![]() ![]() After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio 3♸5 p<0♰001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63♰% vs 82♷% OR 0♳5 p<0♰001). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries 57 hospitals in 19 upper-middle-income countries and 90 hospitals in 27 low-income to lower-middle-income countries). ![]() Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. ![]() Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. The primary outcomes were 30-day mortality and 30-day major complication rates. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. ![]() The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Background: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. ![]()
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