Quality Assessment and Improvement in Colon and Rectal Surgery

Cook, Alan; Hyman, Neil

doi:10.1007/s10350-004-0742-5

Cited by 11 publications

(3 citation statements)

References 42 publications

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“…1,8,18 In this respect, our findings have 2 important implications. At first, the 1-year mortality rate may be a valuable indicator of surgical quality of colorectal surgery, because it is directly correlated with the reoperation rate.…”

Section: Discussionmentioning

confidence: 70%

Reoperation After Colorectal Surgery Is an Independent Predictor of the 1-Year Mortality Rate

Westreenen

IJpma²,

Wevers³

et al. 2011

Diseases of the Colon &Amp; Rectum

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Section: Discussionmentioning

confidence: 70%

Reoperation After Colorectal Surgery Is an Independent Predictor of the 1-Year Mortality Rate

Westreenen

IJpma²,

Wevers³

et al. 2011

Diseases of the Colon &Amp; Rectum

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“…Finally, it must strictly define operational measures and incorporate data collection into the daily work routine. 27 Efforts to create a quality measurement and improvement system for colon and rectal surgery have already begun. As NSQIP was being developed by the VA for general surgery, to determine expected outcomes for procedures, the Portsmouth Physiological and Operative Severity Score for the Enumeration of Mortality and Morbidity (P-POSSUM) was created in the United Kingdom.…”

Section: Improving Quality Measurement In Colorectal Surgerymentioning

confidence: 99%

Objective Assessment of Quality Measurement and Improvement

Damle

Alavi²

2014

Clinics in Colon and Rectal Surgery

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Accurate quality measurement that allows for and results in improvement is essential to colon and rectal surgery. Currently, no consensus exists as to which variables are most important in measuring outcomes. Debate continues concerning the "best" variables to measure from a structural, process, and outcomes standpoint. Although American College of Surgeons National Surgical Quality Improvement Program provides an opportunity for outcomes measurement in general and vascular surgery, there is no specific quality improvement tool available for colon and rectal surgery. However, there is growing literature testing the validity of candidate variables to be used in such a data collection system. This article evaluates the current objective assessment measurements used for quality improvement in colon and rectal surgery.

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“…First, these should be agreed upon standardized quality definitions and guidelines available for physicians caring for patients with colorectal disease. 1 These should be centered around preoperative, intraoperative, and postoperative management, and based on prior well-documented reviews, widely accepted standards and high-quality outcome studies to provide a unified consensus regarding the quality of optimal outcomes. To date, the definition of quality is not even uniform.…”

mentioning

confidence: 99%