Top

Published in:

01-01-2021 | Laparotomy | Invited Commentary

The Value of Reporting Perioperative Mortality Rates (POMR)

Author: D. A. Watters

Published in: World Journal of Surgery | Issue 1/2021

Excerpt

The perioperative mortality rate (POMR) is a key performance indicator for global surgery, originally used by the WHO safe surgery saves lives program [1, 2] and then adopted in 2013 through a consensus process by surgeons and anaesthetists in New Zealand, Australia and the Pacific, advocating for global surgery in conjunction with the Alliance for Surgery and Anaesthesia Presence (ASAP) and the International Surgical Society (ISS) [3]. POMR is defined as death following surgery before discharge from hospital or within 30 days, whichever is sooner. Death after surgery before discharge from hospital was regarded as more feasible to collect than 30-day mortality, particularly in LMICs where it may be difficult to follow patients after discharge. POMR was subsequently adopted as one of six recommended surgical metrics by the Lancet Commission of Global Surgery (LCoGS) in 2015 [4]. Malaysia has reported its POMR since 1998 [5], New Zealand since 2011 [6], whilst Tonga was the first Pacific Island nation began to systematically report its POMR in 2013, joined by twelve other countries in the Pacific region [7]. …

Haynes AB, Weiser TG, Berry WR et al (2009) A surgical safety checklist to reduce morbidity and mortality in a global population. N Eng J Med 360:491–499CrossRef

Weiser TG, Makary MA, Haynes AB, Dziekan G, Berry WR, Gawande AA (2009) Safe surgery saves lives measurement and study groups. Lancet 374:113–117CrossRef

Watters DA, Hollands MJ, Gruen RL et al (2015) Perioperative mortality rate (POMR): a global indicator of access to safe surgery and anaesthesia. World J Surg 39(4):856–864. https://doi.org/10.1007/s00268-014-2638-4CrossRefPubMed

Meara JG, Leather AJ, Hagander L, Alkire BC, Alonso N, Ameh EA, Bickler SW, Conteh L, Dare AJ, Davies J, Mérisier ED, El-Halabi S, Farmer PE, Gawande A, Gillies R, Greenberg SL, Grimes CE, Gruen RL, Ismail EA, Kamara TB, Lavy C, Lundeg G, Mkandawire NC, Raykar NP, Riesel JN, Rodas E, Rose J, Roy N, Shrime MG, Sullivan R, Verguet S, Watters D, Weiser TG, Wilson IH, Yamey G, Yip W (2015) Global surgery 2030: evidence and solutions for achieving health, welfare, and economic development. Lancet 386(9993):569–624CrossRef

Inbaegaran K, Kandasami P, Sivalingam N (1998) A two year audit of perioperative mortality in Malaysian hospitals. Med J Malays 53:334–342

POMRC (2011) Perioperative mortality in New Zealand. Inaugural report of the perioperative mortality review committee, Wellington, Health Quality and Safety Commission. http://www.hqsc.govt.nz/assets/POMRC/Publications/POMRC-2011-Report-Lkd.pdf. Accessed 8 Sept 2020

Guest GD, McLeod E, William WRG et al (2017) Collecting data for global surgical metrics: a collaborative approach in the Pacific Region. BMJ Glob Health 2:e000376. https://doi.org/10.1136/bmjgh-2017-000376CrossRefPubMedPubMedCentral

Thaddeus S, Maine D (1994) Too far to walk: maternal mortality in context. Soc Sci Med 38:1091–1110CrossRef

Anto-Ocrah M, Cushman J, Sanders M, De Ver Dye T (2020) A woman's worth: an access framework for integrating emergency medicine with maternal health to reduce the burden of maternal mortality in sub-Saharan Africa. BMC Emerg Med 20(1):3CrossRef

10.

Felizaire M, Paradis T, Beckett A, Fata P, Grushka J, Johnson W, Khwaja K, Meara JG, Ndayishaba G, Prakash I, Razek T, Somprasong T, Wong E, Yohannan P, Deckelbaum DL (2019) Perioperative mortality rates as a health metric for acute abdominal surgery in low- and middle-income countries: a systematic review and future recommendations. World J Surg 43:1880–1889. https://doi.org/10.1007/s00268-019-04993-1CrossRefPubMed

11.

