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Erschienen in: Current Anesthesiology Reports 1/2024

03.01.2024 | Anesthesia, Pain Management and Long-term Outcomes (VNR Gottumukkala and ER Mariano, Section Editors)

Postsurgical Recovery and Long-Term Outcomes: What Should We Be Measuring?

verfasst von: Rosemary M. G. Hogg, Ciara M. O’Donnell

Erschienen in: Current Anesthesiology Reports | Ausgabe 1/2024

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Abstract

Purpose of Review

To determine which perioperative outcomes are most relevant for patients, clinicians and healthcare systems to determine long-term recovery from surgical intervention.

Recent Findings

Measurement of perioperative outcomes is essential for the development and delivery of high-quality, value-based and patient-centered care. Traditionally, outcome measurement has been focused on quantitative outcomes such as mortality and morbidity. Whilst these measurements have significant merit, they may not reflect what is of greatest import to patients whose priorities are often centered around an expeditious return to perioperative function. Patient-reported outcome measurements are available in a variety of formats and aim to assess the effect of surgical intervention across several domains. It is also becoming increasingly evident that socioeconomic situation and ethnicity play a significant part in access to and recovery from surgery.

Summary

Many factors must be taken into consideration to enable the delivery of value-based surgical care, in particular with an aging population, advances in perioperative techniques and the increase of surgical delivery on a global scale.
Literatur
1.
Zurück zum Zitat O'Donnell CM, McLoughlin L, Patterson CC, Clarke M, McCourt KC, McBrien ME, et al. Perioperative outcomes in the context of mode of anaesthesia for patients undergoing hip fracture surgery: systematic review and meta-analysis. Br J Anaesth. 2018;120(1):37–50.PubMedCrossRef O'Donnell CM, McLoughlin L, Patterson CC, Clarke M, McCourt KC, McBrien ME, et al. Perioperative outcomes in the context of mode of anaesthesia for patients undergoing hip fracture surgery: systematic review and meta-analysis. Br J Anaesth. 2018;120(1):37–50.PubMedCrossRef
2.
Zurück zum Zitat Dobbs TD, Gibson JAG, Fowler AJ, Abbott TE, Shahid T, Torabi F, et al. Surgical activity in England and Wales during the COVID-19 pandemic: a nationwide observational cohort study. Br J Anaesth. 2021;127(2):196–204.PubMedPubMedCentralCrossRef Dobbs TD, Gibson JAG, Fowler AJ, Abbott TE, Shahid T, Torabi F, et al. Surgical activity in England and Wales during the COVID-19 pandemic: a nationwide observational cohort study. Br J Anaesth. 2021;127(2):196–204.PubMedPubMedCentralCrossRef
3.
Zurück zum Zitat Dorken Gallastegi A, Mikdad S, Kapoen C, Breen KA, Naar L, Gaitanidis A, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185–95.PubMedCrossRef Dorken Gallastegi A, Mikdad S, Kapoen C, Breen KA, Naar L, Gaitanidis A, et al. Intraoperative deaths: who, why, and can we prevent them? J Surg Res. 2022;274:185–95.PubMedCrossRef
4.
Zurück zum Zitat Spence J, LeManach Y, Chan MTV, Wang CY, Sigamani A, Xavier D, et al. Association between complications and death within 30 days after noncardiac surgery. Cmaj. 2019;191(30):E830–e7.PubMedCrossRef Spence J, LeManach Y, Chan MTV, Wang CY, Sigamani A, Xavier D, et al. Association between complications and death within 30 days after noncardiac surgery. Cmaj. 2019;191(30):E830–e7.PubMedCrossRef
5.
Zurück zum Zitat Johansen A, Tsang C, Boulton C, Wakeman R, Moppett I. Understanding mortality rates after hip fracture repair using physical status in the National Hip Fracture Database. Anaesthesia. 2017;72(8):961–6.PubMedCrossRef Johansen A, Tsang C, Boulton C, Wakeman R, Moppett I. Understanding mortality rates after hip fracture repair using physical status in the National Hip Fracture Database. Anaesthesia. 2017;72(8):961–6.PubMedCrossRef
6•.
