Perioperative medicine & outcomes
Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure
Methodological detailsthree-stage Delphi consensus, Reliability, feasibility and patient-centredness assessed in round 3
- Three-stage Delphi consensus
- Reliability, feasibility and patient-centredness assessed in round 3
Recommendations
As issued by the authors
- recommended
30-day mortality and 1-yr mortality (high level of consensus)
- conditional endorsement
Clavien-Dindo classification of complications for postoperative morbidity, as the most widely used measure; it reached consensus thresholds in round 2 but not round 3, where it scored equivalently to the Post Operative Morbidity Survey
No organ failure endpoint, including composite measures, recommended (consensus not reached)
Original publication
Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure. Br J Anaesth. Published 23 January 2023. doi:10. 1016/ j. bja. 2022. 12. 012
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