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From definitions to implementation – A guide to collect and apply the Lancet Commission on Global Surgery indicators: An Utstein consensus report Cover

From definitions to implementation – A guide to collect and apply the Lancet Commission on Global Surgery indicators: An Utstein consensus report

Open Access
|Dec 2025

References

  1. Alkire, B. C., Raykar, N. P., Shrime, M. G., Weiser, T. G., Bickler, S. W., Rose, J. A., … Farmer, P. E. (2015). Global access to surgical care: a modelling study. The Lancet Global Health, 3(6), e316-e323.
  2. Biccard, B. M., Madiba, T. E., Kluyts, H.-L., Munlemvo, D. M., Madzimbamuto, F. D., Basenero, A., … Zoumenou, E. (2018). Perioperative patient outcomes in the African Surgical Outcomes Study: A 7-day prospective observational cohort study. The Lancet, 391(10130), 1589-1598.
  3. Bickler, S. W., Weiser, T. G., Kassebaum, N., Higashi, H., Chang, D. C., Barendregt, J. J., … Vos, T. (2015). Global burden of surgical conditions. In H. T. Debas, P. Donkor, A. Gawande, D. T. Jamison, M. E. Kruk, & C. N. Mock (Eds.), Disease control priorities (3rd ed., Vol. 1, pp. 19-40). World Bank.
  4. Cossa, M., Rose, J., Berndtson, A. E., Noormahomed, E., & Bickler, S. W. (2021). Assessment of surgical care provided in national health services hospitals in mozambique: the importance of subnational metrics in global surgery. World journal of surgery, 45(5), 1306-1315.
  5. Davies, J. I., Gelb, A. W., Gore-Booth, J., Martin, J., Mellin-Olsen, J., Åkerman, C., … & Weiser, T. G. (2021). Global surgery, obstetric, and anaesthesia indicator definitions and reporting: an Utstein consensus report. PLoS Medicine, 18(8), e1003749.
  6. DHIS2. (n.d.). DHIS2. Retrieved November 17, 2023, from https://dhis2.org/
  7. Disease Control Priorities Network. (n.d.). Disease control priorities (3rd ed.). Retrieved March 23, 2024, from https://www. dcp-3.org/
  8. Gajewski, J., Bijlmakers, L., & Brugha, R. (2018). Global surgery–informing national strategies for scaling up surgery in sub-Saharan Africa. International journal of health policy and management, 7(6), 481-484.
  9. Hanna, J. S., Herrera-Almario, G. E., Pinilla-Roncancio, M., Tulloch, D., Valencia, S. A., Roa, L., Meara, J. G., & Dossett, L. A. (2020). Use of the six core surgical indicators from the Lancet Commission on Global Surgery in Colombia: A situational analysis. The Lancet Global Health, 8(5), e699-e710. https://doi.org/10.1016/S2214-109X(20)30090-5
  10. Harvard Business School Online. (n.d.). A beginner’s guide to data & analytics. Retrieved from https://info.email. online.hbs.edu/data-analytics-ebook
  11. Holmer, H., Bekele, A., Hagander, L., Harrison, E. M., Kamali, P., Ng-Kamstra, J. S., Khan, A. A., Knowlton, L. M., Leather, A. J., & Meara, J. G. (2019). Evaluating the collection, comparability and findings of six global surgery indicators. British Journal of Surgery, 106(2), e138-e150. https://doi.org/10.1002/bjs.11061
  12. Juran, S., Gruendl, M., Marks, I. H., Broer, P. N., Guzman, J. M., Davies, J., … Ljungman, D. (2019). The need to collect, aggregate, and analyze global anesthesia and surgery data. Canadian Journal of Anesthesia, 66(2), 218-229.
  13. Laerdal Foundation. (n.d.). Utstein Guidelines. Retrieved August 6, 2024, from https://laerdalfoundation.org/utstein-meetings/
  14. Meara, J. G., Leather, A. J., Hagander, L., Alkire, B. C., Alonso, N., Ameh, E. A., … Yip, W. (2015). Global surgery 2030: Evidence and solutions for achieving health, welfare, and economic development. The Lancet, 386(9993), 569-624. https://doi.org/10.1016/S0140-6736(15)60160-X
  15. Moher, D., Schulz, K. F., Simera, I., & Altman, D. G. (2010). Guidance for developers of health research reporting guidelines. PLoS Medicine, 7(2), e1000217.
  16. Odland, M. L., Nepogodiev, D., Morton, D., Martin, J., Bekele, A., Ghosh, D., … Weiser, T. G. (2021). Identifying a basket of surgical procedures to standardize global surgical metrics: an international Delphi study. Annals of surgery, 274(6), 1107-1114.
  17. Otto, Q., Nolan, J. P., Chamberlain, D. A., Cummins, R. O., & Soar, J. (2021). Utstein Style for emergency care— the first 30 years. Resuscitation, 163, 16-25.
  18. Patil, P., Nathani, P., Bakker, J. M., van Duinen, A. J., Bhushan, P., Shukla, M., … Gadgil, A. (2023). Are LMICs achieving the Lancet commission global benchmark for surgical volumes? A systematic review. World Journal of Surgery, 47(8), 1930-1939. https://doi.org/10.1007/s00268-023-07029-x