Zurück zum Zitat . Fowler AJ, Wahedally MAH, Abbott TEF, Smuk M, Prowle JR, Pearse RM, et al. Death after surgery among patients with chronic disease: prospective study of routinely collected data in the English NHS. Br J Anaesth. 2022;128(2):333–42. *Recently published study which examines the burden of comorbidity on death after surgeryPubMedCrossRef . Fowler AJ, Wahedally MAH, Abbott TEF, Smuk M, Prowle JR, Pearse RM, et al. Death after surgery among patients with chronic disease: prospective study of routinely collected data in the English NHS. Br J Anaesth. 2022;128(2):333–42. *Recently published study which examines the burden of comorbidity on death after surgeryPubMedCrossRef
7.
Zurück zum Zitat Team NELAP. Eighth patient report of the national emergency laparotomy audit, vol. 2023. London: Royal College of Anaesthetists (RCoA); 2023. Team NELAP. Eighth patient report of the national emergency laparotomy audit, vol. 2023. London: Royal College of Anaesthetists (RCoA); 2023.
8.
Zurück zum Zitat Naghavi M, Abajobir AA, Abbafati C, Abbas KM, Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1151–210.CrossRef Naghavi M, Abajobir AA, Abbafati C, Abbas KM, Abd-Allah F, Abera SF, et al. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017;390(10100):1151–210.CrossRef
9.
Zurück zum Zitat Gill TM, Vander Wyk B, Leo-Summers L, Murphy TE, Becher RD. Population-based estimates of 1-year mortality after major surgery among community-living older US adults. JAMA Surg. 2022;157(12):e225155-e.CrossRef Gill TM, Vander Wyk B, Leo-Summers L, Murphy TE, Becher RD. Population-based estimates of 1-year mortality after major surgery among community-living older US adults. JAMA Surg. 2022;157(12):e225155-e.CrossRef
10.
Zurück zum Zitat Wallis CJD, Jerath A, Aminoltejari K, Kaneshwaran K, Salles A, Coburn N, et al. Surgeon sex and long-term postoperative outcomes among patients undergoing common surgeries. JAMA Surg. 2023;158(11):1185–94.PubMedCrossRef Wallis CJD, Jerath A, Aminoltejari K, Kaneshwaran K, Salles A, Coburn N, et al. Surgeon sex and long-term postoperative outcomes among patients undergoing common surgeries. JAMA Surg. 2023;158(11):1185–94.PubMedCrossRef
11.
Zurück zum Zitat Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242(3):326–41. discussion 41-3PubMedPubMedCentralCrossRef Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg. 2005;242(3):326–41. discussion 41-3PubMedPubMedCentralCrossRef
12.
Zurück zum Zitat Moonesinghe SR, Harris S, Mythen MG, Rowan KM, Haddad FS, Emberton M, et al. Survival after postoperative morbidity: a longitudinal observational cohort study. Br J Anaesth. 2014;113(6):977–84.PubMedPubMedCentralCrossRef Moonesinghe SR, Harris S, Mythen MG, Rowan KM, Haddad FS, Emberton M, et al. Survival after postoperative morbidity: a longitudinal observational cohort study. Br J Anaesth. 2014;113(6):977–84.PubMedPubMedCentralCrossRef
13.
Zurück zum Zitat Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014;383(9920):911–22.PubMedCrossRef Inouye SK, Westendorp RG, Saczynski JS. Delirium in elderly people. Lancet. 2014;383(9920):911–22.PubMedCrossRef
14.
Zurück zum Zitat Puelacher C, Lurati Buse G, Seeberger D, Sazgary L, Marbot S, Lampart A, et al. Perioperative myocardial injury after noncardiac surgery. Circulation. 2018;137(12):1221–32.PubMedCrossRef Puelacher C, Lurati Buse G, Seeberger D, Sazgary L, Marbot S, Lampart A, et al. Perioperative myocardial injury after noncardiac surgery. Circulation. 2018;137(12):1221–32.PubMedCrossRef
15.
