Textbook outcome as a composite measure in oesophagogastric cancer surgery

Autor: L A D Busweiler, M G Schouwenburg, M I van Berge Henegouwen, N E Kolfschoten, P C de Jong, T Rozema, B P L Wijnhoven, R van Hillegersberg, M W J M Wouters, J W van Sandick, K Bosscha, A Cats, J L Dikken, N C T van Grieken, H H Hartgrink, V E P P Lemmens, G A P Nieuwenhuijzen, J T Plukker, C Rosman, P D Siersema, G Tetteroo, P M J F Veldhuis, F E M Voncken
Přispěvatelé: CCA - Cancer Treatment and quality of life, AGEM - Re-generation and cancer of the digestive system, Pathology, Surgery, CCA - Cancer Treatment and Quality of Life, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism
Rok vydání: 2017
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Esophageal Neoplasms
education
Tumor resection
030230 surgery
Outcome (game theory)
Young Adult
Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14]
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
Gastrectomy
Stomach Neoplasms
medicine
Humans
Gastrointestinal cancer
Quality of care
Child
Aged
Netherlands
Quality of Health Care
Hospital readmission
business.industry
Infant
Newborn
Infant
Cancer
Middle Aged
Esophageal cancer
medicine.disease
Neoadjuvant Therapy
humanities
Surgery
Esophagectomy
Treatment Outcome
Child
Preschool
Lymphatic Metastasis
030220 oncology & carcinogenesis
Lymph Node Excision
Female
Neoplasm Recurrence
Local
Epidemiologic Methods
business
Cancer surgery
Zdroj: British Journal of Surgery, 104(6), 742-750. John Wiley and Sons Ltd
British Journal of Surgery, 104, 742-750
Busweiler, L A D, Schouwenburg, M G, van Berge Henegouwen, M I, Kolfschoten, N E, de Jong, P C, Rozema, T, Wijnhoven, B P L, van Hillegersberg, R, Wouters, M W J M, van Sandick, J W & the Dutch Upper Gastrointestinal Cancer Audit (DUCA) group 2017, ' Textbook outcome as a composite measure in oesophagogastric cancer surgery ', British Journal of Surgery, vol. 104, no. 6, pp. 742-750 . https://doi.org/10.1002/bjs.10486
British Journal of Surgery, 104, 6, pp. 742-750
British Journal of Surgery, 104(6), 742-750. John Wiley & Sons Ltd.
British journal of surgery, 104(6), 742-750. John Wiley and Sons Ltd
ISSN: 1365-2168
0007-1323
Popis: Background Quality assurance is acknowledged as a crucial factor in the assessment of oncological surgical care. The aim of this study was to develop a composite measure of multiple outcome parameters defined as ‘textbook outcome’, to assess quality of care for patients undergoing oesophagogastric cancer surgery. Methods Patients with oesophagogastric cancer, operated on with the intent of curative resection between 2011 and 2014, were identified from a national database (Dutch Upper Gastrointestinal Cancer Audit). Textbook outcome was defined as the percentage of patients who underwent a complete tumour resection with at least 15 lymph nodes in the resected specimen and an uneventful postoperative course, without hospital readmission. Hospital variation in textbook outcome was analysed after adjustment for case-mix factors. Results In total, 2748 patients with oesophageal cancer and 1772 with gastric cancer were included in this study. A textbook outcome was achieved in 29·7 per cent of patients with oesophageal cancer and 32·1 per cent of those with gastric cancer. Adjusted textbook outcome rates varied from 8·5 to 52·4 per cent between hospitals. The outcome parameter ‘at least 15 lymph nodes examined’ had the greatest negative impact on a textbook outcome both for patients with oesophageal cancer and for those with gastric cancer. Conclusion Most patients did not achieve a textbook outcome and there was wide variation between hospitals.
Databáze: OpenAIRE
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