Textbook outcome as a composite outcome measure to compare hospital performances regarding cytoreductive surgery for ovarian cancer: A nationwide population-based study

Algera, Marc Daniël; Slangen, Brigitte; Driel, W.J. van; Wouters, Michel W.J.M.

doi:10.1016/j.ygyno.2023.04.021

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…However, recent publications indicate that the use of CR data for quality assessment at the HCP level is just beginning. In the Netherlands, hospital comparisons based on quality indicators have already been published for gynaecological cancers [29][30][31], lung cancer [32] or rectal cancer [33]. Such analyses, like ours, show that cancer care can be made measurable at the HCP level and that fair benchmarking of specific clinical aspects is possible.…”

Section: Discussionsupporting

confidence: 54%

Population-Based Clinical Cancer Registration in Germany

Katalinic,

Halber,

Meyer

et al. 2023

Cancers

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Introduction: In 2013, a new federal law obligated all German federal states to collect additional clinical data in population-based cancer registries as an active tool for monitoring and improving the quality of cancer care, increasing transparency and promoting health research. Now, 10 years later, the current status of the expanded cancer registration is presented, including current figures on cancer in Germany. Methods: Reporting of cancer is mandatory for physicians, and about 5 to 10 reports from different healthcare providers are expected for each case. A uniform national dataset of about 130 items is used, and reports are usually sent electronically to the registry. We used the most recent data available from cancer registries up to the year of diagnosis in 2019. We calculated incidence rates and 5-year relative survival (5YRS) for common cancers. Data on clinical outcomes and benchmarking based on quality indicators (QIs) from guidelines were provided by the Cancer Registry Schleswig-Holstein (CR SH). Results: All federal state cancer registries met most of the previously defined national eligibility criteria. Approximately 505,000 cancer cases were registered in 2019, with breast, prostate, colorectal and lung cancer being the most common cancers. The age-standardised cancer incidence has slightly decreased during the last decade. and spatial heterogeneity can be observed within Germany. 5YRS for all cancers was 67% and 63% for women and men, respectively. Therapy data for rectal cancer in 2019–2021 from the CR SH are shown as an example: 69% of the registered patients underwent surgery, mostly with curative intent (84%) and tumour-free resection (91%). Radiotherapy was given to 33% of the patients, and chemotherapy was given to 40%. Three selected QIs showed differences between involved healthcare providers. Discussion: The implementation of population-based clinical cancer registration can be considered a success. Comprehensive recording of diagnosis, treatment and disease progression and the use of registry data for quality assurance, benchmarking and feedback have been implemented.

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Section: Discussionsupporting

confidence: 54%

Population-Based Clinical Cancer Registration in Germany

Katalinic,

Halber,

Meyer

et al. 2023

Cancers

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“…Composite measures identified in this review included ‘textbook outcome’ (a binary indicator achieved when a patient had the ideal outcome as defined by a group of experts), MTL22 (‘mortality, transfer, or prolonged length of stay in first 22 postoperative days’), and a combined measure of volume and outcome 33 , 36 , 48 , 77 . The purported benefit of composite measures is their superior sensitivity as they capture related outcomes.…”

Section: Discussionmentioning

confidence: 99%

Quality indicators in surgical oncology: systematic review of measures used to compare quality across hospitals

McLeod,

Leung,

Pramesh

et al. 2024

BJS Open

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Background Measurement and reporting of quality indicators at the hospital level has been shown to improve outcomes and support patient choice. Although there are many studies validating individual quality indicators, there has been no systematic approach to understanding what quality indicators exist for surgical oncology and no standardization for their use. The aim of this study was to review quality indicators used to assess variation in quality in surgical oncology care across hospitals or regions. It also sought to describe the aims of these studies and what, if any, feedback was offered to the analysed groups. Methods A literature search was performed to identify studies published between 1 January 2000 and 23 October 2023 that applied surgical quality indicators to detect variation in cancer care at the hospital or regional level. Results A total of 89 studies assessed 91 unique quality indicators that fell into the following Donabedian domains: process indicators (58; 64%); outcome indicators (26; 29%); structure indicators (6; 7%); and structure and outcome indicators (1; 1%). Purposes of evaluating variation included: identifying outliers (43; 48%); comparing centres with a benchmark (14; 16%); and supplying evidence of practice variation (29; 33%). Only 23 studies (26%) reported providing the results of their analyses back to those supplying data. Conclusion Comparisons of quality in surgical oncology within and among hospitals and regions have been undertaken in high-income countries. Quality indicators tended to be process measures and reporting focused on identifying outlying hospitals. Few studies offered feedback to data suppliers.

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“…While there is an increasing patient demand for a standardized scale to measure the quality of treatment across different hospitals, there remains a lack of consensus on a single or combined set of parameters (Algera et al, 2023). The concept of Textbook Outcome (TO) has emerged as a novel and promising approach to assessing the quality of perioperative care and surgical factors in various surgical procedures.…”

Section: Comment On: Textbook Outcome Was Associated With Better Surv...mentioning

confidence: 99%

Comment on: Textbook outcome was associated with better survival in oral cancer surgery in southern Taiwan

Kaul¹,

Garg²

2023

Oral Diseases

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Textbook outcome as a composite outcome measure to compare hospital performances regarding cytoreductive surgery for ovarian cancer: A nationwide population-based study

Cited by 5 publications

References 19 publications

Population-Based Clinical Cancer Registration in Germany

Population-Based Clinical Cancer Registration in Germany

Quality indicators in surgical oncology: systematic review of measures used to compare quality across hospitals

Comment on: Textbook outcome was associated with better survival in oral cancer surgery in southern Taiwan

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