Evidence map›Paper›PMID 31161288›Full record

ReviewSurgical endoscopy2019

Public reporting and transparency: a primer on public outcomes reporting.

John R Romanelli, Pascal R Fuchshuber, Jonah James Stulberg, Rebecca Brewer Kowalski, Prashant Sinha, Thomas A Aloia, Rocco Orlando

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

John R RomanelliDepartment of Surgery, Baystate Medical Center, 759 Chestnut Street, S3656, Springfield, MA, 01085, USA. john.romanelli@baystatehealth.org.ORCID 0000-0001-8818-6353
Pascal R FuchshuberKaiser Permanente, Walnut Creek, CA, USA.
Jonah James StulbergNorthwestern Memorial Hospital, Chicago, IL, USA.
Rebecca Brewer KowalskiLenox Hill Hospital, New York, NY, USA.
Prashant SinhaNYU Langone Medical Center, New York, NY, USA.
Thomas A AloiaThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rocco OrlandoHartford Healthcare, Hartford, CT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHealthcare consumers seeking accurate information about where to find quality surgical care face a confusing constellation of rating systems that lack transparency or consistency of opinion. For example, a 2016 report in Health Affairs demonstrated that no hospital was rated as a high performer by all four prominent national ratings systems: Consumer Reports, Leapfrog, Healthgrades and U.S. News & World Report (Austin et al. Health Aff 34:423-430, 2015). Surgeons should have an understanding of the current state of public reporting of quality; hospital ratings and data sources; physician ratings and data sources; and transparency of reporting.

methodsWe conducted a non-systematic review of the literature.

resultsHospital quality ratings remain nebulous and there is not universal opinion on the utility of voluntary participation in ranking systems, leaving the current systems largely opinion-based. Early attempts at physician ranking systems are rudimentary at best and suffer from methodological concerns. Publicly reported metrics should be easily understandable, accessible, clinically relevant, reliable, non-punitive, and shielded from legal discovery. Transparency is increasing within institutions to help align staff to institutional objectives, while specialty specific registries are helping to standardize care pathways and outcomes measures across organizations. Measuring surgical outcomes beyond 30-day morbidity and mortality has been plagued by a lack of understanding on how to create metrics that matter; the four attributes of relevance, scientific soundness, feasibility and comprehensiveness set a high bar for the development of effective and efficient quality measures in surgery. DISCUSSION: SAGES, via the Quality, Outcomes, and Safety Committee, is committed to learning how to develop meaningful quality metrics in general surgery and will continue to work in other areas that impact quality, such as opioid prescribing, and surgeon wellness.

Indexed as

Practice Patterns, Physicians'Public HealthQuality Assurance, Health CareHumansRegistriesSurgeonsSurgical Procedures, OperativeHealthcare reportingQualityRatingsTransparency

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.