Textbook outcome after rectal cancer surgery as a composite measure for quality of care: A population-based study

Warps, A. K.; Detering, Robin; Tollenaar, Rob A.E.M.; Tanis, Pieter J.; Dekker, Jan Willem T.

doi:10.1016/j.ejso.2021.05.045

Cited by 23 publications

(30 citation statements)

References 41 publications

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“…В популяционном исследовании Warps et al [11] изучали практику применения составных критериев (textbook outcome) для анализа качества оперативного лечения РПК. В период с 1 января 2012 г. по 31 декабря 2019 г. в общей сложности в наблюдательное исследование было включено 20521 пациентов после плановой операции по поводу первичного рака прямой кишки.…”

Section: результатыunclassified

“…Повторные вмешательства включали эндоскопические и другие хирургические манипуляции под контролем визуализации. В качестве послеоперационных осложнений учитывали кардиоваскулярные, легочные, инфекционные, неврологические, тромбоэмболические осложнения, а также несостоятельность анастомоза, абсцесс, кишечную непроходимость, эвентрацию, раневую инфекцию, кровотечения, перфорацию кишечника или повреждение мочевого пузыря / мочеточника [11].…”

Section: результатыunclassified

“…Составной критерий (textbook outcome) в работе Warps et al [11] 1 Факт выполнения неоадъювантной химиотерапии и лучевой терапии по поводу клинически местно-распространенного опухолевого процесса (cT3-T4b и / или cN1-N2b) или факт выполнения адъювантной химиотерапии и лучевой терапии в течение 180 дней после постановки диагноза не-клинически местнораспространенного рака (cT1-T2 и cN0) с патоморфологическими признаками местнораспространенного рака (pT3-T4b и / или pN1-N2b) у пациентов старше 80 лет представления и дополняющие принципиальные подходы к комплексным оценкам онкохирургической практики. Giesen et al [14] и van Groningen et al [15] опубликовали результаты исследований применимости и информативности отдельных критериев оценки для маркировки / ранжирования МО по характеристикам качества оказываемой медицинской помощи.…”

Section: результатыunclassified

“…Интегративные оценки качества также играют существенную роль при принятии решений специалистами системы здравоохранения, позволяя получить предварительные характеристики качества до полной детализации измерений. Результаты разработки «textbook outcome» для определения качества онкохирургического лечения РПК проходят анализ надежности в онкологической практике за рубежом [11][12][13].…”

Section: Introductionunclassified

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Performance analysis of the quality criteria for colorectal cancer surgery

Andreev

Завьялов

2022

Malignant Tumours

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Common surgical treatment options for colorectal cancer (CRC) are high-risk interventions. The accumulation of various digital health data is critical to improving the quality of cancer care. The article analyzes cases of using the composite unified quality criteria (QC) in CRC surgery and highlights the directions of further development of specific quality indicators and an evaluation system for CRC treatment outcomes. Integrative multiparametric approaches to quality analysis have the potential to improve the quality of surgical oncology. They can be implemented along with other approaches after approval for use in real-world clinical practice.

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Section: результатыunclassified

Section: Introductionunclassified

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Performance analysis of the quality criteria for colorectal cancer surgery

Andreev

Завьялов

2022

Malignant Tumours

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“…Therefore, several studies have pointed out that summarizing the individual outcome metrics by using multiple variables for assessing the short-term prognosis as a comprehensive measure may better re ect the whole surgical care quality of the hospital [13][14][15][16]. In particular, textbook outcome (TO) is a new popular measure 8 that attempts to use a single metric to cover the entire surgical procedure, which provides a comprehensive summary of the hospital performance.…”

Section: Introductionmentioning

confidence: 99%

Effect of Preoperative Body Mass Index on Surgical Textbook Outcomes Following Curative-intent Resection for Perihilar Cholangiocarcinoma

