Waugh, Edith

Hare, Matthew

Story, David A

Romero, Lorena

Mayo, Mark

Smith-Vaughan, Heidi

Reilly, Jennifer R

2024-08-05

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.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.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.PROSPERO CRD42021258970.

Department of Anaesthesia and Perioperative Medicine, Royal Darwin Hospital, Darwin, NT, Australia. Edith.Waugh@menzies.edu.au.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia. Edith.Waugh@menzies.edu.au.

Flinders University, Adelaide, SA, Australia. Edith.Waugh@menzies.edu.au.

Department of Critical Care, the University of Melbourne, Melbourne, VIC, Australia. Edith.Waugh@menzies.edu.au.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Endocrinology Department, Royal Darwin Hospital, Darwin, NT, Australia.

Department of Critical Care, the University of Melbourne, Melbourne, VIC, Australia.

Department of Anaesthesia, Austin Health, Melbourne, VIC, Australia.

The Ian Potter Library, Alfred Health, Melbourne, VIC, Australia.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.

Department of Critical Care, the University of Melbourne, Melbourne, VIC, Australia.

Syst Rev . 2024 Aug 5;13(1):208. doi: 10.1186/s13643-024-02611-3.

2046-4053

0000-0002-8685-5389

https://pubmed.ncbi.nlm.nih.gov/39103965/?otool=iaurydwlib

https://hdl.handle.net/10137/13504

Anaesthesia,

Australia,

Australian Aboriginal and Torres Strait Islander peoples,

First Nations people,

Health care,

Health equity,

Health status disparities

Indigenous health,

Meta-analysis,

Operative,

Outcome assessment

Postoperative/perioperative mortality,

Surgical procedures

Systematic reviews,

Humans

Systematic Reviews as Topic

Australia

Healthcare Disparities

Indigenous Peoples

Surgical Procedures, Operative

Perioperative Period

Meta-Analysis as Topic

Health Status Disparities

Disparities in perioperative mortality outcomes between First Nations and non-First Nations peoples in Australia: protocol for a systematic review and planned meta-analysis.

Journal Article

Publication