Role of intraoperative processes of care during major upper gastrointestinal oncological resection in postoperative outcomes: a scoping review protocol.

Autor:	Rajendran L; Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada., Hopkins A; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada., Hallet J; Department of Surgery, Division of General Surgery, University of Toronto, Toronto, Ontario, Canada.; Division of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Sinha R; Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.; Department of Anesthesiology, Nottingham University Hospitals NHS Trust, Nottingham, UK., Tanwani J; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada., Kao MM; Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada., Eskander A; Division of Surgical Oncology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.; Department of Otolaryngology Head & Neck Surgery, University of Toronto, Toronto, Ontario, Canada.; Clinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada., Barabash V; Clinical Evaluative Sciences, Sunnybrook Research Institute, Toronto, Ontario, Canada., Idestrup C; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.; Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Perez P; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada.; Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada., Jerath A; Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto, Ontario, Canada angela.jerath@sunnybrook.ca.; Department of Anesthesiology, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Jul 04; Vol. 13 (7), pp. e068339. Date of Electronic Publication: 2023 Jul 04.
DOI:	10.1136/bmjopen-2022-068339
Abstrakt:	Introduction: Optimal delivery and organisation of care is critical for surgical outcomes and healthcare systems efficiency. Anaesthesia volumes have been recently associated with improved postoperative recovery outcomes; however, the mechanism is unclear. Understanding the individual processes of care (interventions received by the patient) is important to design effective systems that leverage the volume-outcome association to improve patient care. The primary objective of this scoping review is to systematically map the evidence regarding intraoperative processes of care for upper gastrointestinal cancer surgery. We aim to synthesise the quantity, type, and scope of studies on intraoperative processes of care in adults who undergo major upper gastrointestinal cancer surgeries (oesophagectomy, hepatectomy, pancreaticoduodenectomy, and gastrectomy) to better understand the volume-outcome relationship for anaesthesiology care. Methods and Analysis: This scoping review will follow the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension framework for scoping reviews. We will systematically search MEDLINE, Embase and Cochrane databases for original research articles published after 2010 examining postoperative outcomes in adult patients undergoing either: oesophagectomy, hepatectomy, pancreaticoduodenectomy, or gastrectomy, which report at least one intraoperative processes of care (intervention or framework) applied by anaesthesia or surgery. The data from included studies will be extracted, charted, and summarised both quantitatively and qualitatively through descriptive statistics and narrative synthesis. Ethics and Dissemination: No ethics approval is required for this scoping review. Results will be disseminated through publication targeted at relevant stakeholders in anaesthesiology and cancer surgery. Trial Registration Number: 10.17605/OSF.IO/392UG; https://archive.org/details/osf-registrations-392ug-v1. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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