Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey
Background:. Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-03-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000384 |
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| author | Thomas Diehl, MD Taylor J. Jaraczewski, MD, MS Kaleem Sohail Ahmed, MBBS, MSAI Muhammad Rizwan Khan, MBBS, FCPS, FRCS, FACS, MHPE Ewen M. Harrison, MB, ChB, MSc, PhD, FRCS Belay Mellese Abebe, MD Asad Latif, MD, MPH Nabiha Mughal, MD Sadaf Khan, MBBS, FACS, FACRS K. A. Kelly McQueen, MD, MPH, FASA Girma Tefera, MD Syed Nabeel Zafar, MBBS, MPH, FACS |
| author_facet | Thomas Diehl, MD Taylor J. Jaraczewski, MD, MS Kaleem Sohail Ahmed, MBBS, MSAI Muhammad Rizwan Khan, MBBS, FCPS, FRCS, FACS, MHPE Ewen M. Harrison, MB, ChB, MSc, PhD, FRCS Belay Mellese Abebe, MD Asad Latif, MD, MPH Nabiha Mughal, MD Sadaf Khan, MBBS, FACS, FACRS K. A. Kelly McQueen, MD, MPH, FASA Girma Tefera, MD Syed Nabeel Zafar, MBBS, MPH, FACS |
| author_sort | Thomas Diehl, MD |
| collection | DOAJ |
| description | Background:. Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs.
Methods:. An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ2 and ANOVA analyses.
Results:. Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%).
Conclusions:. There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs. |
| format | Article |
| id | doaj-art-4dfc4da47aa445c99dfd7686a44726fb |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-4dfc4da47aa445c99dfd7686a44726fb2025-01-24T09:18:25ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-03-0151e38410.1097/AS9.0000000000000384202403000-00019Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International SurveyThomas Diehl, MD0Taylor J. Jaraczewski, MD, MS1Kaleem Sohail Ahmed, MBBS, MSAI2Muhammad Rizwan Khan, MBBS, FCPS, FRCS, FACS, MHPE3Ewen M. Harrison, MB, ChB, MSc, PhD, FRCS4Belay Mellese Abebe, MD5Asad Latif, MD, MPH6Nabiha Mughal, MD7Sadaf Khan, MBBS, FACS, FACRS8K. A. Kelly McQueen, MD, MPH, FASA9Girma Tefera, MD10Syed Nabeel Zafar, MBBS, MPH, FACS11* From the Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI† Department of Surgery, Medical College of Wisconsin, Milwaukee, WI* From the Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI‡ Department of Surgery, The Aga Khan University, Karachi, Pakistan§ Department of Clinical Surgery, The University of Edinburgh, Edinburgh, United Kingdom‖ Department of Surgery, Hawassa University Comprehensive Specialized Hospital, Awassa, Ethiopia‡ Department of Surgery, The Aga Khan University, Karachi, Pakistan¶ Department of Surgical Oncology, Department of Surgery, New York University Medical Center, New York, NY‡ Department of Surgery, The Aga Khan University, Karachi, Pakistan# Department of Anesthesia, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.* From the Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI* From the Department of Surgery, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WIBackground:. Perioperative data are essential to improve the safety of surgical care. However, surgical outcome research (SOR) from low- and middle-income countries (LMICs) is disproportionately sparse. We aimed to assess practices, barriers, facilitators, and perceptions influencing the collection and use of surgical outcome data (SOD) in LMICs. Methods:. An internet-based survey was developed and disseminated to stakeholders involved in the care of surgical patients in LMICs. The Performance of Routine Information Systems Management framework was used to explore the frequency and relative importance of organizational, technical, and behavioral barriers. Associations were determined using χ2 and ANOVA analyses. Results:. Final analysis included 229 surgeons, anesthesia providers, nurses, and administrators from 36 separate LMICs. A total of 58.1% of individuals reported that their institution had experience with collection of SOD and 73% of these reported a positive impact on patient care. Mentorship and research training was available in <50% of respondent’s institutions; however, those who had these were more likely to publish SOD (P = 0.02). Sixteen barriers met the threshold for significance of which the top 3 were the burden of clinical responsibility, research costs, and accuracy of medical documentation. The most frequently proposed solutions were the availability of an electronic data collection platform (95.3%), dedicated research personnel (93.2%), and access to research training (93.2%). Conclusions:. There are several barriers and facilitators to collection of SOD that are common across LMICs. Most of these can be addressed through targeted interventions and are highlighted in this study. We provide a path towards advancing SOR in LMICs.http://journals.lww.com/10.1097/AS9.0000000000000384 |
| spellingShingle | Thomas Diehl, MD Taylor J. Jaraczewski, MD, MS Kaleem Sohail Ahmed, MBBS, MSAI Muhammad Rizwan Khan, MBBS, FCPS, FRCS, FACS, MHPE Ewen M. Harrison, MB, ChB, MSc, PhD, FRCS Belay Mellese Abebe, MD Asad Latif, MD, MPH Nabiha Mughal, MD Sadaf Khan, MBBS, FACS, FACRS K. A. Kelly McQueen, MD, MPH, FASA Girma Tefera, MD Syed Nabeel Zafar, MBBS, MPH, FACS Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey Annals of Surgery Open |
| title | Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey |
| title_full | Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey |
| title_fullStr | Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey |
| title_full_unstemmed | Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey |
| title_short | Barriers and Facilitators to Collecting Surgical Outcome Data in Low- and Middle-Income Countries: An International Survey |
| title_sort | barriers and facilitators to collecting surgical outcome data in low and middle income countries an international survey |
| url | http://journals.lww.com/10.1097/AS9.0000000000000384 |
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