Perioperative medicine & outcomes

Interventions to reduce postoperative mortality in low- and middle-income countries: systematic review

Br J SurgPublished Systematic review of randomised trials

Authors' conclusion

Few RCTs have targeted postoperative mortality in LMICs and no intervention demonstrated consistent effectiveness across multiple contexts.

Study context

Population
Surgical patients in LMIC (elective and emergency operations, all surgical specialties)
Participants
95,521 patients · 18 trials
Outcome
Postoperative mortality
Follow-up
Within 90 days of surgery
Methodological detailspreregistered protocol
  • Preregistered protocol

Pooled result

As reported in the abstract

Trials showing a significant reduction in mortality (interventions largely context specific)

4

Trials assessed as low risk of bias

4 of 18

Further pooled results

Adherence, simple interventions
93.6%
Adherence, complex interventions
96.8%
  • Generally high and similar; varied substantially across trials

Original publication

Interventions to reduce postoperative mortality in low- and middle-income countries: systematic review. Br J Surg. Published 18 May 2026. doi:10.1093/bjs/znag038

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