دورية أكاديمية

A mixed-methods study to define Textbook Outcome for the treatment of patients with uncomplicated symptomatic gallstone disease with hospital variation analyses in Dutch trial data.

التفاصيل البيبلوغرافية
العنوان: A mixed-methods study to define Textbook Outcome for the treatment of patients with uncomplicated symptomatic gallstone disease with hospital variation analyses in Dutch trial data.
المؤلفون: Thunnissen FM; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Surgery, Nijmegen, The Netherlands. Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands., Comes DJ; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Surgery, Nijmegen, The Netherlands. Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands. Electronic address: daan.comes@radboudumc.nl., Latenstein CSS; Amsterdam UMC, Location VUmc, Department of Surgery, Amsterdam, The Netherlands, Postal Address: De Boelelaan 1117/1118, 1081 HV, Amsterdam, the Netherlands., Stommel MWJ; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Surgery, Nijmegen, The Netherlands. Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands., van Laarhoven CJHM; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Surgery, Nijmegen, The Netherlands. Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands., Drenth JPH; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Gastroenterology and Hepatology, Radboud University Medical Centre, Nijmegen, The Netherlands, Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands., Lantinga MA; Department of Gastroenterology and Hepatology, Amsterdam Gastroenterology and Metabolism, University Medical Centres Amsterdam, Amsterdam, The Netherlands. Postal Address: Meibergdreef 9, 1105 AZ, Amsterdam, the Netherlands., Atsma F; Scientific Centre for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands. Postal Address: Kapittelweg 54, 6525, EP Nijmegen, the Netherlands., de Reuver PR; Radboud University Medical Centre, Radboud Institute for Health Sciences, Department of Surgery, Nijmegen, The Netherlands. Postal Address: Geert Grooteplein 10, 6525 GA, Nijmegen, the Netherlands. Electronic address: philip.dereuver@radboudumc.nl.
مؤلفون مشاركون: Invited International Collaborators
المصدر: HPB : the official journal of the International Hepato Pancreato Biliary Association [HPB (Oxford)] 2023 Sep; Vol. 25 (9), pp. 1000-1010. Date of Electronic Publication: 2023 May 15.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: England NLM ID: 100900921 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1477-2574 (Electronic) Linking ISSN: 1365182X NLM ISO Abbreviation: HPB (Oxford) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2016- : Oxford, UK : Elsevier
Original Publication: 1999-2001: Oxford, England : ISIS Medical Media
مواضيع طبية MeSH: Colic* , Gallstones*/diagnosis , Gallstones*/surgery , Cholecystectomy, Laparoscopic*/adverse effects , Gallbladder Diseases*/surgery, Humans ; Cholecystectomy/adverse effects ; Abdominal Pain
مستخلص: Background: International consensus on the ideal outcome for treatment of uncomplicated symptomatic gallstone disease is absent. This mixed-method study defined a Textbook Outcome (TO) for this large group of patients.
Methods: First, expert meetings were organised with stakeholders to design the survey and identify possible outcomes. To reach consensus, results from expert meetings were converted in a survey for clinicians and for patients. During the final expert meeting, clinicians and patients discussed survey outcomes and a definitive TO was formulated. Subsequently, TO-rate and hospital variation were analysed in Dutch hospital data from patients with uncomplicated gallstone disease.
Results: First expert meetings returned 32 outcomes. Outcomes were distributed in a survey among 830 clinicians from 81 countries and 645 Dutch patients. Consensus-based TO was defined as no more biliary colic, no biliary and surgical complications, and the absence or reduction of abdominal pain. Analysis of individual patient data showed that TO was achieved in 64.2% (1002/1561). Adjusted-TO rates showed modest variation between hospitals (56.6-74.9%).
Conclusion: TO for treatment of uncomplicated gallstone disease was defined as no more biliary colic, no biliary and surgical complications, and absence or reduction of abdominal pain.TO may optimise consistent outcome reporting in care and guidelines for treating uncomplicated gallstone disease.
Competing Interests: Conflicts of interest Dr Drenth reports grants from Gilead outside the submitted work, paid to the Radboud University Medical Center.
(Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)
التعليقات: Erratum in: HPB (Oxford). 2023 Nov 18;:. (PMID: 37996300)
فهرسة مساهمة: Investigator: QAJ Eijsbouts, Department of Surgery, Spaarne Gasthuis Haarlem, the Netherlands.; J Heisterkamp, Department of Surgery, Elisabeth Tweesteden Ziekenhuis, Tilburg, the Netherlands.; D Boerma, Department of Surgery, St. Antonius Ziekenhuis, Nieuwegein, the Netherlands.; MJ Jennifer, Department of Surgery, Amphia Ziekenhuis, Breda, the Netherlands.; P van Duivendijk, Department of Surgery, Gelre Ziekenhuis Apeldoorn, the Netherlands.; B Wiering, Department of Surgery, Slingeland Ziekenhuis, Doetinchem, the Netherlands.; MA Boermeester, Department of Surgery, AmsterdamUMC, the Netherlands.; G Diepenhorst, Department of Surgery, Flevo Ziekenhuis Almere, the Netherlands.; J van der Bilt, Department of Surgery, Flevo Ziekenhuis Almere, the Netherlands.; O Buyne, Department of Surgery, Maasziekenhuis Pantein Beugen, the Netherlands.; NG Venneman, Department of Gastroenterology and Hepatology MST Enschede, the Netherlands.; D Keszthelyi, Department of Gastroenterology and Hepatology MaastrichtUMC, the Netherlands.; I Ahmed, Department of Surgery, NHS Grampian, Aberdeen, United Kingdom.; TJ Hugh, Department of Surgery, Royal North Shore Hospital Sydney, Australia.; SJ Wigmore, Department of Surgery, Royal Infirmary of Edinburgh, Scotland, United Kingdom.; SM Strasberg, Department of Surgery, Washington University, St. Louis Missouri, USA.; EM Harrison, Centre for Medical Informatics, Usher Institute, University of Edinburgh, Scotland, United Kingdom.; F Lammert, Department of Gastroenterology, University of the Saarland, Germany.; K Gurusamy, Department of Surgery and Interventional Science, University College London, United Kingdom.; D Moris, Department of Surgery, Duke University Medical Center, Durham, NC, USA.; K Soreide, Department of Gastrointestinal Surgery, Stavanger University Hospital Stavanger, Norway.; TN Pappas, Department of Surgery, Duke University Medical Center, Durham, NC, USA.; VK Kapoor, Department of Surgery, Mahatma Gandhi Medical College & Hospital (MGMCH) Jaipur, India.; A Speelman, Radboud University Medical Center, Nijmegen, the Netherlands.; C van den Brink, Radboud University Medical Center, Nijmegen, the Netherlands.; C van den Brink, Radboud University Medical Center, Nijmegen, the Netherlands.
تواريخ الأحداث: Date Created: 20230610 Date Completed: 20230904 Latest Revision: 20231123
رمز التحديث: 20240628
DOI: 10.1016/j.hpb.2023.05.005
PMID: 37301634
قاعدة البيانات: MEDLINE
الوصف
تدمد:1477-2574
DOI:10.1016/j.hpb.2023.05.005