New Study Finds More Post-Surgery Deaths Globally Than From HIV, Tuberculosis and Malaria Combined (upi.com)

schwit1 shares a report from UPI: About 4.2 million people worldwide die every year within 30 days of surgery -- more than from HIV, tuberculosis and malaria combined, a new study reports. The findings show that 7.7 percent of all deaths worldwide occur within a month of surgery, a rate higher than that from any other cause except ischemic heart disease and stroke. "Although not all postoperative deaths are avoidable, many can be prevented by increasing investment in research, staff training, equipment and better hospital facilities," lead author of the study, Dr. Dmitri Nepogodiev, said in a university news release. Along with finding that 4.2 million people a year die within a month of having surgery, his team discovered that half of those deaths occur in low- and middle-income countries.

"Although not all postoperative deaths are avoidable, many can be prevented by increasing investment in research, staff training, equipment and better hospital facilities," Nepogodiev said in a university news release. "To avoid millions more people dying after surgery, planned expansion of access to surgery must be complemented by investment in to improving the quality of surgery around the world," he noted.

Comments

That's nothing

[SlaveToTheGrind]

100% of people die within a few days of drinking water.

That's the anti-vaccine argument

[Solandri]

You're improperly comparing to a zero base state - post-surgery death vs if the person were living a normal life and didn't need surgery. That leads you to the incorrect conclusion that "something is wrong" when someone dies after surgery.

The correct comparison is is against what would've happened to the person if they hadn't gone into surgery. Except for cosmetic surgery, going to the OR is usually to treat a life-threatening problem. 4.2 million deaths after surgery vs 313 million surgical procedures is a 1.3% chance of death post-surgery. People opt for surgery because that's a helluva improvement over the ~50% chance of death if they hadn't gone into surgery.

The same miguided argument is used against vaccines. A few dozen children die from vaccines each year. Anti-vaxxers (comparing to a zero base state of no deaths) cite that as evidence that vaccines are unsafe. But the correct comparison is a few dozen deaths from vaccines, vs the tens or hundreds of thousands of deaths if nobody were vaccinated. We opt for vaccines and surgery because they're the lesser of two evils (far, far lesser).

Another example is the crash of United Airlines 232. One of the passengers was a lap child - an infant or small child carried on the parents' lap and traveling without paying for a seat. The head stewardess abroad the flight followed procedure and instructed the parents to put the lap child underneath the seat in front of them like carry-on luggage. When the child died, she was so racked with guilt that she went on a multi-decade crusade to get lap children banned. The FAA finally ruled against her a few years ago. She was incorrectly comparing against a zero base state - the lap child dying vs possibly surviving if it had been belted into a seat. The FAA made the correct comparison. Lap children are allowed because flying is two orders of magnitude safer than driving. If you forced all parents with small children to pay for a seat for those children, a lot of them would opt to drive instead of fly. And as a result a lot more children would die from car accidents than this one lap child on this one ill-fated flight.

Instead of being frustrated over not knowing why the "unnecessary" death occurred, treat it as a gamble. The patient's original status gave him, say, a 50% chance of survival. Surgery gives him a 98.7% chance of survival. So surgery is obviously the better bet and wiser choice. But 1.3% of the time you will still lose that bet. It still boils down to the luck of the draw, except with surgery (and vaccines and lap children) you are stacking the deck far, far in your favor.

We can and certainly should try to improve the 1.3% fatality rate following surgery. But 1.3% is still a good thing, not something to be ashamed or fearful of. People are making jokes because TFA is naively trying to spin this story as if surgery were an additional risk, when it's actually a reduction in risk.