Zurück zum Zitat Puelacher C, Gualandro DM, Glarner N, Lurati Buse G, Lampart A, Bolliger D, et al. Long-term outcomes of perioperative myocardial infarction/injury after non-cardiac surgery. Eur Heart J. 2023;44(19):1690–701.PubMedPubMedCentralCrossRef Puelacher C, Gualandro DM, Glarner N, Lurati Buse G, Lampart A, Bolliger D, et al. Long-term outcomes of perioperative myocardial infarction/injury after non-cardiac surgery. Eur Heart J. 2023;44(19):1690–701.PubMedPubMedCentralCrossRef
16.
Zurück zum Zitat Gorst SL, Gargon E, Clarke M, Smith V, Williamson PR. Choosing important health outcomes for comparative effectiveness research: an updated review and identification of gaps. PLoS One. 2016;11(12):e0168403.PubMedPubMedCentralCrossRef Gorst SL, Gargon E, Clarke M, Smith V, Williamson PR. Choosing important health outcomes for comparative effectiveness research: an updated review and identification of gaps. PLoS One. 2016;11(12):e0168403.PubMedPubMedCentralCrossRef
17.
Zurück zum Zitat Clarke M, Williamson PR. Core outcome sets and systematic reviews. Syst Rev. 2016;5:11. Clarke M, Williamson PR. Core outcome sets and systematic reviews. Syst Rev. 2016;5:11.
18.
Zurück zum Zitat Barnes J, Hunter J, Harris S, Shankar-Hari M, Diouf E, Jammer I, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: infection and sepsis. Br J Anaesth. 2019;122(4):500–8.PubMedPubMedCentralCrossRef Barnes J, Hunter J, Harris S, Shankar-Hari M, Diouf E, Jammer I, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: infection and sepsis. Br J Anaesth. 2019;122(4):500–8.PubMedPubMedCentralCrossRef
19.
Zurück zum Zitat Haller G, Bampoe S, Cook T, Fleisher LA, Grocott MPW, Neuman M, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: clinical indicators. Br J Anaesth. 2019;123(2):228–37.PubMedPubMedCentralCrossRef Haller G, Bampoe S, Cook T, Fleisher LA, Grocott MPW, Neuman M, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: clinical indicators. Br J Anaesth. 2019;123(2):228–37.PubMedPubMedCentralCrossRef
20.
Zurück zum Zitat Jackson AIR, Boney O, Pearse RM, Kurz A, Cooper DJ, Van Klei WA, et al. Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure. Br J Anaesth. 2023;130(4):404–11.PubMedCrossRef Jackson AIR, Boney O, Pearse RM, Kurz A, Cooper DJ, Van Klei WA, et al. Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure. Br J Anaesth. 2023;130(4):404–11.PubMedCrossRef
21.
Zurück zum Zitat Mcilroy DR, Bellomo R, Billings FT, Karkouti K, Prowle JR, Shaw AD, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: renal endpoints. Br J Anaesth. 2018;121(5):1013–24.PubMedCrossRef Mcilroy DR, Bellomo R, Billings FT, Karkouti K, Prowle JR, Shaw AD, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: renal endpoints. Br J Anaesth. 2018;121(5):1013–24.PubMedCrossRef
22.
Zurück zum Zitat Moonesinghe SR, Jackson AIR, Boney O, Stevenson N, Chan MTV, Cook TM, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: patient-centred outcomes. Br J Anaesth. 2019;123(5):664–70.PubMedCrossRef Moonesinghe SR, Jackson AIR, Boney O, Stevenson N, Chan MTV, Cook TM, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine initiative: patient-centred outcomes. Br J Anaesth. 2019;123(5):664–70.PubMedCrossRef
23.
Zurück zum Zitat Beattie WS, Lalu M, Bocock M, Feng S, Wijeysundera DN, Nagele P, et al. Systematic review and consensus definitions for the Standardized Endpoints in Perioperative Medicine (StEP) initiative: cardiovascular outcomes. Br J Anaesth. 2021;126(1):56–66.PubMedCrossRef Beattie WS, Lalu M, Bocock M, Feng S, Wijeysundera DN, Nagele P, et al. Systematic review and consensus definitions for the Standardized Endpoints in Perioperative Medicine (StEP) initiative: cardiovascular outcomes. Br J Anaesth. 2021;126(1):56–66.PubMedCrossRef
24.