Liu

Zhong

Chen

et al. 2022

Preprint

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Background & Objects: A comprehensive evaluation of the performance during the perioperative period is essential to provide good surgical care. To incorporate numerous characteristics into a single specified quality indicator, "Textbook outcomes (TO)" has been presented. The effect of the preoperative body mass index (BMI) on the occurrence of achieving/not achieving TO (non-TO) among patients having curative-intent resection for perihilar cholangiocarcinoma (pCCA) was studied. Methods This cohort study enrolled patients who underwent curative-intent resection for pCCA between 2014 and 2018 from a multicentre database. All cohort patients were classified into three groups according to the preoperative BMI: normal BMI (18.5 ~ 24.9 kg/m2), low BMI (≤ 18.4 kg/m2), and high BMI (≥ 25.0 kg/m2). The occurrences of non-TO among the above groups were compared. Univariable and multivariable logistic analyses were used to determine whether there was any significant effect of the preoperative BMI on non-TO. Results A total of 313 patients were enrolled in this study, and 212 (67.7%), 46 (14.7%), and 55 (17.6%) were in the normal-BMI, low-BMI, and high-BMI groups, respectively. In all patients, the occurrence of non-TO was 71.6%, and the occurrence of non-TO in both the high- and low-BMI groups was significantly higher than that in the normal-BMI group (85.5% and 82.6% vs. 65.6%, both P < 0.01). The multivariable logistic analyses indicated that both high BMI and low BMI were independently associated with a greater occurrence of non-TO (OR: 2.517, 95CI: 1.052–6.021, P = 0.038; OR: 3.379, 95CI: 1.423–8.022, P = 0.006). Conclusions More than two-thirds of the patients following curative-intent resection for pCCA did not achieve surgical TO. In addition, both preoperative high BMI and low BMI were independently associated with a higher risk of not achieving surgical TO following curative-intent resection for pCCA.

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European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities

Bass,

Kaplan,

Gaarder

et al. 2024

Eur J Trauma Emerg Surg

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Background European Society for Trauma and Emergency Surgery (ESTES) is the European community of clinicians providing care to the injured and critically ill surgical patient. ESTES has several interlinked missions – (1) the promotion of optimal emergency surgical care through networked advocacy, (2) promulgation of relevant clinical cognitive and technical skills, and (3) the advancement of scientific inquiry that closes knowledge gaps, iteratively improves upon surgical and perioperative practice, and guides decision-making rooted in scientific evidence. Faced with multitudinous opportunities for clinical research, ESTES undertook an exercise to determine member priorities for surgical research in the short-to-medium term; these research priorities were presented to a panel of experts to inform a ‘road map’ narrative review which anchored these research priorities in the contemporary surgical literature. Methods Individual ESTES members in active emergency surgery practice were polled as a representative sample of end-users and were asked to rank potential areas of future research according to their personal perceptions of priority. Using the modified eDelphi method, an invited panel of ESTES-associated experts in academic emergency surgery then crafted a narrative review highlighting potential research priorities for the Society. Results Seventy-two responding ESTES members from 23 countries provided feedback to guide the modified eDelphi expert consensus narrative review. Experts then crafted evidence-based mini-reviews highlighting knowledge gaps and areas of interest for future clinical research in emergency surgery: timing of surgery, inter-hospital transfer, diagnostic imaging in emergency surgery, the role of minimally-invasive surgical techniques and Enhanced Recovery After Surgery (ERAS) protocols, patient-reported outcome measures, risk-stratification methods, disparities in access to care, geriatric outcomes, data registry and snapshot audit evaluations, emerging technologies interrogation, and the delivery and benchmarking of emergency surgical training. Conclusions This manuscript presents the priorities for future clinical research in academic emergency surgery as determined by a sample of the membership of ESTES. While the precise basis for prioritization was not evident, it may be anchored in disease prevalence, controversy around aspects of current patient care, or indeed the identification of a knowledge gap. These expert-crafted evidence-based mini-reviews provide useful insights that may guide the direction of future academic emergency surgery research efforts.

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Textbook outcome after rectal cancer surgery as a composite measure for quality of care: A population-based study

Cited by 23 publications

References 41 publications

Performance analysis of the quality criteria for colorectal cancer surgery

Performance analysis of the quality criteria for colorectal cancer surgery

Effect of Preoperative Body Mass Index on Surgical Textbook Outcomes Following Curative-intent Resection for Perihilar Cholangiocarcinoma

European society for trauma and emergency surgery member-identified research priorities in emergency surgery: a roadmap for future clinical research opportunities

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