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Disparities in perioperative mortality outcomes between First Nations and non-First Nations peoples in Australia:
Edith B Waugh1,2,3,4, Matthew J L Hare5,6, David A Story7,8
1Department of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia. Edith.Waugh@menzies.edu.au.
Insights
This systematic review examines perioperative mortality rates (POMR) in Australian First Nations and non-First Nations surgical patients. Findings will highlight surgical outcome disparities and inform health equity strategies.
Area of Science:
- Global Health
- Surgical Outcomes
- Health Equity
Background:
- Persistent health inequities affect First Nations people in developed nations.
- Surgical care is crucial for managing the global disease burden.
- Limited evidence exists on surgical outcomes for First Nations people in Australia.
Purpose of the Study:
- To systematically review perioperative mortality rates (POMR) among First Nations and non-First Nations people in Australia.
- To assess disparities in surgical outcomes between these populations.
- To inform strategies for improving surgical care and health equity.
Main Methods:
- Systematic search of multiple databases (MEDLINE, Embase, Emcare, Global Health, Scopus).
- Inclusion of studies on First Nations and non-First Nations patients undergoing surgery in Australia.
- Data extraction and bias assessment using ROBINS-E; evidence quality evaluated using GRADE criteria.
Main Results:
- This section will detail the findings of the systematic review regarding perioperative mortality rates.
- Analysis will focus on comparing outcomes between First Nations and non-First Nations populations.
- The review aims to quantify disparities in surgical mortality.
Conclusions:
- Evaluating disparities in perioperative mortality is essential for advancing health equity.
- This research will contribute to understanding and addressing the surgical burden of disease among First Nations people.
- The findings will guide policy and practice to improve surgical care access and outcomes.
Background:
Health inequities persist among First Nations people living in developed countries. Surgical care is pivotal in addressing a significant portion of the global disease burden. Evidence regarding surgical outcomes among First Nations people in Australia is limited. The perioperative mortality rate (POMR) indicates timely access to safe surgery and predicts long-term survival after major surgery. This systematic review will examine POMR among First Nations and non-First Nations peoples in Australia.
Methods:
A systematic search strategy using MEDLINE, Embase, Emcare, Global Health, and Scopus will identify studies that include First Nations people and non-First Nations people who underwent a surgical intervention under anaesthesia in Australia. The primary focus will be on documenting perioperative mortality outcomes. Title and abstract screening and full-text review will be conducted by independent reviewers, followed by data extraction and bias assessment using the ROBINS-E tool. Meta-analysis will be considered if there is sufficient homogeneity between studies. The quality of cumulative evidence will be evaluated following the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria.
Discussion:
This protocol describes the comprehensive methodology for the proposed systematic review. Evaluating disparities in perioperative mortality rates between First Nations and non-First Nations people remains essential in shaping the discourse surrounding health equity, particularly in addressing the surgical burden of disease.
Systematic Review Registration:
PROSPERO CRD42021258970.
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