Zurück zum Zitat Myles PS, Boney O, Botti M, Cyna AM, Gan TJ, Jensen MP, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort. Br J Anaesth. 2018;120(4):705–11.PubMedCrossRef Myles PS, Boney O, Botti M, Cyna AM, Gan TJ, Jensen MP, et al. Systematic review and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: patient comfort. Br J Anaesth. 2018;120(4):705–11.PubMedCrossRef
25.
Zurück zum Zitat Jammer I, Wickboldt N, Sander M, Smith A, Schultz MJ, Pelosi P, et al. Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine: European Perioperative Clinical Outcome (EPCO) definitions: a statement from the ESA-ESICM joint taskforce on perioperative outcome measures. Eur J Anaesthesiol. 2015;32(2):88–105.PubMedCrossRef Jammer I, Wickboldt N, Sander M, Smith A, Schultz MJ, Pelosi P, et al. Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine: European Perioperative Clinical Outcome (EPCO) definitions: a statement from the ESA-ESICM joint taskforce on perioperative outcome measures. Eur J Anaesthesiol. 2015;32(2):88–105.PubMedCrossRef
26.
Zurück zum Zitat O'Donnell CM, Black N, McCourt KC, McBrien ME, Clarke M, Patterson CC, et al. Development of a Core Outcome Set for studies evaluating the effects of anaesthesia on perioperative morbidity and mortality following hip fracture surgery. Br J Anaesth. 2019;122(1):120–30.PubMedCrossRef O'Donnell CM, Black N, McCourt KC, McBrien ME, Clarke M, Patterson CC, et al. Development of a Core Outcome Set for studies evaluating the effects of anaesthesia on perioperative morbidity and mortality following hip fracture surgery. Br J Anaesth. 2019;122(1):120–30.PubMedCrossRef
27.
Zurück zum Zitat McNair AGK, Whistance RN, Forsythe RO, Macefield R, Rees J, Pullyblank AM, et al. Core outcomes for colorectal cancer surgery: a consensus study. PLoS Med. 2016;13(8):e1002071.PubMedPubMedCentralCrossRef McNair AGK, Whistance RN, Forsythe RO, Macefield R, Rees J, Pullyblank AM, et al. Core outcomes for colorectal cancer surgery: a consensus study. PLoS Med. 2016;13(8):e1002071.PubMedPubMedCentralCrossRef
28.
Zurück zum Zitat Hill J, Ashken T, West S, et al. Core outcome set for peripheral regional anesthesia research: a systematic review and Delphi study. Reg Anesth Pain Med. 2022;47:691–7. Hill J, Ashken T, West S, et al. Core outcome set for peripheral regional anesthesia research: a systematic review and Delphi study. Reg Anesth Pain Med. 2022;47:691–7.
29.
Zurück zum Zitat Adogwa O, Lilly DT, Khalid S, Desai SA, Vuong VD, Davison MA, et al. Extended length of stay after lumbar spine surgery: sick patients, postoperative complications, or practice style differences among hospitals and physicians? World Neurosurg. 2019;123:e734–e9.PubMedCrossRef Adogwa O, Lilly DT, Khalid S, Desai SA, Vuong VD, Davison MA, et al. Extended length of stay after lumbar spine surgery: sick patients, postoperative complications, or practice style differences among hospitals and physicians? World Neurosurg. 2019;123:e734–e9.PubMedCrossRef
30.
Zurück zum Zitat Appleby J, DMaGS. Future funding and current productivity in Northern Ireland’s health and social care system. Nuffield Trust; 2022. Appleby J, DMaGS. Future funding and current productivity in Northern Ireland’s health and social care system. Nuffield Trust; 2022.
31.
