Textbook Outcome Following Liver Transplantation

Lim, Chetana; Lladó, Laura; Salloum, Chady; Ramos, Emilio; López-Domínguez, Josefina; Cachero, Alba; Fabregat, Joan; Azoulay, Daniel

doi:10.1007/s00268-021-06255-5

Cited by 10 publications

(5 citation statements)

References 63 publications

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“…[ 9 ] Currently, TO is utilized to assess the surgical effect in hepatocellular carcinoma, intrahepatic cholangiocarcinoma, and pancreatic carcinoma, leading to quality improvement efforts. [ 9 10 11 12 ] Additionally, TO can be used to measure hospital performance and variation, promoting fairness in healthcare. [ 13 14 15 ] Nevertheless, the factors associated with a TO for GBC after resection have not been evaluated.…”

Section: Introductionmentioning

confidence: 99%

Textbook outcome in gallbladder carcinoma after curative-intent resection: a 10-year retrospective single-center study

Liu

Gao

et al. 2023

Chinese Medical Journal

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Background: Textbook outcome (TO) can guide decision-making among patients and clinicians during preoperative patient selection and postoperative quality improvement. We explored the factors associated with achieving a TO for gallbladder carcinoma (GBC) after curative-intent resection and analyzed the effect of adjuvant chemotherapy (ACT) on TO and non-TO patients. Methods: A total of 540 patients who underwent curative-intent resection for GBC at the Department of Hepatobiliary Surgery of the First Affiliated Hospital of Xi'an Jiaotong University from January 2011 to December 2020 were retrospectively analyzed. Multivariable logistic regression was used to investigate the factors associated with TO. Results: Among 540 patients with GBC who underwent curative-intent resection, 223 patients (41.3%) achieved a TO. The incidence of TO ranged from 19.0% to 51.0% across the study period, with a slightly increasing trend over the study period. The multivariate analysis showed that non-TO was an independent risk factor for prognosis among GBC patients after resection (P = 0.003). Age ≤60 years (P = 0.016), total bilirubin (TBIL) level ≤34.1 μmol/L (P <0.001), well-differentiated tumor (P = 0.008), no liver involvement (P <0.001), and T1–2 stage disease (P = 0.006) were independently associated with achieving a TO for GBC after resection. Before and after propensity score matching (PSM), the overall survival outcomes of non-TO GBC patients who received ACT and those who did not were statistically significant; ACT improved the prognosis of patients in the non-TO group (P <0.05). Conclusion: Achieving a TO is associated with a better long-term prognosis among GBC patients after curative-intent resection, and ACT can improve the prognosis of those with non-TO.

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Section: Introductionmentioning

confidence: 99%

Textbook outcome in gallbladder carcinoma after curative-intent resection: a 10-year retrospective single-center study

Liu

Gao

et al. 2023

Chinese Medical Journal

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“…12 This concept has been applied to various diseases. 4,[13][14][15] In the present article, to our knowledge, we reported the first TO assessment for acute cholecystitis.…”

Section: Outcomementioning

confidence: 70%

“…TO offered a simplified performance measure that might be easier for stakeholders to interpret when evaluating the frequency of overall delivery of the desired clinical result 12 . This concept has been applied to various diseases 4,13–15 . In the present article, to our knowledge, we reported the first TO assessment for acute cholecystitis.…”

Section: Discussionmentioning

confidence: 96%

Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis

Iseda

Iguchi

Itoh

et al. 2023

Asian J Endoscop Surgery

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PurposeTextbook outcome (TO) is a novel composite measure of clinical outcomes that can be used to measure the quality of surgical outcomes. The aim of this cohort study was to propose TO criteria for laparoscopic cholecystectomy for acute cholecystitis and to identify reasons for TO failure and individual patient factors that predispose to failure.MethodsWe retrospectively analyzed data for 189 patients with acute cholecystitis who underwent laparoscopic cholecystectomy. TO was defined as laparoscopic cholecystectomy without conversion to open cholecystectomy, intraoperative complications, postoperative complications (Clavien–Dindo classification ≥2), prolonged length of stay (≥10 days), readmission within 30 days, or mortality.ResultsTO was achieved in 154 of 189 patients who underwent laparoscopic cholecystectomy for acute cholecystitis. Medical costs were lower in the TO‐achieved group than in the TO‐failure group. Factors associated with TO failure on multivariate analysis were age > 70 years, hemoglobin <11.9 g/dL, and white blood cells >18 000 / μL (all P < .05).ConclusionsApplying TO to patients with acute cholecystitis allowed us to evaluate the overall quality of care related to hospitalization. TO may provide better assessment of the quality of care and help determine the treatment choice and reduce costs.

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“…TO offered a simpli ed performance measure that might be easier for stakeholders to interpret when evaluating the frequency of overall delivery of the desired clinical result (12). This concept has been applied to various diseases (4,13,14,15). In the present article, to our knowledge, we reported the rst TO assessment for acute cholecystitis.…”

Section: Discussionmentioning

confidence: 99%

Textbook outcome in the surgical treatment of acute cholecystitis

Iseda

Iguchi

Sasaki

et al. 2023

Preprint

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Background Textbook Outcome (TO) is a novel composite measure of clinical outcomes that can be used to measure the quality of surgical outcomes. The aim of this cohort study was to propose TO criteria for laparoscopic cholecystectomy for acute cholecystitis and to identify reasons for TO failure and individual patient factors that predispose to failure. Methods We retrospectively analyzed data for 189 consecutive patients with acute cholecystitis who underwent laparoscopic cholecystectomy. TO was defined as laparoscopic cholecystectomy without conversion to open cholecystectomy, intraoperative complications, postoperative complications (Clavien–Dindo classification ≥ 2), prolonged length of stay (≥ 10 days), readmission within 30 days, or mortality. Demographic and clinical differences between patients with and without TO were compared using univariate and multivariate analyses. Results TO was achieved in 81% (n = 154) of 189 patients who underwent laparoscopic cholecystectomy for acute cholecystitis. Medical costs were lower in the TO-achieved group than in the TO-failure group. Factors associated with TO on univariate analysis were age, vascular disease, history of malignant tumor treatment, white blood cell count, hemoglobin, C-reactive protein, albumin, gallbladder perforation, and > 3 days since the onset of symptoms. Factors on multivariate analysis were age > 70 years, hemoglobin < 11.9 g/dl, and white blood cells > 18,000 / µl (all P < 0.05). Conclusions Applying TO to patients with acute cholecystitis allowed us to evaluate the overall quality of care related to hospitalization. TO may provide better assessment of the quality of care and help determine the treatment choice and reduce costs.

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Textbook Outcome Following Liver Transplantation

Cited by 10 publications

References 63 publications

Textbook outcome in gallbladder carcinoma after curative-intent resection: a 10-year retrospective single-center study

Textbook outcome in gallbladder carcinoma after curative-intent resection: a 10-year retrospective single-center study

Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis

Textbook outcome in the surgical treatment of acute cholecystitis

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