Perioperative medicine & outcomes

Systematic reviews and consensus definitions for the Standardised Endpoints in Perioperative Medicine (StEP) initiative: mortality, morbidity, and organ failure

Br J AnaesthPublished Systematic reviews and Delphi consensus process

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

  1. recommended

    30-day mortality and 1-yr mortality (high level of consensus)

  2. 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

  3. 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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