Zurück zum Zitat Krell RW, Girotti ME, Dimick JB. Extended length of stay after surgery: complications, inefficient practice, or sick patients? JAMA Surg. 2014;149(8):815–20.PubMedPubMedCentralCrossRef Krell RW, Girotti ME, Dimick JB. Extended length of stay after surgery: complications, inefficient practice, or sick patients? JAMA Surg. 2014;149(8):815–20.PubMedPubMedCentralCrossRef
32.
Zurück zum Zitat Bell M, Eriksson LI, Svensson T, Hallqvist L, Granath F, Reilly J, et al. Days at home after surgery: an integrated and efficient outcome measure for clinical trials and quality assurance. EClinicalMedicine. 2019;11:18–26.PubMedPubMedCentralCrossRef Bell M, Eriksson LI, Svensson T, Hallqvist L, Granath F, Reilly J, et al. Days at home after surgery: an integrated and efficient outcome measure for clinical trials and quality assurance. EClinicalMedicine. 2019;11:18–26.PubMedPubMedCentralCrossRef
33.
Zurück zum Zitat Chen YYK, Boden KA, Schreiber KL. The role of regional anaesthesia and multimodal analgesia in the prevention of chronic postoperative pain: a narrative review. Anaesthesia. 2021;76(S1):8–17.PubMedPubMedCentralCrossRef Chen YYK, Boden KA, Schreiber KL. The role of regional anaesthesia and multimodal analgesia in the prevention of chronic postoperative pain: a narrative review. Anaesthesia. 2021;76(S1):8–17.PubMedPubMedCentralCrossRef
34.
Zurück zum Zitat • Yang MMH, Hartley RL, Leung AA, Ronksley PE, Jetté N, Casha S, et al. Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis. BMJ Open. 2019;9(4):e025091. *Systematic review of predictors of postoperative pain highlights multiple factors which may lead to a poor pain outcome for patients.PubMedPubMedCentralCrossRef • Yang MMH, Hartley RL, Leung AA, Ronksley PE, Jetté N, Casha S, et al. Preoperative predictors of poor acute postoperative pain control: a systematic review and meta-analysis. BMJ Open. 2019;9(4):e025091. *Systematic review of predictors of postoperative pain highlights multiple factors which may lead to a poor pain outcome for patients.PubMedPubMedCentralCrossRef
35.
Zurück zum Zitat Vasilopoulos T, Wardhan R, Rashidi P, Fillingim RB, Wallace MR, Crispen PL, et al. Patient and procedural determinants of postoperative pain trajectories. Anesthesiology. 2021;134(3):421–34.PubMedCrossRef Vasilopoulos T, Wardhan R, Rashidi P, Fillingim RB, Wallace MR, Crispen PL, et al. Patient and procedural determinants of postoperative pain trajectories. Anesthesiology. 2021;134(3):421–34.PubMedCrossRef
36.
Zurück zum Zitat Althaus A, Arránz Becker O, Moser K-H, Lux EA, Weber F, Neugebauer E, et al. Postoperative pain trajectories and pain chronification—an empirical typology of pain patients. Pain Med. 2018;19(12):2536–45.PubMedCrossRef Althaus A, Arránz Becker O, Moser K-H, Lux EA, Weber F, Neugebauer E, et al. Postoperative pain trajectories and pain chronification—an empirical typology of pain patients. Pain Med. 2018;19(12):2536–45.PubMedCrossRef
37.
Zurück zum Zitat Baamer RM, Humes DJ, Toh LS, Knaggs RD, Lobo DN. Predictors of persistent postoperative opioid use following colectomy: a population-based cohort study from England. Anaesthesia. 2023;78(9):1081–92.PubMedCrossRef Baamer RM, Humes DJ, Toh LS, Knaggs RD, Lobo DN. Predictors of persistent postoperative opioid use following colectomy: a population-based cohort study from England. Anaesthesia. 2023;78(9):1081–92.PubMedCrossRef
38.
Zurück zum Zitat Stark N, Kerr S, Stevens J. Prevalence and predictors of persistent post-surgical opioid use: a prospective observational cohort study. Anaesth Intensive Care. 2017;45(6):700–6.PubMedCrossRef Stark N, Kerr S, Stevens J. Prevalence and predictors of persistent post-surgical opioid use: a prospective observational cohort study. Anaesth Intensive Care. 2017;45(6):700–6.PubMedCrossRef
39.
