The need to collect, aggregate, and analyze global anesthesia and surgery data

  • Sabrina JuranEmail author
  • Magdalena Gruendl
  • Isobel H. Marks
  • P. Niclas Broer
  • Jose Miguel Guzman
  • Justine Davies
  • Mark Shrime
  • Walter Johnson
  • Hampus Holmer
  • Gregory Peck
  • Emmanuel Makasa
  • Lars Hagander
  • Stephanie J. Klug
  • John G. Meara
  • Adrian W. Gelb
  • David Ljungman
Special Article


In the Sustainable Development Goals era, there is a new awareness of the need for an integrated approach to healthcare interventions and a strong commitment to Universal Health Coverage. To achieve the goal of strengthening entire health systems, surgery, as a crosscutting treatment modality, is indispensable. For any health system strengthening exercise, baseline data and longitudinal monitoring of progress are necessary. With improved data capabilities, there are unparalleled possibilities to map out and understand systems, integrating data from many sources and sectors. Nevertheless, there is also a need to prioritize among indicators to avoid information overload and data collection fatigue. There is a similar need to define indicators and collection methodology to create standardized and comparable data. Finally, there is a need to establish data pathways to ensure clear responsibilities amongst national and international institutions and integrate surgical metrics into existing mechanisms for sustainable data collection. This is a call to collect, aggregate, and analyze global anesthesia and surgery data, with an account of existing data sources and a proposed way forward.

La nécessité de collecter, regrouper et analyser les données sur l’anesthésie et la chirurgie dans le monde


À l’époque des objectifs du développement durable, on constate une nouvelle sensibilisation au besoin d’une approche intégrée dans les interventions en soins de santé et un fort engagement en faveur d’une couverture médicale universelle. Pour atteindre l’objectif du renforcement de systèmes entiers de santé, la chirurgie en tant que modalité thérapeutique transversale est indispensable. Pour toute activité de renforcement du système de santé, des données de référence et un suivi longitudinal des progrès sont nécessaires. Avec de meilleures données, il existe des possibilités sans équivalent de cartographier et de comprendre les systèmes, en intégrant des données provenant de multiples sources et secteurs. Néanmoins, il est également nécessaire de prioriser les indicateurs pour éviter une surcharge d’informations et une fatigue dans la collecte des données. Il existe un besoin similaire de définition des indicateurs et de la méthodologie de collecte afin de créer des données standardisées et comparables. Enfin, il est nécessaire d’établir des cheminements de données pour garantir des responsabilités claires entre les institutions nationales et internationales et intégrer les paramètres chirurgicaux dans les mécanismes existants pour une collecte durable des données. Ceci est un appel à la collecte, au regroupement et à l’analyse de données globales en anesthésie et en chirurgie avec un compte rendu des sources de données existantes et une proposition d’avancée.


Conflict of interest

The authors declare no conflicts of interest.

Editorial responsibility

This submission was handled by Dr. Hilary P. Grocott, Editor-in-Chief, Canadian Journal of Anesthesia.

Author contributions

Sabrina Juran originally conceived of the article and its structure and co-wrote the initial drafts. Magdalena Gruendl helped with significant contributions to the manuscript, including concepts, structure, and wording, and also co-wrote initial drafts and formatted references. Isobel H. Marks helped with significant contributions to the manuscript, including concepts, structure, and wording, and also co-wrote initial drafts. P. Niclas Broer, Jose Miguel Guzman, Justine Davies, Mark Shrimer, Walter Johnson, Hampus Holmer, Gregory Peck, Emmanuel Makasa, Lars Hagander, Stephanie J. Klug, John G. Meara, and Adrian W. Gelb helped with significant contributions to the manuscript, including concepts, structure, and wording. These authors also reviewed the draft. David Ljungman originally conceived of the article and its structure and co-wrote the initial drafts.

Funding sources

David Ljungman is funded by the Fulbright Commission, Swedish Medical Society, Björnsson Foundation, Sweden-America Foundation, and Adlerberth Research Foundation. John G. Meara is supported by an unrestricted grant from General Electric Foundation.


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Copyright information

© Canadian Anesthesiologists' Society 2018

Authors and Affiliations

  • Sabrina Juran
    • 1
    • 15
    Email author
  • Magdalena Gruendl
    • 1
    • 2
  • Isobel H. Marks
    • 3
  • P. Niclas Broer
    • 4
  • Jose Miguel Guzman
    • 5
  • Justine Davies
    • 6
  • Mark Shrime
    • 2
    • 7
  • Walter Johnson
    • 8
  • Hampus Holmer
    • 9
  • Gregory Peck
    • 10
  • Emmanuel Makasa
    • 11
  • Lars Hagander
    • 9
  • Stephanie J. Klug
    • 1
  • John G. Meara
    • 2
    • 12
  • Adrian W. Gelb
    • 13
  • David Ljungman
    • 2
    • 14
  1. 1.Department of EpidemiologyTechnical University MunichMunichGermany
  2. 2.Program in Global Surgery, Department of Global Health and Social MedicineHarvard Medical SchoolBostonUSA
  3. 3.Northwick Park HospitalImperial College LondonLondonUK
  4. 4.Klinikum BogenhausenTechnical University MunichMunichGermany
  5. 5.The Demographic and Health Survey ProgramICFFairfaxUSA
  6. 6.School of Population Sciences and Health Services Research Faculty of Life Sciences and MedicineKing’s College LondonLondonUK
  7. 7.Department of OtolaryngologyMassachusetts Eye and Ear InfirmaryBostonUSA
  8. 8.World Health OrganizationGenevaSwitzerland
  9. 9.Lund University, WHO Collaborating Centre for Surgery and Public HealthLundSweden
  10. 10.Rutgers Global SurgeryRutgers Biomedical Health SciencesNewarkUSA
  11. 11.Department of Surgery, School of Clinical Medicine, Faculty of Health SciencesUniversity of WitwatersrandJohannesburgSouth Africa
  12. 12.Department of Plastic & Oral Surgery, Boston Children’s HospitalHarvard Medical SchoolBostonUSA
  13. 13.Department of Anaesthesia & Perioperative CareUniversity of California San FranciscoSan FranciscoUSA
  14. 14.Department of Surgery, Institute of Clinical Sciences, Sahlgrenska AcademyUniversity of GothenburgGothenburgSweden
  15. 15.Technical DivisionUnited Nations Population FundNew YorkUSA

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