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 |
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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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