Nationwide Outcomes Measurement in Colorectal Cancer Surgery: Improving Quality and Reducing Costs

Govaert, Johannes A.; Dijk, W.A. van; Fiocco, Marta; Scheffer, Alexander C.; Gietelink, Lieke; Wouters, Michel W. J. M.; Tollenaar, Rob A.E.M.

doi:10.1016/j.jamcollsurg.2015.09.020

Cited by 38 publications

(28 citation statements)

References 22 publications

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“…Without a convenient standard of care, doctors are more prone to adopt medical practices that are based on personal experience [5, 6]. Furthermore, studies have shown that standardizing care on best practices is associated with better outcomes and reduced costs [7]. As a result, it seems timely to define a standard of care for LH, according to the principles of evidence-based medicine.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic hysterectomy for benign indications: clinical practice guideline

Sandberg

Hehenkamp

Geomini

et al. 2017

Arch Gynecol Obstet

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PurposeSince the introduction of minimally invasive gynecologic surgery, the percentage of advanced laparoscopic procedures has greatly increased worldwide. It seems therefore, timely to standardize laparoscopic gynecologic care according to the principles of evidence-based medicine. With this goal in mind—the Dutch Society of Gynecological Endoscopic Surgery initiated in The Netherlands the development of a national guideline for laparoscopic hysterectomy (LH). This present article provides a summary of the main recommendations of the guideline.MethodsThis guideline was developed following the Dutch guideline of medical specialists and in accordance with the AGREE II tool. Clinically important issues were firstly defined and translated into research questions. A literature search per topic was then conducted to identify relevant articles. The quality of the evidence of these articles was rated following the GRADE systematic. An expert panel consisting of 18 selected gynecologists was consulted to formulate best practice recommendations for each topic.ResultsTen topics were considered in this guideline, including amongst others, the different approaches for hysterectomy, advice regarding tissue extraction, pre-operative medical treatment and prevention of ureter injury. This work resulted in the development of a clinical practical guideline of LH with evidence- and expert-based recommendations. The guideline is currently being implemented in The Netherlands.ConclusionA guideline for LH was developed. It gives an overview of best clinical practice recommendations. It serves to standardize care, provides guidance for daily practice and aims to guarantee the quality of LH at an (inter)national level.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic hysterectomy for benign indications: clinical practice guideline

Sandberg

Hehenkamp

Geomini

et al. 2017

Arch Gynecol Obstet

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“…Registration of outcome is common and research with PROMs in cancer patients shows that its use enhances patient-clinician communication, patientsatisfaction and eventually quality of care [6][7][8][9][10][11][12][13][30][31][32][33][34][35]. Partly due to the lack of capacity or funding for traditional follow-up, long-term follow-up is generally not available for high-volume elective treatments such as cholecystectomy, inguinal hernia repair, rubber band ligation of hemorrhoids etc.…”

Section: Discussionmentioning

confidence: 99%

“…Funded by health care companies, it is well-organized, validated and reliable according to (inter-) national guidelines and databases [6][7][8][9][10][11][12][13]. However, for benign pathology, follow-up after treatment is often not available.…”

Section: Introductionmentioning

confidence: 99%

Online collection of Patient Reported Outcome Measures: an effective method for follow-up of benign surgery

Koetje¹,

Dam²,

Dille³

et al. 2018

Clin Res Trial

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“…DICAregistraties worden vanaf 2017 volledig gefinancierd door Zorgverzekeraars Nederland, waarbij de kosten voor deelnemende instellingen beperkt worden tot die van het datamanagement. Bij andere kwaliteitsregistraties is dit anders of zelfs niet geregeld, terwijl recent onderzoek laat zien dat kwaliteitsregistraties leiden tot aanzienlijke kostenbesparingen in de ziekenhuizen, onder andere door vermindering van kosten voor de opvang van complicaties (minder beeldvorming, heroperaties en opnamedagen, en korter verblijf op de intensive care) [28,29].…”

Section: Financieringunclassified

Kwaliteitsregistraties volgens het principe van ‘clinical auditing’

Wouters

2017

Tijdschr Urol

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Samenvatting Wetenschappelijke verenigingen van medisch specialisten hebben de afgelopen jaren kwaliteitsregistraties geïnitieerd die zijn opgezet volgens het clinical-auditing principe. Het primaire doel van deze landelijke audits is het verbeteren van zorguitkomsten, door behandelaars te voorzien van spiegelinformatie, waarmee zij de kwaliteit van hun zorgproces kunnen monitoren en verbeteren. Directe betrokkenheid van dokters bij de opzet en uitvoering van de audit, tijdige terugkoppeling van kwaliteitsaspecten die door henzelf belangrijk worden gevonden en het proactief volgen van ontwikkelingen in de zorg, zijn essentieel voor het succes van kwaliteitsregistraties. De mogelijkheid voor behandelaars om resultaten te monitoren, richtlijnnavolging en de introductie van de mogelijkheid om nieuwe technieken te evalueren en met kwaliteitsintiatieven hun uitkomsten te verbeteren, heeft tot substantiële vermindering van morbiditeit en mortaliteit geleid op diverse chirurgische terreinen. Registratie aan de bron, structurele financiering en goede afspraken over transparantie, zijn essentieel om clinical auditing te bestendigen als krachtig instrument in het kwaliteitsbeleid van wetenschappelijke verenigingen.

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Nationwide Outcomes Measurement in Colorectal Cancer Surgery: Improving Quality and Reducing Costs

Cited by 38 publications

References 22 publications

Laparoscopic hysterectomy for benign indications: clinical practice guideline

Laparoscopic hysterectomy for benign indications: clinical practice guideline

Online collection of Patient Reported Outcome Measures: an effective method for follow-up of benign surgery

Kwaliteitsregistraties volgens het principe van ‘clinical auditing’

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