Value-based Surgical Care: Evidence for the Enigma

Tatarian, Talar; Aggarwal, Rajesh

doi:10.1097/sla.0000000000002784

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…A ccurate performance assessment is crucial for the improvement of surgical care, [1][2][3][4][5] and only quality indicators that are both clinically relevant and easy to understand may gain wide acceptance. 2 Traditional indicators of surgical quality are usually derived from averaged outcomes of largely unselected patient cohorts.…”

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confidence: 99%

How to Establish Benchmarks for Surgical Outcomes?

Gerö¹,

Muller²,

Staiger³

et al. 2022

Annals of Surgery

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Objective: To define a standardized methodology for establishing benchmarks for relevant outcomes in surgery. Summary Background Data: Benchmarking is an established tool to improve quality in industry and economics, and is emerging in assessing outcome values in surgery. Despite a recent 10-step approach to identify such benchmark values, a standardized and more widely agreed-on approach is still lacking. Methods: A multinational web-based Delphi survey with a focus on methodological requirements for establishing benchmarks for surgical outcomes was performed. Participants were selected among internationally renowned specialists in abdominal, vascular, and thoracic surgery. Consensus was defined as ≥70% agreement and results were used to develop a checklist to establish benchmarks in surgery. Results: Forty-one surgical opinion leaders from 19 countries and 5 continents were involved. Experts’ response rates were 98% and 80% in rounds 1 and 2, respectively. Upon completion of the final Delphi round, consensus was successfully achieved for 26 of 36 items covering the following areas: center eligibility, validation of databases, patient cohort selection, procedure selection, duration of follow-up, statistical analysis, and publication requirements regarding center-specific outcomes. Conclusions: This multinational Delphi survey represents the first expert-led process for developing a standardized approach for establishing benchmarks for relevant outcome measures in surgery. The provided consensual checklist customizes the methodology of outcome reporting in surgery and thus improves reproducibility and comparability of data and should ultimately serve to improve quality of care.

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confidence: 99%

How to Establish Benchmarks for Surgical Outcomes?

Gerö¹,

Muller²,

Staiger³

et al. 2022

Annals of Surgery

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“…The goal of benchmarking is the improvement of quality, and this idea is also applied in the field of surgery. The key to quality improvement is accurate assessment 1 , 2 , 48 , 49 , 55 . Traditional outcome measures of surgical quality usually focus on averaged results of unselected population cohorts 1 , 7 .…”

Section: Discussionmentioning

confidence: 99%

Benchmarking: a novel measuring tool for outcome comparisons in surgery

Yuan

et al. 2023

International Journal of Surgery

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Introduction: Benchmarking, a novel measuring tool for outcome comparisons, is a recent concept in surgery. The objectives of this review are to examine the concept, definition, and evolution of benchmarking and its application in surgery. Methods: The literature about benchmarking was reviewed through an ever-narrowing search strategy, commencing from the concept, definition, and evolution of benchmarking to the application of benchmarking and experiences of benchmarking in surgery. PubMed, Web of Science, Embase, and Science Direct databases were searched until 20 September 2022, in the English language according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines. Results: In the first phase of the literature search, the development of benchmarking was identified. The definitions of benchmarking evolved from a surveying term to a novel quality-improvement tool to assess the best achievable results in surgery. In the second phase, a total of 23 studies were identified about benchmarking in surgery, including esophagectomy, hepatic surgery, pancreatic surgery, rectum resection, and bariatric surgery. All studies were multicenter analyses from national, international, or global expert centers. Most studies (87.0%) adopted the definition that benchmark was the 75th percentile of the median values of centers. Performance metrics to define benchmarks were clinically relevant intraoperative and postoperative outcome indicators. Conclusion: Benchmarking in surgery is a novel quality-improvement tool to define and measure the best achievable results, establishing a meaningful reference to evaluate surgical performance.

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Value-based Surgical Care: Evidence for the Enigma

Cited by 2 publications

References 15 publications

How to Establish Benchmarks for Surgical Outcomes?

How to Establish Benchmarks for Surgical Outcomes?

Benchmarking: a novel measuring tool for outcome comparisons in surgery

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