n South African Medical Journal - National priorities for perioperative research in South Africa : research

Volume 106, Issue 5
  • ISSN : 0256-9574
  • E-ISSN: 2078-5135



Perioperative research is currently unco-ordinated in South Africa (SA), with no clear research agenda.

To determine the top ten national research priorities for perioperative research in SA.
A Delphi technique was used to establish consensus on the top ten research priorities.
The top ten research priorities were as follows: () establishment of a national database of () critical care outcomes, and () critical care resources; () a randomised controlled trial of preoperative B-type natriuretic peptide-guided medical therapy to decrease major adverse cardiac events following non-cardiac surgery; () a national prospective observational study of the outcomes associated with paediatric surgical cases; () a national observational study of maternal and fetal outcomes following operative delivery in SA; () a steppedwedge trial of an enhanced recovery after surgery programme for () obstetrics, () emergency surgery, and () trauma surgery; () a stepped-wedge trial of a surgical safety checklist on patient outcomes in SA; () a prospective observational study of perioperativeoutcomes after surgery in district general hospitals in SA; () short-course interventions to improve anaesthetic skills in rural doctors; () studies of the efficacy of simulation training to improve () patient outcomes, () team dynamics, and () leadership; and () development and validation of a risk stratification tool for SA surgery based on the South African Surgical Outcomes Study (SASOS) data.
These research priorities provide the structure for an intermediate-term research agenda.

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