• Je něco špatně v tomto záznamu ?

Benchmarks in colorectal surgery: multinational study to define quality thresholds in high and low anterior resection

RD. Staiger, F. Rössler, MJ. Kim, C. Brown, L. Trenti, T. Sasaki, D. Uluk, JP. Campana, M. Giacca, B. Schiltz, RR. Bahadoer, KY. Lee, BEC. Kupper, KY. Hu, F. Corcione, SR. Paredes, S. Spampati, K. Ukegjini, B. Jedrzejczak, D. Langer, A. Stakelum,...

. 2022 ; 109 (12) : 1274-1281. [pub] 2022Nov22

Jazyk angličtina Země Anglie, Velká Británie

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc22032612

BACKGROUND: Benchmark comparisons in surgery allow identification of gaps in the quality of care provided. The aim of this study was to determine quality thresholds for high (HAR) and low (LAR) anterior resections in colorectal cancer surgery by applying the concept of benchmarking. METHODS: This 5-year multinational retrospective study included patients who underwent anterior resection for cancer in 19 high-volume centres on five continents. Benchmarks were defined for 11 relevant postoperative variables at discharge, 3 months, and 6 months (for LAR). Benchmarks were calculated for two separate cohorts: patients without (ideal) and those with (non-ideal) outcome-relevant co-morbidities. Benchmark cut-offs were defined as the 75th percentile of each centre's median value. RESULTS: A total of 3903 patients who underwent HAR and 3726 who had LAR for cancer were analysed. After 3 months' follow-up, the mortality benchmark in HAR for ideal and non-ideal patients was 0.0 versus 3.0 per cent, and in LAR it was 0.0 versus 2.2 per cent. Benchmark results for anastomotic leakage were 5.0 versus 6.9 per cent for HAR, and 13.6 versus 11.8 per cent for LAR. The overall morbidity benchmark in HAR was a Comprehensive Complication Index (CCI®) score of 8.6 versus 14.7, and that for LAR was CCI® score 11.9 versus 18.3. CONCLUSION: Regular comparison of individual-surgeon or -unit outcome data against benchmark thresholds may identify gaps in care quality that can improve patient outcome.

A C Camargo Cancer Centre São Paulo Brazil

Bellvitge University Hospital Department of General and Digestive Surgery and IDIBELL University of Barcelona Barcelona Spain

Centre for Bowel Diseases Brzeziny Poland

Centre for Colorectal Disease St Vincent's University Hospital Dublin Ireland

Department of Colorectal Surgery and Surgical Technology National Cancer Centre Hospital East Kashiwa Chiba Japan

Department of Colorectal Surgery Beaujon Hospital and University of Paris Clichy France

Department of Colorectal Surgery Cliniques Universitaires St Luc UCL Brussels Belgium

Department of Colorectal Surgery Royal Prince Alfred Hospital Sydney New South Wales Australia

Department of Colorectal Surgery St Mark's Hospital London UK

Department of Colorectal Surgery University Hospital Zurich Zurich Switzerland

Department of Epidemiology Epidemiology Biostatistics and Prevention Institute University of Zurich Zurich Switzerland

Department of General and Colorectal Surgery Medical University Lodz Poland

Department of General Surgery and Specialty University Federico 2 of Naples Naples Italy

Department of Surgery Campus Charité Mitte and Campus Virchow Klinikum Charité Universitätsmedizin Berlin Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin Berlin Germany

Department of Surgery Leiden University Medical Centre Leiden the Netherlands

Department of Surgery Seoul National University College of Medicine Seoul Korea

Department of Surgery University of British Columbia St Paul's Hospital Vancouver British Columbia Canada

Department of Surgery Yong Loo Lin School of Medicine National University of Singapore University Surgical Cluster National University Health System Singapore

Division of Colorectal Surgery Department of Surgery Medical College of Wisconsin Milwaukee WI USA

Section of Colorectal Surgery Hospital Italiano de Buenos Aires and Instituto de Medicina Traslacional e Ingeniería Biomédica Buenos Aires Argentina

Surgery Department Charles University and Central Military Hospital Prague Czech Republic

