Textbook outcome in the surgical treatment of liver hydatid cyst

Jaén-Torrejimeno, Isabel; Ramia, José Manuel; López-Guerra, Diego; Rojas-Holguín, Adela; De-Armas-Conde, Noelia; Blanco-Fernández, Gerardo

doi:10.1016/j.surg.2022.09.020

Cited by 3 publications

(3 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…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%

See 1 more Smart Citation

Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis

Iseda

Iguchi

Itoh

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

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.

show abstract

“…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%

Section: Discussionmentioning

confidence: 96%

Textbook outcome in the laparoscopic cholecystectomy of acute cholecystitis

Iseda

Iguchi

Itoh

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract