National priorities for perioperative research in South Africa

South African Perioperative Research Group national research priority-setting working group

Research output: Contribution to journalArticle

Abstract

Background. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective. To determine the top ten national research priorities for perioperative research in SA. Methods. A Delphi technique was used to establish consensus on the top ten research priorities. Results. The top ten research priorities were as follows: (i) establishment of a national database of (a) critical care outcomes, and (b) critical care resources; (ii) a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; (iii) a national prospective observational study of the outcomes associated with paediatric surgical cases; (iv) a national observational study of maternal and fetal outcomes following operative delivery in SA; (v) a steppedwedge trial of an enhanced recovery after surgery programme for (a) surgery, (b) obstetrics, (c) emergency surgery, and (d) trauma surgery; (vi) a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; (vii) a prospective observational study of perioperative outcomes after surgery in district general hospitals in SA; (viii) short-course interventions to improve anaesthetic skills in rural doctors; (ix) studies of the efficacy of simulation training to improve (a) patient outcomes, (b) team dynamics, and (c) leadership; and (x) development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data. Conclusions. These research priorities provide the structure for an intermediate-term research agenda.

Original languageEnglish (US)
Pages (from-to)485-488
Number of pages4
JournalSouth African Medical Journal
Volume106
Issue number5
DOIs
StatePublished - May 2016

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South Africa
Research
Observational Studies
Obstetric Surgical Procedures
Prospective Studies
Delphi Technique
District Hospitals
Brain Natriuretic Peptide
Critical Care
Checklist
General Hospitals
Anesthetics
Consensus
Emergencies
Randomized Controlled Trials
Mothers
Outcome Assessment (Health Care)
Databases
Pediatrics
Safety

ASJC Scopus subject areas

  • Medicine(all)

Cite this

South African Perioperative Research Group national research priority-setting working group (2016). National priorities for perioperative research in South Africa. South African Medical Journal, 106(5), 485-488. https://doi.org/10.7196/SAMJ.2016.v106i5.10269

National priorities for perioperative research in South Africa. / South African Perioperative Research Group national research priority-setting working group.

In: South African Medical Journal, Vol. 106, No. 5, 05.2016, p. 485-488.

Research output: Contribution to journalArticle

South African Perioperative Research Group national research priority-setting working group 2016, 'National priorities for perioperative research in South Africa', South African Medical Journal, vol. 106, no. 5, pp. 485-488. https://doi.org/10.7196/SAMJ.2016.v106i5.10269
South African Perioperative Research Group national research priority-setting working group. National priorities for perioperative research in South Africa. South African Medical Journal. 2016 May;106(5):485-488. https://doi.org/10.7196/SAMJ.2016.v106i5.10269
South African Perioperative Research Group national research priority-setting working group. / National priorities for perioperative research in South Africa. In: South African Medical Journal. 2016 ; Vol. 106, No. 5. pp. 485-488.
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abstract = "Background. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective. To determine the top ten national research priorities for perioperative research in SA. Methods. A Delphi technique was used to establish consensus on the top ten research priorities. Results. The top ten research priorities were as follows: (i) establishment of a national database of (a) critical care outcomes, and (b) critical care resources; (ii) a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; (iii) a national prospective observational study of the outcomes associated with paediatric surgical cases; (iv) a national observational study of maternal and fetal outcomes following operative delivery in SA; (v) a steppedwedge trial of an enhanced recovery after surgery programme for (a) surgery, (b) obstetrics, (c) emergency surgery, and (d) trauma surgery; (vi) a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; (vii) a prospective observational study of perioperative outcomes after surgery in district general hospitals in SA; (viii) short-course interventions to improve anaesthetic skills in rural doctors; (ix) studies of the efficacy of simulation training to improve (a) patient outcomes, (b) team dynamics, and (c) leadership; and (x) development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data. Conclusions. These research priorities provide the structure for an intermediate-term research agenda.",
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T1 - National priorities for perioperative research in South Africa

AU - South African Perioperative Research Group national research priority-setting working group

AU - Biccard, B. M.

AU - Alphonsus, C. S.

AU - Bishop, D. G.

AU - Cronje, L.

AU - Kluyts, H. L.

AU - Kusel, B.

AU - Maswime, S.

AU - Oodit, R.

AU - Reed, A. R.

AU - Torborg, A. M.

AU - Wise, R.

AU - Biccard, B. M.

AU - Alphonsus, C. S.

AU - Bishop, D. G.

AU - Cronje, L.

AU - Kluyts, H. L.

AU - Kusel, B.

AU - Maswime, S.

AU - Oodit, R.

AU - Reed, A. R.

AU - Torborg, A. M.

AU - Wise, R.

AU - Adams, T. S.

AU - Alexander, G. R.

AU - Allorto, N. L.

AU - Alphonsus, C. S.

AU - Bester, K.

AU - Biccard, B. M.

AU - Bishop, D. G.

AU - Businge, C. B.

AU - Cardoso, J. F.

AU - Chetty, S.

AU - Coetzee, E.

AU - Coetzee, J. F.

AU - Cronje, L.

AU - Duys, R. A.

AU - Dyer, R. A.

AU - Farina, Z.

AU - Flint, M.

AU - Fombad, L. M.

AU - Gopalan, P. D.

AU - Gray, R. M.

AU - Hardcastle, T. C.

AU - Harrichandparsad, R.

AU - Hauser, N. D.

AU - James, M. F.M.

AU - Jaworska, M. A.

AU - Kisten, T.

AU - Kluyts, H. L.

AU - Koto, M. Z.

PY - 2016/5

Y1 - 2016/5

N2 - Background. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective. To determine the top ten national research priorities for perioperative research in SA. Methods. A Delphi technique was used to establish consensus on the top ten research priorities. Results. The top ten research priorities were as follows: (i) establishment of a national database of (a) critical care outcomes, and (b) critical care resources; (ii) a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; (iii) a national prospective observational study of the outcomes associated with paediatric surgical cases; (iv) a national observational study of maternal and fetal outcomes following operative delivery in SA; (v) a steppedwedge trial of an enhanced recovery after surgery programme for (a) surgery, (b) obstetrics, (c) emergency surgery, and (d) trauma surgery; (vi) a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; (vii) a prospective observational study of perioperative outcomes after surgery in district general hospitals in SA; (viii) short-course interventions to improve anaesthetic skills in rural doctors; (ix) studies of the efficacy of simulation training to improve (a) patient outcomes, (b) team dynamics, and (c) leadership; and (x) development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data. Conclusions. These research priorities provide the structure for an intermediate-term research agenda.

AB - Background. Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda. Objective. To determine the top ten national research priorities for perioperative research in SA. Methods. A Delphi technique was used to establish consensus on the top ten research priorities. Results. The top ten research priorities were as follows: (i) establishment of a national database of (a) critical care outcomes, and (b) critical care resources; (ii) a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; (iii) a national prospective observational study of the outcomes associated with paediatric surgical cases; (iv) a national observational study of maternal and fetal outcomes following operative delivery in SA; (v) a steppedwedge trial of an enhanced recovery after surgery programme for (a) surgery, (b) obstetrics, (c) emergency surgery, and (d) trauma surgery; (vi) a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; (vii) a prospective observational study of perioperative outcomes after surgery in district general hospitals in SA; (viii) short-course interventions to improve anaesthetic skills in rural doctors; (ix) studies of the efficacy of simulation training to improve (a) patient outcomes, (b) team dynamics, and (c) leadership; and (x) development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data. Conclusions. These research priorities provide the structure for an intermediate-term research agenda.

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