ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2021
Textbook outcome as a composite outcome measure in non-small-cell lung cancer surgery.
Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Textbook outcome after minimally invasive pulmonary resection for clinical stage I lung cancer: A retrospective cohort study.Surgery today · 2026Article
- Uniportal Robotic-Assisted Versus Video-Assisted Thoracoscopic Surgery for Anatomical Lung Resection in Non-Small Cell Lung Cancer: A Comparative Single-Center Cohort Study.Journal of clinical medicine · 2026Article
- Textbook outcomes for lower extremity bypass: A useful quality metric for care optimization.Journal of vascular surgery · 2026Article
- Textbook outcome and long-term survival after pulmonary resection for non-small cell lung cancer: a retrospective cohort study.World journal of surgical oncology · 2026Article
- Textbook Outcome After Oral Cancer Surgery as a Composite Measure for Survival and Quality-of-Care Evaluation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Article
- Beyond Mortality: Textbook Outcome as a Novel Quality Metric in Cardiothoracic Surgical Care.Journal of clinical medicine · 2025Review
- Textbook outcome of gastric cancer surgery and lymph node evaluation as its parameter to improve long-term survival.Scientific reports · 2025Article
- Benchmarking cancer outcomes in Europe: a scoping review of methodologies and case-mix adjustments.ESMO real world data and digital oncology · 2025Review
- Evaluation of the Quality of Results of Lung Cancer Surgery in France Using the PMSI National Database.Cancers · 2025Article
- DELTO Study: Delphi Consensus on Long-Term Textbook Outcome After Metabolic Bariatric Surgery.Obesity surgery · 2025Article
- Evolution of Liver Resection for Hepatocellular Carcinoma: Change Point Analysis of Textbook Outcome over Twenty Years.Medicina (Kaunas, Lithuania) · 2024Article
- Textbook outcome contributes to long-term prognosis in elderly patients with esophageal squamous cell carcinoma.Annals of gastroenterological surgery · 2024Article
- Textbook Outcome of Delta-Shaped Anastomosis in Minimally Invasive Distal Gastrectomy for Gastric Cancer in 4,505 Consecutive Patients.Journal of gastric cancer · 2024Article
- Challenges and controversies in resectable non-small cell lung cancer: a clinician's perspective.The Lancet regional health. Europe · 2024Review
- Achieving Textbook Outcomes in Colorectal Cancer Surgery Is Associated with Improved Long-Term Survival: Results of the Multicenter Prospective Cohort Study.Journal of clinical medicine · 2024Article
- The impact of social determinants of health on textbook oncological outcomes and overall survival in locally advanced non-small cell lung cancer.JTCVS open · 2023Article
- Article
- Textbook outcome for the Norwood operation-an informative quality metric in congenital heart surgery.JTCVS open · 2023Article
- Textbook outcome contributes to long-term prognosis in older adults with gastric cancer.Langenbeck's archives of surgery · 2023Article
Corrections and comments
- Commented on by
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesQuality assessment is an important element in providing surgical cancer care. The main objective of this study was to develop a new composite measure 'textbook outcome', to evaluate and improve quality of surgical care for patients undergoing a resection for non-small-cell lung cancer (NSCLC).
methodsAll patients undergoing an anatomical resection for NSCLC from 2012 to 2016 registered in the nationwide Dutch Lung Cancer Audit were included in an analysis to assess usefulness of a composite measure as a quality indicator. Based on expert opinion, textbook outcome was defined as having a complete resection (negative resection margins and sufficient lymph node dissection), plus no 30-day or in-hospital mortality, no reintervention in 30 days, no readmission to the intensive care unit, no prolonged hospital stay (<14 days), no hospital readmission after discharge and no major complications. The percentage of patients with a textbook outcome was calculated per hospital. Between-hospital variation in textbook outcome was analysed using case-mix adjustment models.
resultsIn total, 5513 patients were included in this study. Textbook outcome was achieved in 26.4% of patients. Insufficient lymph node dissection had the most substantial effect on not realizing textbook outcome. If 'sufficient lymph node dissection' was not included as a criterion, textbook outcome would be 60.7%. Case-mix adjusted textbook outcome proportions per hospitals varied between 13.2% and 37.7%.
conclusionsIn contrast to focusing on a single aspect, the composite measure textbook outcome provides insight into comprehensive performance in NSCLC surgery. It can be used to evaluate both individual hospitals and national performance and provides the opportunity to give benchmarked feedback to thoracic surgeons.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.