Zurück zum Zitat Gilron I, Vandenkerkhof E, Katz J, Kehlet H, Carley M. Evaluating the association between acute and chronic pain after surgery: impact of pain measurement methods. Clin J Pain. 2017;33(7):588–94.PubMedCrossRef Gilron I, Vandenkerkhof E, Katz J, Kehlet H, Carley M. Evaluating the association between acute and chronic pain after surgery: impact of pain measurement methods. Clin J Pain. 2017;33(7):588–94.PubMedCrossRef
40.
Zurück zum Zitat Lee L, Tran T, Mayo NE, Carli F, Feldman LS. What does it really mean to “recover” from an operation? Surgery. 2014;155(2):211–6.PubMedCrossRef Lee L, Tran T, Mayo NE, Carli F, Feldman LS. What does it really mean to “recover” from an operation? Surgery. 2014;155(2):211–6.PubMedCrossRef
41.
Zurück zum Zitat Kleinbeck SV, Hoffart N. Outpatient recovery after laparoscopic cholecystectomy. AORN J. 1994;60(3):394, 7-8, 401-2.CrossRef Kleinbeck SV, Hoffart N. Outpatient recovery after laparoscopic cholecystectomy. AORN J. 1994;60(3):394, 7-8, 401-2.CrossRef
42.
Zurück zum Zitat Boney O, Nathanson MH, Grocott MPW, Metcalf L. Differences between patients’ and clinicians’ research priorities from the Anaesthesia and Peri-operative Care Priority Setting Partnership. Anaesthesia. 2017;72(9):1134–8.PubMedCrossRef Boney O, Nathanson MH, Grocott MPW, Metcalf L. Differences between patients’ and clinicians’ research priorities from the Anaesthesia and Peri-operative Care Priority Setting Partnership. Anaesthesia. 2017;72(9):1134–8.PubMedCrossRef
43.
Zurück zum Zitat Myles PS, Shulman MA, Reilly J, Kasza J, Romero L. Measurement of quality of recovery after surgery using the 15-item quality of recovery scale: a systematic review and meta-analysis. Br J Anaesth. 2022;128(6):1029–39.PubMedCrossRef Myles PS, Shulman MA, Reilly J, Kasza J, Romero L. Measurement of quality of recovery after surgery using the 15-item quality of recovery scale: a systematic review and meta-analysis. Br J Anaesth. 2022;128(6):1029–39.PubMedCrossRef
44.
Zurück zum Zitat Sivan M, Lawrence RR, Francis E. Digital interactive patient reported outcome measures for long term conditions. BMJ. 2023;382:1816.PubMedCrossRef Sivan M, Lawrence RR, Francis E. Digital interactive patient reported outcome measures for long term conditions. BMJ. 2023;382:1816.PubMedCrossRef
45.
Zurück zum Zitat Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118. Chauhan A, Walton M, Manias E, et al. The safety of health care for ethnic minority patients: a systematic review. Int J Equity Health. 2020;19(1):118.
46.
Zurück zum Zitat Wan YI, Mcguckin D, Fowler AJ, Prowle JR, Pearse RM, Moonesinghe SR. Socioeconomic deprivation and long-term outcomes after elective surgery: analysis of prospective data from two observational studies. Br J Anaesth. 2021;126(3):642–51.PubMedCrossRef Wan YI, Mcguckin D, Fowler AJ, Prowle JR, Pearse RM, Moonesinghe SR. Socioeconomic deprivation and long-term outcomes after elective surgery: analysis of prospective data from two observational studies. Br J Anaesth. 2021;126(3):642–51.PubMedCrossRef
47.
Zurück zum Zitat Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37–43.PubMedCrossRef Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37–43.PubMedCrossRef
48.
