Observational studyThe British journal of surgery2018
Population-based incidence rate of inpatient and outpatient surgical procedures in a high-income country.
Observational study in The British journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Prognostic value of perioperative changes in serum primary metabolites in patients after major surgery under general anesthesia: an exploratory secondary analysis of the TAPIR trial.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Trial
- Patient perceptions of barriers and facilitators for self-care in surgical fast-track programmes related to capability, opportunity and motivation: a theory-based qualitative study in Sweden.Journal of research in nursing : JRN · 2026Article
- Late bleeding complications after mastectomy and the role of seroma aspiration: a retrospective 12-year cohort study.World journal of surgical oncology · 2026Article
- Mixed-methods Analysis of Preoperative Distress and Postoperative Outcomes in a Prospective, Observational Cohort of Older Adults.Anesthesiology · 2026Observational
- Patient satisfaction and postoperative pain management in ambulatory surgery: a prospective questionnaire-based observational cohort study at a Tertiary University Hospital.Frontiers in medicine · 2026Article
- Exploring the role of community pharmacists in perioperative management of antithrombotic agents: a qualitative study of barriers, facilitators, and future directions.International journal of clinical pharmacy · 2025Article
- Imaging-based Surgical Site Infection Detection Using Artificial Intelligence.Annals of surgery · 2025Article
- Multi-objective stochastic scheduling of inpatient and outpatient surgeries.Flexible services and manufacturing journal · 2025Article
- Postoperative bleeding complications in breast conserving surgery and the role of antithrombotic medications: retrospective analysis of 4712 operations.World journal of surgical oncology · 2024Article
- Staphylococcus aureus surgical site infection rates in 5 European countries.Antimicrobial resistance and infection control · 2023Article
- Review
- Preoperative admission is non-essential in most patients receiving elective laparoscopic cholecystectomy: A cohort study.PloS one · 2023Article
- Risk of serious adverse events associated with non-steroidal anti-inflammatory drugs in orthopaedic surgery. A protocol for a systematic review.Acta anaesthesiologica Scandinavica · 2022Article
- Article
- A gamified mobile health intervention for children in day surgery care: Protocol for a randomized controlled trial.Nursing open · 2022Article
- Nerve-specific extracellular matrix hydrogel promotes functional regeneration following nerve gap injury.NPJ Regenerative medicine · 2021Article
- Recoup From Home? Comparison of Relative Cost Savings for ACDF, Lumbar Discectomy, and Short Segment Fusion Performed in the Inpatient Versus Outpatient Setting.Global spine journal · 2021Article
- Anesthesia-Induced Oxidative Stress: Are There Differences between Intravenous and Inhaled Anesthetics?Oxidative medicine and cellular longevity · 2021Review
- Parental Experiences of the Pediatric Day Surgery Pathway and the Needs for a Digital Gaming Solution: Qualitative Study.JMIR medical informatics · 2020Article
- Predictors of preprocedural direct oral anticoagulant levels in patients having an elective surgery or procedure.Blood advances · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe WHO and the World Bank ask countries to report the national volume of surgery. This report describes these data for Sweden, a high-income country.
methodsIn an 8-year population-based observational cohort study, all inpatient and outpatient care in the public and private sectors was detected in the Swedish National Patient Register and screened for the occurrence of surgery. The entire Swedish population was eligible for inclusion. All patients attending healthcare for any disease were included. Incidence rates of surgery and likelihood of surgery were calculated, with trends over time, and correlation with sex, age and disease category.
resultsAlmost one in three hospitalizations involved a surgical procedure (30·6 per cent). The incidence rate of surgery exceeded 17 480 operations per 100 000 person-years, and at least 58·5 per cent of all surgery was performed in an outpatient setting (range 58·5 to 71·6 per cent). Incidence rates of surgery increased every year by 5·2 (95 per cent c.i. 4·2 to 6·1) per cent (P < 0·001), predominantly owing to more outpatient surgery. Women had a 9·8 (95 per cent c.i. 5·6 to 14·0) per cent higher adjusted incidence rate of surgery than men (P < 0·001), mainly explained by more surgery during their fertile years. Incidence rates peaked in the elderly for both women and men, and varied between disease categories.
conclusionPopulation requirements for surgery are greater than previously reported, and more than half of all surgery is performed in outpatient settings. Distributions of age, sex and disease influence estimates of population surgical demand, and should be accounted for in future global and national projections of surgical public health needs.
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