Disparities in perioperative mortality outcomes between First Nations and non-First Nations peoples in Australia: protocol for a systematic review and planned meta-analysis.

Edith B Waugh, Matthew J L Hare, David A Story, Lorena Romero, Mark Mayo, Heidi Smith-Vaughan, Jennifer R Reilly

Abstract read

In one paragraph

Article in Systematic reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Edith B WaughDepartment of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia. Edith.Waugh@menzies.edu.au.ORCID 0000-0002-8685-5389

Matthew J L HareMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

David A StoryDepartment of Critical Care, the University of Melbourne, Melbourne, VIC, Australia.

Lorena RomeroThe Ian Potter Library, Alfred Health, Melbourne, VIC, Australia.

Mark MayoMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Heidi Smith-VaughanMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Jennifer R ReillyDepartment of Critical Care, the University of Melbourne, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth inequities persist among First Nations people living in developed countries. Surgical care is pivotal in addressing a significant portion of the global disease burden. Evidence regarding surgical outcomes among First Nations people in Australia is limited. The perioperative mortality rate (POMR) indicates timely access to safe surgery and predicts long-term survival after major surgery. This systematic review will examine POMR among First Nations and non-First Nations peoples in Australia.

methodsA systematic search strategy using MEDLINE, Embase, Emcare, Global Health, and Scopus will identify studies that include First Nations people and non-First Nations people who underwent a surgical intervention under anaesthesia in Australia. The primary focus will be on documenting perioperative mortality outcomes. Title and abstract screening and full-text review will be conducted by independent reviewers, followed by data extraction and bias assessment using the ROBINS-E tool. Meta-analysis will be considered if there is sufficient homogeneity between studies. The quality of cumulative evidence will be evaluated following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. DISCUSSION: This protocol describes the comprehensive methodology for the proposed systematic review. Evaluating disparities in perioperative mortality rates between First Nations and non-First Nations people remains essential in shaping the discourse surrounding health equity, particularly in addressing the surgical burden of disease. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42021258970.

Indexed as

Systematic Reviews as TopicAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesHealthcare DisparitiesHealth Status DisparitiesHumansIndigenous PeoplesMeta-Analysis as TopicPerioperative PeriodSurgical Procedures, OperativeAnaesthesia,Australia,Australian Aboriginal and Torres Strait Islander peoples,First Nations people,Health care,Health equity,Health status disparitiesIndigenous health,Meta-analysis,Operative,Outcome assessmentPostoperative/perioperative mortality,Surgical proceduresSystematic reviews,

Identifiers

PMID39103965

DOI10.1186/s13643-024-02611-3

PMCPMC11299354

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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.