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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17362 is a reply to message #17358]

Fri, 15 March 2019 19:07

Ramosdelamedina
Messages: 1
Registered: March 2019

Member

The global burden of surgical diseases is very significant. It is of utmost importance for the international community that have credible data in postoperative mortality in order to understand the causes and make a significant impact.
This can only be accomplished by governments, academic institutions and professional organizations working together in a collaborative effort.

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17367 is a reply to message #16880]

Fri, 15 March 2019 19:47

hfoster
Messages: 3
Registered: March 2019

Member

I fully support the inclusion of the proposed indicators to the DHS. Tracking surgical mortality data will help determine surgical capacity and quality of care. Furthermore, it will be helpful in pre-/post-intervention analysis as well as resource allocation.

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17372 is a reply to message #16880]

Fri, 15 March 2019 20:53

watters.david
Messages: 1
Registered: March 2019

Member

POMR is an important safety metric
The estimation that postoperative mortality is around 7.7%of global mortality is probably double
Percentage global mortality or ratio does not take into account lives saved by surgery and thus premature deaths averted.
Only 9 countries is untrue - the Pacific Region published POMR from 13 countries
POMR is not a benchmark unless risk stratified for urgency, age, ASA, procedure/condition
All hospitals and health systems should know whether patients operated on live or die - the ability to report this is. It step one of a safe system
David Watters

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17381 is a reply to message #17372]

Fri, 15 March 2019 21:24

Robert Riviello
Messages: 7
Registered: March 2019

Member

We need quality metrics for surgical care delivery. POMR is fairly crude, but we must start somewhere. I fully support

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17387 is a reply to message #16880]

Fri, 15 March 2019 21:39

Jacob.Lepard
Messages: 5
Registered: March 2019

Member

The LCoGS is a landmark work in the field of global surgery and has forever changed the vernacular and metrics of the discipline. It is imperative that high level data collection such as this include nomenclature and data that is compatible with the current literature. I strongly support the use of these POMR and Maternal mortality indicators.

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17397 is a reply to message #16880]

Fri, 15 March 2019 22:24

IsaacWasserman
Messages: 8
Registered: March 2019

Member

As powerful as modeling studies are, the only way to progress past the realm of the theoretical, and anchor ourselves in the realm of the real is to collect robust data. When surgery playing a role in nearly 1/3rd of all human disease, I can think of no better area to invest in better data collection. This will help evaluate ongoing projects, as well as steer new ones. Thank you for expanding into this important sphere.

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17398 is a reply to message #16880]

Fri, 15 March 2019 22:26

IsaacWasserman
Messages: 8
Registered: March 2019

Member

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17408 is a reply to message #16880]

Fri, 15 March 2019 23:10

Emily Smith
Messages: 3
Registered: March 2019

Member

POMR is one of the strongest indicators needed to asses surgical care in LMICs. In addition, tracking POMR will enable us to design targeted interventions and track progress.

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Re: DHS-8-PGSSC-Maternal_Mortality-Template_and_POMR-REVISED_Template [message #17427 is a reply to message #17408]

Fri, 15 March 2019 23:59

Msydlowski
Messages: 2
Registered: March 2019

Member

As a part of collecting quality data on maternal mortality it is essential DHS incorporate the collection of these indicators!

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