Perioperative medicine & outcomes
Development of a perioperative core structure and process indicator set using modified Core Outcome Measures in Effectiveness Trials (COMET) methodology and participatory approaches
Authors' conclusion
This participatory process produced a consensus-based, multidimensional core set of perioperative structure and process indicators reflecting both clinical relevance and lived experience.
Study context
- Population
- Stakeholders including patients, carers and clinicians; perioperative structure and process indicators>250 stakeholders
- Outcome
- Core indicator set for perioperative structure and process
Methodological detailsmodified COMET methodology with systematic review, surveys and consensus workshop, three-phase, participatory, four survey rounds, Indicators mapped to a 10-domain conceptual framework, Consensus workshop and consultation finalised the set
- Modified COMET methodology with systematic review, surveys and consensus workshop
- Three-phase
- Participatory
- Four survey rounds
- Indicators mapped to a 10-domain conceptual framework
- Consensus workshop and consultation finalised the set
Recommendations
As reported in the abstract
- Indicators identified from systematic review (657 sources)
- 615
- Process indicators
- 324
- Structure indicators
- 248
- Unclear indicators
- 43
- Indicators after four survey rounds
- 142
- Rank stability ρ
- 0.89
- W
- 0.712
- Final set of indicators (consensus workshop, 26 participants)
- 56
- Core indicators
- 28
- Desirable indicators
- 28
Original publication
Development of a perioperative core structure and process indicator set using modified Core Outcome Measures in Effectiveness Trials (COMET) methodology and participatory approaches. Br J Anaesth. Published 29 September 2026. doi:10.
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