Single institution followed by national implementation of systematic surgical quality control and feedback for radical prostatectomy: a 20-year journey
| Autor: | Elin Axén, I Franck-Lissbrant, Per Fransson, Pär Stattin, Ali Khatami, K Koss-Modig, M. Nyberg, Jonas Hugosson, Maria Frånlund, Ola Bratt, Pär Lodding, Johan Stranne |
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| Rok vydání: | 2019 |
| Předmět: |
Surgical results
Male Quality Control medicine.medical_specialty Time Factors Formative Feedback Urology medicine.medical_treatment Control (management) 030232 urology & nephrology 03 medical and health sciences 0302 clinical medicine Urologi och njurmedicin Medicine Urology and Nephrology Humans Single institution PROM Prostatectomy Sweden Prostate cancer business.industry General surgery Quality control Prostatic Neoplasms Topic Paper Radical prostatectomy Acs nsqip 030220 oncology & carcinogenesis business |
| Zdroj: | World Journal of Urology |
| ISSN: | 1433-8726 |
| Popis: | PURPOSE: The demand for objective and outcome-based facts about surgical results after radical prostatectomy (RP) is increasing. Systematic feedback is also essential for each surgeon to improve his/her performance. METHODS: RP outcome data (e.g., pT-stage and margin status) have been registered at Sahlgrenska University Hospital (SUH) since 1988 and patient-related outcome measures (PROM) have been registered since 2001. The National Prostate Cancer Registry (NPCR) has covered all Regions in Sweden since 1998 and includes PROM-data from 2008. Initially PROM was on-paper questionnaires but due since 2018 all PROMs are collected electronically. In 2014 an on-line "dashboard" panel was introduced, showing the results for ten quality-control variables in real-time. Since 2017 all RP data on hospital, regional, and national levels are publicly accessible on-line on " www.npcr.se/RATTEN ". RESULTS: The early PROM-data from SUH have been used for internal quality control. As national clinical and PROM-data from the NPCR have been made accessible on-line and in real-time we have incorporated this into our pre-existing protocol. Our data are now internally available as real-time NPCR reports on the individual surgeons' results, as well as ePROM data. We can compare the results of each surgeon internally and to other departments' aggregated data. The public can access data and compare hospital level data on "RATTEN". CONCLUSIONS: The process of quality control of RP locally at SUH, and nationally through the NPCR, has been long but fruitful. The online design, with direct real-time feedback to the institutions that report the data, is essential. |
| Databáze: | OpenAIRE |
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