دورية أكاديمية
Benchmarking in thoracic surgery.
| العنوان: | Benchmarking in thoracic surgery. |
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| المؤلفون: | Freixinet JL; Thoracic Surgery Service, Hospital de Gran Canaria Dr Negrín, Las Palmas de Gran Canaria, Canary Islands, Spain. jfregil@gobiernodecanarias.org, Varela G, Molins L, Rivas JJ, Rodríguez-Paniagua JM, de Castro PL, Izquierdo JM, Torres J |
| المصدر: | European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2011 Jul; Vol. 40 (1), pp. 124-9. Date of Electronic Publication: 2010 Nov 27. |
| نوع المنشور: | Journal Article; Multicenter Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: Germany NLM ID: 8804069 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-734X (Electronic) Linking ISSN: 10107940 NLM ISO Abbreviation: Eur J Cardiothorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2012-: Oxford, England : Oxford University Press Original Publication: [Berlin] : Springer International ; [Secaucus, NJ, USA : Springer-Verlag New York Inc., distributor, c1987- |
| مواضيع طبية MeSH: | Benchmarking*, Thoracic Surgical Procedures/*standards, Carcinoma, Bronchogenic/surgery ; Female ; Health Services Research/methods ; Hospital Mortality ; Hospitals, University/standards ; Humans ; Length of Stay/statistics & numerical data ; Lung Neoplasms/surgery ; Male ; Middle Aged ; Patient Readmission/statistics & numerical data ; Pneumonectomy/adverse effects ; Pneumonectomy/standards ; Postoperative Complications/epidemiology ; Quality Indicators, Health Care ; Spain/epidemiology |
| مستخلص: | Objective: Presentation of an experience in benchmarking in 13 university Spanish thoracic surgery services. Methods: The minimum basic data set (MBDS) for hospitalization, corresponding to 2007, including all registered hospital discharges, was used. The performance of the hospitals was compared using an external reference pattern (SN) and internal average (BMG). Cases were chosen in which a major pulmonary resection (lobectomy or pneumonectomy) was done for bronchogenic carcinoma. Performance indicators were the complexity of the casuistry (average weight and relative weight). Performance results indicators included average length of stay (preoperative, postoperative, and global lengths of stay were analyzed separately for lobectomies as well as pneumonectomies), complications, mortality, and urgent readmissions. Results: A total number of 4778 cases were analyzed, with major thoracic surgeries being prominent with 1779 (37.3%). For average weight, there was a dispersion between 2.5 and 5.68, with an average of 3.45 for the BMG and 3.43 for the SN. There were some very significant differences in morbidity, with groups having a gross rate of few complications (2.6%) up to many (16.1%). The mortality rate ranged between 1.6% and 6.6%. There were considerable differences in urgent readmissions, with gross rates between 2.6% and 7.3%, considering as points of reference 5.4% (BMG) and 4.7% (SN). Concerning the results of pulmonary resections for bronchogenic carcinoma, the index of pneumonectomies was between 8% and 29%. The average length of stay for lobectomy was between 6 and 9.5, with an average of 7 in BMG. In the case of pneumonectomies, it was between 6 and 26 days, with an average of 9 for BMG. Average preoperative stay also varied widely, between 0.2 and 2.4, while postoperative stay was between 7.5 and 12.1. The gross global rate of complications ranged from 2.7% to 36.7%, with points of reference of 15.6% (BMG) and 13.8% (SN). The complication rate ranged from 3% to 33%, with an average of 14.5% for lobectomies, with higher variability for pneumonectomies (0-58%). Conclusions: Benchmarking could be an effective method for improving clinical management. A considerable variability was detected in our study among the participating groups. (Copyright © 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20101201 Date Completed: 20120113 Latest Revision: 20220311 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.ejcts.2010.10.010 |
| PMID: | 21115257 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-734X |
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| DOI: | 10.1016/j.ejcts.2010.10.010 |