Wurdeman T, Strader C, Alidina S et al (2020) In-hospital postoperative mortality rates for selected procedures in Tanzania’s lake zone. World J of Surg. https://doi.org/10.1007/s00268-020-05802-wCrossRef

12.

Biccard BM, Madiba TE, Kluyts HL, Munlemvo DM, Madzimbamuto FD, Basenero A, Gordon CS, Youssouf C, Rakotoarison SR, Gobin V, Samateh AL, Sani CM, Omigbodun AO, Amanor-Boadu SD, Tumukunde JT, Esterhuizen TM, Manach YL, Forget P, Elkhogia AM, Mehyaoui RM, Zoumeno E, Ndayisaba G, Ndasi H, Ndonga AKN, Ngumi ZWW, Patel UP, Ashebir DZ, Antwi-Kusi AAK, Mbwele B, Sama HD, Elfiky M, Fawzy MA, Pearse RM (2018) African surgical outcomes study (ASOS) investigators perioperative patient outcomes in the African surgical outcomes study: a 7-day prospective observational cohort study. Lancet 391(10130):1589–1598. https://doi.org/10.1016/S0140-6736(18)30001-1CrossRefPubMed

13.

Collaborative GlobalSurg (2016) Mortality of emergency abdominal surgery in high-, middle- and low-income countries. Br J Surg 103(8):971–988CrossRef

14.

Anderson GA, Ilcisin L, Abesiga L, Mayanja R, Benetiz NP, Ngonzi J, Kayima P, Shrime MG (2017) Surgical volume and perioperative mortality rate at a referral hospital in Western Uganda: measuring the lancet commission on global surgery indicators in low-resource settings. Surgery 161:1710–1719CrossRef

15.

Truche P, Roa L, Citron I et al (2020) Bellwether procedures for monitoring subnational variation of all cause mortality in Brazil. World J Surg 44(10):3299–3309. https://doi.org/10.1007/s00268-020-05607-xCrossRefPubMed

16.

Stevens CL, Brown C, Watters DA (2018) Measuring outcomes of clinical care: victorian emergency laparotomy audit using quality investigator. World J Surg 42(7):1981–1987. https://doi.org/10.1007/s00268-017-4418-4CrossRefPubMed

17.

Weiser TG (2020) Bellwethers versus baskets operative capacity and the metrics of global surgery. World J Surg 44(10):3310–3311. https://doi.org/10.1007/s00268-020-05615-xCrossRefPubMed

18.

Thompson AM, Ashraf Z, Burton H et al (2005) Mapping changes in surgical mortality over 9 years by peer review audit. BJS 92:1449–1452CrossRef

19.

Azzam DG, Neo CA, Itotoh FE, Aitken RJ (2013) The Western Australian audit of surgical mortality: outcomes from the first 10 years. Med J Aust 199:539–542CrossRef

Title: The Value of Reporting Perioperative Mortality Rates (POMR)
Author: D. A. Watters
Publication date: 01-01-2021
Publisher: Springer International Publishing
Keywords: Laparotomy
Laparotomy
Published in: World Journal of Surgery / Issue 1/2021
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-020-05804-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The Value of Reporting Perioperative Mortality Rates (POMR)

Excerpt

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Excerpt

Please log in to get access to this content

Other articles of this Issue 1/2021

Perioperative Optimization of Senior Health (POSH): A Descriptive Analysis of Cancelled Surgery

The Application of Uniportal Video-Assisted Thoracoscopic Anatomical Segmentectomy for Lung Resection: A Retrospective Clinical Study

Patient-Centered Surgical Care Meets the Social Determinants of Health

Geometry of Sleeve Gastrectomy Measured by 3D CT Versus Weight Loss: Preliminary Analysis

Estimation of the National Surgical Needs in India by Enumerating the Surgical Procedures in an Urban Community Under Universal Health Coverage

A Snapshot of the International Views of the Treatment of Rectal Cancer Patients, a Multi-regional Survey: International Tendencies in Rectal Cancer