Dataset Information

Value of individual surgeon performance metrics as quality assurance measures in oesophagogastric cancer surgery.

ABSTRACT:

Background

Surgeon-level operative mortality is widely seen as a measure of quality after gastric and oesophageal resection. This study aimed to evaluate this alongside a compound-level outcome analysis.

Methods

Consecutive patients who underwent treatment including surgery delivered by a multidisciplinary team, which included seven specialist surgeons, were studied. The primary outcome was death within 30?days of surgery; secondary outcomes were anastomotic leak, Clavien-Dindo morbidity score, lymph node harvest, circumferential resection margin (CRM) status, disease-free (DFS), and overall (OS) survival.

Results

The median number of annual resections per surgeon was 10 (range 5-25), compared with 14 (5-25) for joint consultant teams (P = 0·855). The median annual surgeon-level mortality rate was 0 (0-9) per cent versus an overall network annual operative mortality rate of 1·8 (0-3·7) per cent. Joint consultant team procedures were associated with fewer operative deaths (0·5 per cent versus 3·4 per cent at surgeon level; P = 0·027). The median surgeon anastomotic leak rate was 12·4 (range 9-20) per cent (P = 0·625 versus the whole surgical range), overall morbidity 46·5 (31-60) per cent (P = 0·066), lymph node harvest 16 (9-29) (P?ConclusionAnnual surgeon-level metrics demonstrated wide variations (fivefold), but these performance metrics were not associated with survival.

SUBMITTER: Powell AGMT

PROVIDER: S-EPMC6996630 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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Publications

Value of individual surgeon performance metrics as quality assurance measures in oesophagogastric cancer surgery.

Powell A G M T AGMT Wheat J J Patel N N Chan D D Foliaki A A Roberts S A SA Lewis W G WG

BJS open 20191104 1

<h4>Background</h4>Surgeon-level operative mortality is widely seen as a measure of quality after gastric and oesophageal resection. This study aimed to evaluate this alongside a compound-level outcome analysis.<h4>Methods</h4>Consecutive patients who underwent treatment including surgery delivered by a multidisciplinary team, which included seven specialist surgeons, were studied. The primary outcome was death within 30 days of surgery; secondary outcomes were anastomotic leak, Clavien-Dindo mo ...[more]

PMID: 32011808

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Dataset Information

Value of individual surgeon performance metrics as quality assurance measures in oesophagogastric cancer surgery.

Background

Methods

Results

Publications

Value of individual surgeon performance metrics as quality assurance measures in oesophagogastric cancer surgery.

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