Perioperative mortality rates in low-income and middle-income countries: a systematic review and meta-analysis.
Joshua S Ng-KamstraSumedha AryaSarah L M GreenbergMeera KotagalCatherine ArsenaultDavid LjungmanRachel R YorletsArnav AgarwalClaudia FrankfurterAnton NikoulineFrancis Yi Xing LaiCharlotta L PalmqvistTerence FuTahrin MahmoodSneha RajuSristi SharmaIsobel H MarksAlexis BowderLebei PiJohn G MearaMark G ShrimePublished in: BMJ global health (2018)
Efforts to improve access to surgical care in LMICs should be accompanied by investment in improving the quality and safety of care. To improve the usefulness of POMR as a safety benchmark, standard reporting items should be included with any POMR estimate. Choosing a basket of procedures for which POMR is tracked may offer institutions and countries the standardisation required to meaningfully compare surgical outcomes across contexts and improve population health outcomes.