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August 2021

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Improvements in the provision and outcomes of surgery and anaesthesia in low- and middle-income countries will be important in the ongoing task of improving population health and in meeting ambitious global expectations for achieving universal health care. Yet the requirements for complex training, resources and procedures are substantial. In a Guidelines and Guidance article, Justine Davies and colleagues discuss the development of updated indicators to support global achievement of access to safe surgical, anaesthetic, and obstetric care. Advocacy to support surgery and anaesthesia will be needed alongside the suggested indicators for measurement and reporting, addressing access to surgery, the surgical workforce, surgical volumes, and clinical and economic outcomes of surgery.

Image Credit: Hiroshi Tsubono, Unsplash

Guidelines and Guidance

Global surgery, obstetric, and anaesthesia indicator definitions and reporting: An Utstein consensus report

Justine I. Davies, Adrian W. Gelb, Julian Gore-Booth, Janet Martin, Jannicke Mellin-Olsen, Christina Åkerman, Emmanuel A. Ameh, Bruce M. Biccard, Geir Sverre Braut, Kathryn M. Chu, Miliard Derbew, Hege Langli Ersdal, Jose Miguel Guzman, Lars Hagander, Carolina Haylock-Loor, Hampus Holmer, Walter Johnson, Sabrina Juran, Nicolas J. Kassebaum, Tore Laerdal, Andrew J. M. Leather, Michael S. Lipnick, David Ljungman, Emmanuel M. Makasa, John G. Meara, Mark W. Newton, Doris Østergaard, Teri Reynolds, Lauri J. Romanzi, Vatshalan Santhirapala, Mark G. Shrime, Kjetil Søreide, Margit Steinholt, Emi Suzuki, John E. Varallo, Gerard H. A. Visser, David Watters, Thomas G. Weiser

Research Articles

Predictive values for different cancers and inflammatory bowel disease of 6 common abdominal symptoms among more than 1.9 million primary care patients in the UK: A cohort study

Annie Herbert, Meena Rafiq, Tra My Pham, Cristina Renzi, Gary A. Abel, Sarah Price, Willie Hamilton, Irene Petersen, Georgios Lyratzopoulos

Menopausal hormone therapy and women’s health: An umbrella review

Guo-Qiang Zhang, Jin-Liang Chen, Ying Luo, Maya B. Mathur, Panagiotis Anagnostis, Ulugbek Nurmatov, Madar Talibov, Jing Zhang, Catherine M. Hawrylowicz, Mary Ann Lumsden, Hilary Critchley, Aziz Sheikh, Bo Lundbäck, Cecilia Lässer, Hannu Kankaanranta, Siew Hwa Lee, Bright I. Nwaru

Cardiac risk stratification in cancer patients: A longitudinal patient–patient network analysis

Yuan Hou, Yadi Zhou, Muzna Hussain, G. Thomas Budd, Wai Hong Wilson Tang, James Abraham, Bo Xu, Chirag Shah, Rohit Moudgil, Zoran Popovic, Chris Watson, Leslie Cho, Mina Chung, Mohamed Kanj, Samir Kapadia, Brian Griffin, Lars Svensson, Patrick Collier, Feixiong Cheng

Levels of pneumococcal conjugate vaccine coverage and indirect protection against invasive pneumococcal disease and pneumonia hospitalisations in Australia: An observational study

Jocelyn Chan, Heather F. Gidding, Christopher C. Blyth, Parveen Fathima, Sanjay Jayasinghe, Peter B. McIntyre, Hannah C. Moore, Kim Mulholland, Cattram D. Nguyen, Ross Andrews, Fiona M. Russell

Conflict-related intentional injuries in Baghdad, Iraq, 2003–2014: A modeling study and proposed method for calculating burden of injury in conflict

Guy W. Jensen, Riyadh Lafta, Gilbert Burnham, Amy Hagopian, Noah Simon, Abraham D. Flaxman

Development and validation of the Durham Risk Score for estimating suicide attempt risk: A prospective cohort analysis

Nathan A. Kimbrel, Jean C. Beckham, Patrick S. Calhoun, Bryann B. DeBeer, Terence M. Keane, Daniel J. Lee, Brian P. Marx, Eric C. Meyer, Sandra B. Morissette, Eric B. Elbogen

Accuracy of novel antigen rapid diagnostics for SARS-CoV-2: A living systematic review and meta-analysis

Lukas E. Brümmer, Stephan Katzenschlager, Mary Gaeddert, Christian Erdmann, Stephani Schmitz, Marc Bota, Maurizio Grilli, Jan Larmann, Markus A. Weigand, Nira R. Pollock, Aurélien Macé, Sergio Carmona, Stefano Ongarello, Jilian A. Sacks, Claudia M. Denkinger

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Awareness, treatment, and control of hypertension in adults aged 45 years and over and their spouses in India: A nationally representative cross-sectional study

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Long-term cost-effectiveness of interventions for obesity: A mendelian randomisation study

Sean Harrison, Padraig Dixon, Hayley E. Jones, Alisha R. Davies, Laura D. Howe, Neil M. Davies

Public preferences for delayed or immediate antibiotic prescriptions in UK primary care: A choice experiment

Liz Morrell, James Buchanan, Laurence S. J. Roope, Koen B. Pouwels, Christopher C. Butler, Benedict Hayhoe, Sarah Tonkin-Crine, Monsey McLeod, Julie V. Robotham, Alison Holmes, A. Sarah Walker, Sarah Wordsworth, STEPUP team

Obesity and the relation between joint exposure to ambient air pollutants and incident type 2 diabetes: A cohort study in UK Biobank

Xiang Li, Mengying Wang, Yongze Song, Hao Ma, Tao Zhou, Zhaoxia Liang, Lu Qi

Combining simple blood tests to identify primary care patients with unexpected weight loss for cancer investigation: Clinical risk score development, internal validation, and net benefit analysis

Brian D. Nicholson, Paul Aveyard, Constantinos Koshiaris, Rafael Perera, Willie Hamilton, Jason Oke, F. D. Richard Hobbs

Urine tumor DNA detection of minimal residual disease in muscle-invasive bladder cancer treated with curative-intent radical cystectomy: A cohort study

Pradeep S. Chauhan, Kevin Chen, Ramandeep K. Babbra, Wenjia Feng, Nadja Pejovic, Armaan Nallicheri, Peter K. Harris, Katherine Dienstbach, Andrew Atkocius, Lenon Maguire, Faridi Qaium, Jeffrey J. Szymanski, Brian C. Baumann, Li Ding, Dengfeng Cao, Melissa A. Reimers, Eric H. Kim, Zachary L. Smith, Vivek K. Arora, Aadel A. Chaudhuri

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Risk of a permanent work-related disability pension after incident venous thromboembolism in Denmark: A population-based cohort study

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