  19. Perez-Iglesias, C. T., Hill, S. K., Jhunjhunwala, R., A-Baki, I., Uribe-Leitz, T., Park, K. B., … Vega, A. B. (2023). Strengthening surgical, obstetric, and anesthesia care in the Americas: a call to action. The Lancet Regional Health–Americas, 22, 100499.
  20. Program in Global Surgery and Social Change (n.d.). National Surgical, Obstetric, and Anaesthesia Planning. Accessed June 20, 2023, from: https://www.pgssc.org/national-surgical-planning
  21. Roa, L., Jumbam, D. T., Makasa, E., & Meara, J. G. (2019). Global surgery and the sustainable development goals. Journal of British Surgery, 106(2), e44-e52.
  22. Rose, J., Long, C., & Meara, J. G. (2021). Comment on “Managing COVID-19 in Surgical Systems”: An Opportunity for Global Surgery to Advance Global Health. Annals of Surgery, 274(6), e766-e767.
  23. Rose, J., Weiser, T. G., Hider, P., Wilson, L., Gruen, R., & Bickler, S. W. (2015). Estimated need for surgery worldwide based on prevalence of diseases: implications for public health planning of surgical services. The Lancet. Global health, 3(Suppl 2), S13-20.
  24. Shrime, M. G., Bickler, S. W., Alkire, B. C., & Mock, C. (2015). Global burden of surgical disease: an estimation from the provider perspective. The Lancet Global Health, 3, S8-S9.
  25. Truché, P., Shoman, H., Reddy, C. L., Jumbam, D. T., Ashby, J., Mazhiqi, A., … Meara, J. G. (2020). Globalization of national surgical, obstetric and anesthesia plans: The critical link between health policy and action in global surgery. Globalization and health, 16(1), 1.
  26. United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development. Retrieved August 6, 2024, from https://sdgs.un.org/2030agenda
  27. United Nations. (n.d.). Sustainable Development Goals Indicators: Metadata Repository. Retrieved November 17, 2023, from https://unstats.un.org/sdgs/metadata/
  28. United Nations Institute for Training and Research. (2020). National surgical, obstetric, and anaesthesia planning manual (2020 ed.). United Nations Institute for Training and Research. Switzerland.
  29. Van Panhuis, W. G., Paul, P., Emerson, C., Grefenstette, J., Wilder, R., Herbst, A. J., … Burke, D. S. (2014). A systematic review of barriers to data sharing in public health. BMC public health, 14(1), 1144.
  30. Watters, D. A., Hollands, M. J., Gruen, R. L., Maoate, K., Perndt, H., McDougall, R. J., Morriss, W. W., Tangi, V., Casey, K. M., & McQueen, K. A. (2015). Perioperative mortality rate (POMR): A global indicator of access to safe surgery and anaesthesia. World Journal of Surgery, 39(4), 856-864. https://doi.org/10.1007/s00268-014-2638-4
  31. World Bank. (2016). World development indicators, 2016. Retrieved November 17, 2023, from http://datatopics. worldbank.org/world-development-indicators/
  32. World Health Assembly. (2015). Strengthening emergency and essential surgical care and anaesthesia as a component of universal health coverage (Resolution WHA68.15). World Health Organization. Retrieved August 6, 2024, from https://apps.who.int/gb/ebwha/pdf_files/WHA68/A68_R15-en.pdf
  33. World Health Organization. (2015). Global reference list of 100 core health indicators. Retrieved March 23, 2024, from https://www.who.int/healthinfo/indicators/2015/en/
  34. World Health Organization. (2023). 76th World Health Assembly: Resolution 76.2—Integrated emergency, critical and operative care for universal health coverage and protection from health emergencies. World Health Organization. https://apps.who.int/gb/ebwha/pdf_files/WHA76/A76_R2-en.pdf
  35. World Health Organization. (n.d.). Universal healthcare compendium. World Health Organization. Retrieved June 19, 2024, from https://www.who.int/universal-health-coverage/compendium
DOI: https://doi.org/10.2478/jdis-2025-0053 | Journal eISSN: 2543-683X | Journal ISSN: 2096-157X
Language: English
Submitted on: Feb 27, 2025
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Accepted on: Oct 9, 2025
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Published on: Dec 23, 2025
In partnership with: Paradigm Publishing Services

© 2025 John Rose, Adrian W. Gelb, Justine I. Davies, Janet Martin, Kevin McIntyre, Jannicke Mellin-Olsen, published by Chinese Academy of Sciences, National Science Library
This work is licensed under the Creative Commons Attribution 4.0 License.

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