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ABSTRACT: Background and aims
Key performance indicators [KPIs] exist across a range of areas in medicine. They help to monitor outcomes, reduce variation, and drive up standards across services. KPIs exist for inflammatory bowel disease [IBD] care, but none specifically cover inflammatory bowel disease [IBD] surgical service provision.Methods
This was a consensus-based study using a panel of expert IBD clinicians from across Europe. Items were developed and fed through a Delphi process to achieve consensus. Items were ranked on a Likert scale from 1 [not important] to 5 [very important]. Consensus was defined when the inter quartile range was ? 1, and items with a median score > 3 were considered for inclusion.Results
A panel of 21 experts [14 surgeons and 7 gastroenterologists] was recruited. Consensus was achieved on procedure-specific KPIs for ileocaecal and perianal surgery for Crohn's disease, [N = 10] with themes relating to morbidity [N = 7], multidisciplinary input [N = 2], and quality of life [N = 1]; and for subtotal colectomy, proctocolectomy and ileoanal pouch surgery for ulcerative colitis [N = 11], with themes relating to mortality [N = 2], morbidity [N = 8], and service provision [N = 1]. Consensus was also achieved for measures of the quality of IBD surgical service provision and quality assurance in IBD surgery.Conclusions
This study has provided measurable KPIs for the provision of surgical services in IBD. These indicators cover IBD surgery in general, the governance and structures of the surgical services, and separate indicators for specific subareas of surgery. Monitoring of IBD services with these KPIs may reduce variation across services and improve quality.
SUBMITTER: Morar PS
PROVIDER: S-EPMC5881772 | biostudies-literature | 2017 Oct
REPOSITORIES: biostudies-literature
Morar Pritesh S PS Hollingshead James J Bemelman Willem W Sevdalis Nick N Pinkney Thomas T Wilson Graeme G Dunlop Malcolm M Davies R Justin RJ Guy Richard R Fearnhead Nicola N Brown Steven S Warusavitarne Janindra J Edwards Cathryn C Faiz Omar O
Journal of Crohn's & colitis 20171001 11
<h4>Background and aims</h4>Key performance indicators [KPIs] exist across a range of areas in medicine. They help to monitor outcomes, reduce variation, and drive up standards across services. KPIs exist for inflammatory bowel disease [IBD] care, but none specifically cover inflammatory bowel disease [IBD] surgical service provision.<h4>Methods</h4>This was a consensus-based study using a panel of expert IBD clinicians from across Europe. Items were developed and fed through a Delphi process to ...[more]