Zurück zum Zitat • Poulton TE, Moonesinghe R, Raine R, Martin P. Socioeconomic deprivation and mortality after emergency laparotomy: an observational epidemiological study. Br J Anaesth. 2020;124(1):73–83. *One of a number of papers indicating the risk of poorer postoperative outcomes in patients from lower socioeconomic backgroundsPubMedCrossRef • Poulton TE, Moonesinghe R, Raine R, Martin P. Socioeconomic deprivation and mortality after emergency laparotomy: an observational epidemiological study. Br J Anaesth. 2020;124(1):73–83. *One of a number of papers indicating the risk of poorer postoperative outcomes in patients from lower socioeconomic backgroundsPubMedCrossRef
49.
Zurück zum Zitat Jerath A, Austin PC, Ko DT, Wijeysundera HC, Fremes S, McCormack D, et al. Socioeconomic status and days alive and out of hospital after major elective noncardiac surgery. Anesthesiology. 2020;132(4):713–22.PubMedCrossRef Jerath A, Austin PC, Ko DT, Wijeysundera HC, Fremes S, McCormack D, et al. Socioeconomic status and days alive and out of hospital after major elective noncardiac surgery. Anesthesiology. 2020;132(4):713–22.PubMedCrossRef
50.
51.
Zurück zum Zitat Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48–57.PubMed Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48–57.PubMed
52.
Zurück zum Zitat Van Rosse F, Essink-Bot M-L, Stronks K, De Bruijne M, Wagner C. Ethnic minority patients not at increased risk of adverse events during hospitalisation in urban hospitals in the Netherlands: results of a prospective observational study. BMJ Open. 2014;4(12):e005527.PubMedPubMedCentralCrossRef Van Rosse F, Essink-Bot M-L, Stronks K, De Bruijne M, Wagner C. Ethnic minority patients not at increased risk of adverse events during hospitalisation in urban hospitals in the Netherlands: results of a prospective observational study. BMJ Open. 2014;4(12):e005527.PubMedPubMedCentralCrossRef
53.
Zurück zum Zitat Best MJ, McFarland EG, Thakkar SC, Srikumaran U. Racial disparities in the use of surgical procedures in the US. JAMA Surg. 2021;156(3):274.PubMedCrossRef Best MJ, McFarland EG, Thakkar SC, Srikumaran U. Racial disparities in the use of surgical procedures in the US. JAMA Surg. 2021;156(3):274.PubMedCrossRef
54.
Zurück zum Zitat Knight SR, Shaw CA, Pius R, Drake TM, Norman L, Ademuyiwa AO, et al. Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries. Lancet. 2021;397(10272):387–97.CrossRef Knight SR, Shaw CA, Pius R, Drake TM, Norman L, Ademuyiwa AO, et al. Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries. Lancet. 2021;397(10272):387–97.CrossRef
55.
Zurück zum Zitat Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes. Lancet. 2015;385:S11.PubMedCrossRef Weiser TG, Haynes AB, Molina G, Lipsitz SR, Esquivel MM, Uribe-Leitz T, et al. Estimate of the global volume of surgery in 2012: an assessment supporting improved health outcomes. Lancet. 2015;385:S11.PubMedCrossRef
56.
Zurück zum Zitat Pabinger C, Lothaller H, Portner N, Geissler A. Projections of hip arthroplasty in OECD countries up to 2050. Hip Int. 2018;28(5):498–506.PubMedCrossRef Pabinger C, Lothaller H, Portner N, Geissler A. Projections of hip arthroplasty in OECD countries up to 2050. Hip Int. 2018;28(5):498–506.PubMedCrossRef
57.
Zurück zum Zitat Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health. 2015;3(Suppl 2):S8–9.PubMedCrossRef Shrime MG, Bickler SW, Alkire BC, Mock C. Global burden of surgical disease: an estimation from the provider perspective. Lancet Glob Health. 2015;3(Suppl 2):S8–9.PubMedCrossRef
58.
Zurück zum Zitat Oliver CM, Warnakulasuriya S, McGuckin D, Singleton G, Martin P, Santos C, et al. Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study. Br J Anaesth. 2022;129(1):114–26.PubMedPubMedCentralCrossRef Oliver CM, Warnakulasuriya S, McGuckin D, Singleton G, Martin P, Santos C, et al. Delivery of drinking, eating and mobilising (DrEaMing) and its association with length of hospital stay after major noncardiac surgery: observational cohort study. Br J Anaesth. 2022;129(1):114–26.PubMedPubMedCentralCrossRef
59.
