Priorities for peri-operative research in Africa

B. M. Biccard; The African Peri-operative Research Group (APORG) working group

doi:10.1111/anae.14934

Priorities for peri-operative research in Africa

B. M. Biccard^* (Corresponding Author), The African Peri-operative Research Group (APORG) working group

^*Corresponding author for this work

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
Early online date	5 Jan 2020
DOIs	https://doi.org/10.1111/anae.14934
Publication status	Published - Jan 2020

Bibliographical note

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.

Keywords

anaesthesia
research
surgery

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10.1111/anae.14934Licence: Unspecified

Cite this

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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 = " 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. ",

year = "2020",

month = jan,

doi = "10.1111/anae.14934",

language = "English",

volume = "75",

pages = "e28--e33",

journal = "Anaesthesia",

issn = "0003-2409",

publisher = "Wiley-Blackwell",

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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 - 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.

PY - 2020/1

Y1 - 2020/1

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

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