Citace poskytuje Crossref.org

000      
00000naa a2200000 a 4500
001      
bmc22032612
003      
CZ-PrNML
005      
20230131150717.0
007      
ta
008      
230120s2022 enk f 000 0|eng||
009      
AR
024    7_
$a 10.1093/bjs/znac300 $2 doi
035    __
$a (PubMed)36074702
040    __
$a ABA008 $b cze $d ABA008 $e AACR2
041    0_
$a eng
044    __
$a enk
100    1_
$a Staiger, Roxane D $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland
245    10
$a Benchmarks in colorectal surgery: multinational study to define quality thresholds in high and low anterior resection / $c RD. Staiger, F. Rössler, MJ. Kim, C. Brown, L. Trenti, T. Sasaki, D. Uluk, JP. Campana, M. Giacca, B. Schiltz, RR. Bahadoer, KY. Lee, BEC. Kupper, KY. Hu, F. Corcione, SR. Paredes, S. Spampati, K. Ukegjini, B. Jedrzejczak, D. Langer, A. Stakelum, JW. Park, PT. Phang, S. Biondo, M. Ito, F. Aigner, CA. Vaccaro, Y. Panis, A. Kartheuser, KCMJ. Peeters, KK. Tan, S. Aguiar, K. Ludwig, U. Bracale, CJ. Young, A. Dziki, M. Ryska, DC. Winter, JT. Jenkins, RH. Kennedy, PA. Clavien, MA. Puhan, M. Turina
520    9_
$a BACKGROUND: Benchmark comparisons in surgery allow identification of gaps in the quality of care provided. The aim of this study was to determine quality thresholds for high (HAR) and low (LAR) anterior resections in colorectal cancer surgery by applying the concept of benchmarking. METHODS: This 5-year multinational retrospective study included patients who underwent anterior resection for cancer in 19 high-volume centres on five continents. Benchmarks were defined for 11 relevant postoperative variables at discharge, 3 months, and 6 months (for LAR). Benchmarks were calculated for two separate cohorts: patients without (ideal) and those with (non-ideal) outcome-relevant co-morbidities. Benchmark cut-offs were defined as the 75th percentile of each centre's median value. RESULTS: A total of 3903 patients who underwent HAR and 3726 who had LAR for cancer were analysed. After 3 months' follow-up, the mortality benchmark in HAR for ideal and non-ideal patients was 0.0 versus 3.0 per cent, and in LAR it was 0.0 versus 2.2 per cent. Benchmark results for anastomotic leakage were 5.0 versus 6.9 per cent for HAR, and 13.6 versus 11.8 per cent for LAR. The overall morbidity benchmark in HAR was a Comprehensive Complication Index (CCI®) score of 8.6 versus 14.7, and that for LAR was CCI® score 11.9 versus 18.3. CONCLUSION: Regular comparison of individual-surgeon or -unit outcome data against benchmark thresholds may identify gaps in care quality that can improve patient outcome.
650    _2
$a lidé $7 D006801
650    _2
$a benchmarking $7 D019985
650    _2
$a retrospektivní studie $7 D012189
650    12
$a kolorektální chirurgie $7 D003107
650    _2
$a pooperační komplikace $x epidemiologie $x etiologie $7 D011183
650    12
$a proktektomie $7 D000078542
650    12
$a nádory rekta $x chirurgie $7 D012004
655    _2
$a časopisecké články $7 D016428
700    1_
$a Rössler, Fabian $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland $1 https://orcid.org/000000022968347X
700    1_
$a Kim, Min Jung $u Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
700    1_
$a Brown, Carl $u Department of Surgery, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada $1 https://orcid.org/0000000253683541
700    1_
$a Trenti, Loris $u Bellvitge University Hospital, Department of General and Digestive Surgery, and IDIBELL, University of Barcelona, Barcelona, Spain
700    1_
$a Sasaki, Takeshi $u Department of Colorectal Surgery and Surgical Technology, National Cancer Centre Hospital East, Kashiwa, Chiba, Japan
700    1_
$a Uluk, Deniz $u Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany $1 https://orcid.org/0000000163950845
700    1_
$a Campana, Juan P $u Section of Colorectal Surgery, Hospital Italiano de Buenos Aires and Instituto de Medicina Traslacional e Ingeniería Biomédica (IMTIB), Buenos Aires, Argentina
700    1_
$a Giacca, Massimo $u Department of Colorectal Surgery, Beaujon Hospital and University of Paris, Clichy, France
700    1_
$a Schiltz, Boris $u Department of Colorectal Surgery, Cliniques Universitaires St-Luc - UCL, Brussels, Belgium
700    1_
$a Bahadoer, Renu R $u Department of Surgery, Leiden University Medical Centre, Leiden, the Netherlands $1 https://orcid.org/0000000263216453
700    1_
$a Lee, Kai-Yin $u Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, University Surgical Cluster, National University Health System, Singapore
700    1_
