Table 5. Regional differences in consensus on outcomes voted for inclusion or exclusion from the COS by at least 1 subgroup.
| Final list of outcomes as agreed by all stakeholder groups | Region** | Country Consensus income | |||
|---|---|---|---|---|---|
| Consensus outcome | West (n = 327) | East (n = 209) | HIC (n = 360) | LMIC (n = 302) | |
| Outcome Area: Mortality/Survival | |||||
| 1. Disease-free survival* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 2. Dying from stomach cancer* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 4. Surgery-related death | Consensus in | Consensus in | No consensus | Consensus in | No consensus |
| Outcome Area: Clinical/physiological outcomes | |||||
| 6. Endocrine complications | Consensus out | Consensus out | No consensus | Consensus out | Consensus out |
| 7. Anastomotic complications* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 8. Gastro-Intestinal functional problems | No consensus | Consensus in | No consensus | Consensus in | No consensus |
| 11. Fatigue | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| 12. Multiple organ failure* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 14. Surgical Stress Response | Consensus out | Consensus out | No consensus | Consensus out | No consensus |
| 15. Gallbladder complications | No consensus | No consensus | No consensus | No consensus | Consensus out |
| 20. Nutritional Effects | Consensus in | Consensus in | No consensus | Consensus in | No consensus |
| 21. Recurrence of Cancer* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 23. Urinary complications | No consensus | No consensus | No consensus | No consensus | Consensus out |
| 24. Post-operative psychosis | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| 29. Bleeding | Consensus in | No consensus | Consensus in | No consensus | Consensus in |
| 31. Insomnia | Consensus out | Consensus out | No consensus | Consensus out | Consensus out |
| Outcome Area: Life impact | |||||
| 32. Impact on sexual function | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| 33. Ability to eat socially | Consensus out | No consensus | Consensus out | No consensus | Consensus out |
| 34. Ability to Interact socially | Consensus out | No consensus | Consensus out | No consensus | Consensus out |
| 35. Impact of surgery on social and work roles | No consensus | No consensus | Consensus out | No consensus | Consensus out |
| 36. Impact on mental health | No consensus | No consensus | Consensus out | No consensus | No consensus |
| 37. Impact on Physical Appearance | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| 39. Impact on spirituality or faith | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| 40. Overall quality of life | Consensus in | Consensus in | No consensus | Consensus in | No consensus |
| 41. Impact on perception of physical health | No consensus | No consensus | No consensus | No consensus | Consensus out |
| 42. Ability to complete treatment pathway. | No consensus | Consensus in | No consensus | Consensus in | No consensus |
| 43. Completeness of tumour removal* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 45. Duration of surgery | No consensus | Consensus out | No consensus | Consensus out | No consensus |
| 46. Wound size | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| Outcome Area: Resource use | |||||
| 47. Cost | Consensus out | Consensus out | No consensus | Consensus out | No consensus |
| 50. Destination on Discharge | Consensus out | Consensus out | Consensus out | Consensus out | Consensus out |
| Outcome Area: Adverse events | |||||
| 55. All-cause complications* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 56. Intra-operative complications* | Consensus in | Consensus in | Consensus in | Consensus in | Consensus in |
| 57. Anaesthetic complications | Consensus in | Consensus in | No consensus | Consensus in | Consensus in |
Green = for inclusion, Red = for exclusion, Yellow = no consensus. HIC = high income country, LMIC = low- to middle-income country;
*Denotes outcome was categorised as for ‘inclusion’ in COS by all subgroups.
**Participants not from either Western or Eastern countries were excluded from this analysis.