دورية أكاديمية
أعرض في EDS

Quality assessment of donor liver procurement surgery using an unadjusted CUSUM prediction model. A practical nationwide evaluation.

التفاصيل البيبلوغرافية
العنوان: Quality assessment of donor liver procurement surgery using an unadjusted CUSUM prediction model. A practical nationwide evaluation.
المؤلفون: Lam HD; Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands., Schaapherder AF; Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands., Alwayn IP; Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands., Nijboer WN; Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands.; Landelijk Overleg Regionale Uitname teams, Leiden, The Netherlands., Tushuizen ME; Department of Gastroenterology & Hepatology, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands., Hemke AC; Dutch Transplantation Foundation, Leiden, The Netherlands., Baranski A; Department of Transplantation Surgery, LUMC Transplant Center, Leiden University Medical Center, Leiden, The Netherlands., Pas SLV; Department of Epidemiology and Data Science, Amsterdam UMC, Amsterdam, The Netherlands.; Amsterdam Public Health, Methodology, Amsterdam, The Netherlands.
المصدر: Clinical transplantation [Clin Transplant] 2023 May; Vol. 37 (5), pp. e14940. Date of Electronic Publication: 2023 Feb 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Munksgaard Country of Publication: Denmark NLM ID: 8710240 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1399-0012 (Electronic) Linking ISSN: 09020063 NLM ISO Abbreviation: Clin Transplant Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Copenhagen : Munksgaard,
مواضيع طبية MeSH: Liver Transplantation* , Tissue and Organ Procurement*, Humans ; Living Donors ; Benchmarking ; Liver/surgery
مستخلص: Background: The aim of this study was to analyze the value of the unadjusted CUSUM graph of liver surgical injury and discard rates in organ procurement in the Netherlands.
Methods: Unadjusted CUSUM graphs were plotted for surgical injury (C event) and discard rate (C2 event) from procured livers accepted for transplantation for each local procurement team compared with the total national cohort. The average incidence for each outcome was used as benchmark based on procurement quality forms (Sep 2010-Oct 2018). The data from the five Dutch procuring teams were blind-coded.
Results: The C and C2 event rate were 17% and 1.9%, respectively (n = 1265). A total of 12 CUSUM charts were plotted for the national cohort and the five local teams. National CUSUM charts showed an overlapping "alarm signal." This overlapping signal for both C and C2, albeit a different time period, was only found in one local team. The other CUSUM alarm signal went off for two separate local teams, but only for C events or C2 events respectively, and at different points in time. The other remaining CUSUM charts showed no alarm signaling.
Conclusion: The unadjusted CUSUM chart is a simple and effective monitoring tool in following performance quality of organ procurement for liver transplantation. Both national and local recorded CUSUMs are useful to see the implication of national and local effects on organ procurement injury. Both procurement injury and organ discard are equally important in this analysis and need to be separately CUSUM charted.
(© 2023 The Authors. Clinical Transplantation published by John Wiley & Sons Ltd.)
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فهرسة مساهمة: Keywords: liver transplantation; organ procurement
تواريخ الأحداث: Date Created: 20230216 Date Completed: 20230511 Latest Revision: 20230511
رمز التحديث: 20230512
DOI: 10.1111/ctr.14940
PMID: 36796105
قاعدة البيانات: MEDLINE
الوصف
تدمد:1399-0012
DOI:10.1111/ctr.14940