MTL, a composite measure for objectively profiling hospitals on surgical performance in colorectal cancer surgery
| Autor: | Julia Hardt, Stefan Post, Fabian Doyon, Heinz-Johannes Buhr, Carsten Klinger |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Colorectal cancer Resection Discriminatory power Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine Colorectal cancer surgery Internal medicine Outcome Assessment Health Care medicine Humans Major complication Aged Aged 80 and over business.industry Gastroenterology Length of Stay Middle Aged Hepatology medicine.disease Hospitals Colorectal surgery Surgery Outcome parameter 030220 oncology & carcinogenesis Regression Analysis Female 030211 gastroenterology & hepatology Morbidity Colorectal Neoplasms business Colorectal Surgery |
| Zdroj: | International Journal of Colorectal Disease. 34:889-898 |
| ISSN: | 1432-1262 0179-1958 |
| Popis: | MTL is a composite outcome measure based on routine administrative data defined as (a) postoperative mortality and/or (b) postoperative transfer to another hospital and/or (c) length of hospital stay ≥ the prespecified time period. Aim of the present study was to investigate MTL for profiling hospitals on surgical performance in colorectal cancer surgery, using data from the national registers of the German Society of General and Visceral Surgery (DGAV) and to determine the time interval for length of stay with the highest accuracy regarding major complications (Clavien-Dindo grade ≥ 3). All patients undergoing colorectal cancer resection between January 2010 and February 2017 were included. MTL rates were calculated and compared to well-established single outcome measures using multivariate regression analysis. For each outcome measure, postoperative complications were tested regarding their predictability. Data from 14,978 patients were analyzed. Length of stay was significantly prolonged if postoperative complications occurred (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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