Evidence map›Paper›PMID 37882828›Full record

Observational studyWorld journal of surgery2023

Observations from Australia's National Surgical Mortality Audit.

Dylan Hansen, Franca Itotoh, Kopunic Helena, R James Aitken, Australian and New Zealand Audit of Surgical Mortality

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Dylan HansenRoyal Australasian College of Surgeons (RACS), Melbourne, Australia.ORCID 0000-0001-5777-7476
Franca ItotohRoyal Australasian College of Surgeons (RACS), Melbourne, Australia.
Kopunic HelenaRoyal Australasian College of Surgeons (RACS), Melbourne, Australia.
R James AitkenSir Charles Gairdner Hospital, Hospital Avenue, Nedlands, WA, 6009, Australia. rjaitken@me.com.ORCID 0000-0001-5653-6478
Australian and New Zealand Audit of Surgical Mortality

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAustralia is the only country with a national surgical mortality audit. Every Australian surgical mortality is independently and externally reviewed by another surgeon. Extensive educational feedback to surgeons and hospitals is provided through individual patient reviews, state and national symposia and reports, and the distribution of deidentified informative cases. This study reports a longitudinal analysis of the Australian surgical morality audit.

methodsThe standardised mortality ratio (SMR) was calculated for each state and territory, nine surgical specialties and nationally. The index year used was 2016, or every 5 years for those states with earlier data. Overall data were analysed in three groups-all deaths, postoperative deaths and non-operative deaths. Overall specialty data were analysed nationally.

resultsThere was a consistent progressive fall, usually in excess of 20%, in the SMR in each state and territory and by specialty when compared to the index year. This was statistically significant nationally (p = 0.044). The same change was observed in earlier years in states with longer-term data.

conclusionThe period of this observational study has been associated with a nationwide fall in surgical mortality. As other improvements in care will have occurred during this period, the contribution that Australia's national mortality audit made towards the lower surgical mortality cannot be stated with certainty.

Indexed as

MedicineSpecialties, SurgicalSurgeonsAustraliaHumans

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.