$a Kupper, Bruna E C $u A. C. Camargo Cancer Centre, São Paulo, Brazil
700    1_
$a Hu, Katherine Y $u Division of Colorectal Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
700    1_
$a Corcione, Francesco $u Department of General Surgery and Specialty, University Federico II of Naples, Naples, Italy
700    1_
$a Paredes, Steven R $u Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia $1 https://orcid.org/0000000296116109
700    1_
$a Spampati, Sebastiano $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland
700    1_
$a Ukegjini, Kristjan $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland
700    1_
$a Jedrzejczak, Bartlomiej $u Centre for Bowel Diseases, Brzeziny, Poland
700    1_
$a Langer, Daniel $u Surgery Department, Charles University and Central Military Hospital, Prague, Czech Republic
700    1_
$a Stakelum, Aine $u Centre for Colorectal Disease, St Vincent's University Hospital, Dublin, Ireland $1 https://orcid.org/000000021593758X
700    1_
$a Park, Ji Won $u Department of Surgery, Seoul National University College of Medicine, Seoul, Korea
700    1_
$a Phang, P Terry $u Department of Surgery, University of British Columbia, St Paul's Hospital, Vancouver, British Columbia, Canada
700    1_
$a Biondo, Sebastiano $u Bellvitge University Hospital, Department of General and Digestive Surgery, and IDIBELL, University of Barcelona, Barcelona, Spain $1 https://orcid.org/0000000273740371
700    1_
$a Ito, Masaaki $u Department of Colorectal Surgery and Surgical Technology, National Cancer Centre Hospital East, Kashiwa, Chiba, Japan $1 https://orcid.org/0000000211012707
700    1_
$a Aigner, Felix $u Department of Surgery, Campus Charité Mitte and Campus Virchow-Klinikum, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
700    1_
$a Vaccaro, Carlos A $u Section of Colorectal Surgery, Hospital Italiano de Buenos Aires and Instituto de Medicina Traslacional e Ingeniería Biomédica (IMTIB), Buenos Aires, Argentina
700    1_
$a Panis, Yves $u Department of Colorectal Surgery, Beaujon Hospital and University of Paris, Clichy, France
700    1_
$a Kartheuser, Alex $u Department of Colorectal Surgery, Cliniques Universitaires St-Luc - UCL, Brussels, Belgium
700    1_
$a Peeters, K C M J $u Department of Surgery, Leiden University Medical Centre, Leiden, the Netherlands
700    1_
$a Tan, Ker-Kan $u Department of Surgery, Yong Loo Lin School of Medicine, National University of Singapore, University Surgical Cluster, National University Health System, Singapore $1 https://orcid.org/0000000204100450
700    1_
$a Aguiar, Samuel $u A. C. Camargo Cancer Centre, São Paulo, Brazil
700    1_
$a Ludwig, Kirk $u Division of Colorectal Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
700    1_
$a Bracale, Umberto $u Department of General Surgery and Specialty, University Federico II of Naples, Naples, Italy $1 https://orcid.org/000000023237677X
700    1_
$a Young, Christopher J $u Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia
700    1_
$a Dziki, Adam $u Centre for Bowel Diseases, Brzeziny, Poland $u Department of General and Colorectal Surgery, Medical University, Lodz, Poland
700    1_
$a Ryska, Miroslav $u Surgery Department, Charles University and Central Military Hospital, Prague, Czech Republic
700    1_
$a Winter, Des C $u Centre for Colorectal Disease, St Vincent's University Hospital, Dublin, Ireland
700    1_
$a Jenkins, John T $u Department of Colorectal Surgery, St Mark's Hospital, London, UK
700    1_
$a Kennedy, Robin H $u Department of Colorectal Surgery, St Mark's Hospital, London, UK
700    1_
$a Clavien, Pierre-Alain $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland $1 https://orcid.org/0000000299167905
700    1_
$a Puhan, Milo A $u Department of Epidemiology, Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland
700    1_
$a Turina, Matthias $u Department of Colorectal Surgery, University Hospital Zurich, Zurich, Switzerland
773    0_
$w MED00009388 $t The British journal of surgery $x 1365-2168 $g Roč. 109, č. 12 (2022), s. 1274-1281
856    41
$u https://pubmed.ncbi.nlm.nih.gov/36074702 $y Pubmed
910    __
$a ABA008 $b sig $c sign $y p $z 0
990    __
$a 20230120 $b ABA008
991    __
$a 20230131150713 $b ABA008
999    __
$a ok $b bmc $g 1891398 $s 1183947
BAS    __
$a 3
BAS    __
$a PreBMC-MEDLINE
BMC    __
$a 2022 $b 109 $c 12 $d 1274-1281 $e 2022Nov22 $i 1365-2168 $m British journal of surgery $n Br J Surg $x MED00009388
LZP    __
$a Pubmed-20230120

Najít záznam

Citační ukazatele

Možnosti archivace