Zurück zum Zitat David W, Dietz, et al. Costs of defects in surgical care: a call to eliminate defects in value. NEJM Catalyst Innovations in Care Delivery. 2021;2(6). David W, Dietz, et al. Costs of defects in surgical care: a call to eliminate defects in value. NEJM Catalyst Innovations in Care Delivery. 2021;2(6).
60.
Zurück zum Zitat Valsamis EM, Collins GS, Pinedo-Villanueva R, Whitehouse MR, Rangan A, Sayers A, et al. Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study. Bmj. 2023;381:e075355.PubMedPubMedCentralCrossRef Valsamis EM, Collins GS, Pinedo-Villanueva R, Whitehouse MR, Rangan A, Sayers A, et al. Association between surgeon volume and patient outcomes after elective shoulder replacement surgery using data from the National Joint Registry and Hospital Episode Statistics for England: population based cohort study. Bmj. 2023;381:e075355.PubMedPubMedCentralCrossRef
61.
Zurück zum Zitat Gray WK, Day J, Horrocks M. Editor's Choice - Volume-outcome relationships in elective abdominal aortic aneurysm surgery: analysis of the UK hospital episodes statistics database for the Getting It Right First Time (GIRFT) programme. Eur J Vasc Endovasc Surg. 2020;60(4):509–17.PubMedCrossRef Gray WK, Day J, Horrocks M. Editor's Choice - Volume-outcome relationships in elective abdominal aortic aneurysm surgery: analysis of the UK hospital episodes statistics database for the Getting It Right First Time (GIRFT) programme. Eur J Vasc Endovasc Surg. 2020;60(4):509–17.PubMedCrossRef
62.
Zurück zum Zitat Rafaqat W, Lagazzi E, Jehanzeb H, Abiad M, Hwabejire JO, Parks JJ, et al. Which volume matters more? A systematic review and meta-analysis of hospital vs surgeon volume in intra-abdominal emergency surgery. J Am Coll Surg. 2023;273(5). Rafaqat W, Lagazzi E, Jehanzeb H, Abiad M, Hwabejire JO, Parks JJ, et al. Which volume matters more? A systematic review and meta-analysis of hospital vs surgeon volume in intra-abdominal emergency surgery. J Am Coll Surg. 2023;273(5).
63.
Zurück zum Zitat Hallet J, Jerath A, Turgeon AF, McIsaac DI, Eskander A, Zuckerman J, et al. Association between anesthesiologist volume and short-term outcomes in complex gastrointestinal cancer surgery. JAMA Surg. 2021;156(5):479–87.PubMedPubMedCentralCrossRef Hallet J, Jerath A, Turgeon AF, McIsaac DI, Eskander A, Zuckerman J, et al. Association between anesthesiologist volume and short-term outcomes in complex gastrointestinal cancer surgery. JAMA Surg. 2021;156(5):479–87.PubMedPubMedCentralCrossRef
64.
Zurück zum Zitat Hallet J, Sutradhar R, Jerath A, d'Empaire PP, Carrier FM, Turgeon AF, et al. Association between familiarity of the surgeon-anesthesiologist dyad and postoperative patient outcomes for complex gastrointestinal cancer surgery. JAMA Surg. 2023;158(5):465–73.PubMedCrossRef Hallet J, Sutradhar R, Jerath A, d'Empaire PP, Carrier FM, Turgeon AF, et al. Association between familiarity of the surgeon-anesthesiologist dyad and postoperative patient outcomes for complex gastrointestinal cancer surgery. JAMA Surg. 2023;158(5):465–73.PubMedCrossRef
Metadaten
Titel
Postsurgical Recovery and Long-Term Outcomes: What Should We Be Measuring?
verfasst von
Rosemary M. G. Hogg
Ciara M. O’Donnell
Publikationsdatum
03.01.2024
Verlag
Springer US
Erschienen in
Current Anesthesiology Reports / Ausgabe 1/2024
Elektronische ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-023-00601-0

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