TABLE 1.
Lancet Commission on Global Surgery Core Key Performance Indicators for Monitoring Surgical Systems
| Indicator | Lancet Commission on Global Surgery Definition | Lancet Commission on Global Surgery Target by 2030 | Included in the World Bank Group's World Development Indicators | Included in the World Bank Group's 2018 Atlas of Sustainable Development Goals | Included in the World Health Organization's Core 100 Indicators |
|---|---|---|---|---|---|
| Access to timely essential surgery | Proportion of the population that can access a facility within 2 hours that can do cesarean delivery, laparotomy, and open fracture repairs | A minimum of 80% coverage of essential surgical and anesthesia services per country | - | - | Yes |
| Specialist surgical workforce density | Number of specialist surgical, anesthetic, and obstetric physicians working, per 100,000 population | 100% of countries with at least 20 surgical, anesthetic, and obstetric physicians per 100,000 population | Yes | Yes | Yes |
| Number of surgical procedures performed | Procedures done in an operating theatre, per 100,000 population per year | 80% of countries by 2020 and 100% of countries by 2030 tracking surgical volume; a minimum of 5,000 procedures per 100,000 population | Yes | - | Yes |
| Perioperative mortality rate | All-cause death rate before discharge in patients who have undergone a procedure in an operating theater, divided by the total number of procedures | 80% of countries by 2020 and 100% of countries by 2030 tracking perioperative mortality; in 2020, assess global data and set national targets for 2030 | - | - | Yes |
| Protection against impoverishing expenditure for surgical care | Proportion of households protected against impoverishment from direct out-of-pocket payments for surgical and anesthesia care | 100% protection against impoverishment from out-of-pocket payments for surgical and anesthesia care | Yes | - | Yes |
| Protection against catastrophic expenditure for surgical care | Proportion of households protected against catastrophic expenditure from direct out-of-pocket payments for surgical and anesthesia care | 100% protection against catastrophic expenditure from out-of-pocket payments for surgical and anesthesia care | Yes | - | Yes |