb;66(2):218-229. doi: 10.1007/s12630-018-1261-5. Epub 2018 Nov 27.

The need to collect, aggregate, and analyze global anesthesia and surgery data.

Author information

1
Department of Epidemiology, Technical University Munich, Munich, Germany. sabrinajuran@gmail.com.
2
Technical Division, United Nations Population Fund, New York, NY, USA. sabrinajuran@gmail.com.
3
Department of Epidemiology, Technical University Munich, Munich, Germany.
4
Program in Global Surgery, Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
5
Northwick Park Hospital, Imperial College London, London, UK.
6
Klinikum Bogenhausen, Technical University Munich, Munich, Germany.
7
The Demographic and Health Survey Program, ICF, Fairfax, VA, USA.
8
School of Population Sciences and Health Services Research Faculty of Life Sciences and Medicine, King's College London, London, UK.
9
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.
10
World Health Organization, Geneva, Switzerland.
11
Lund University, WHO Collaborating Centre for Surgery and Public Health, Lund, Sweden.
12
Rutgers Global Surgery, Rutgers Biomedical Health Sciences, Newark, NJ, USA.
13
Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg, South Africa.
14
Department of Plastic & Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
15
Department of Anaesthesia & Perioperative Care, University of California San Francisco, San Francisco, CA, USA.
16
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Abstract

In the Sustainable Development Goals era, there is a new awareness of the need for an integrated approach to healthcare interventions and a strong commitment to Universal Health Coverage. To achieve the goal of strengthening entire health systems, surgery, as a crosscutting treatment modality, is indispensable. For any health system strengthening exercise, baseline data and longitudinal monitoring of progress are necessary. With improved data capabilities, there are unparalleled possibilities to map out and understand systems, integrating data from many sources and sectors. Nevertheless, there is also a need to prioritize among indicators to avoid information overload and data collection fatigue. There is a similar need to define indicators and collection methodology to create standardized and comparable data. Finally, there is a need to establish data pathways to ensure clear responsibilities amongst national and international institutions and integrate surgical metrics into existing mechanisms for sustainable data collection. This is a call to collect, aggregate, and analyze global anesthesia and surgery data, with an account of existing data sources and a proposed way forward.

PMID:
30484168
DOI:
10.1007/s12630-018-1261-5

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