ArticlePloS one2020
Validation of MTL30 as a quality indicator for colorectal surgery.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Robotic-assisted colorectal surgery increases the adherence to enhanced recovery concepts.Surgical endoscopy · 2026Article
- Short-term outcome of diverting loop ileostomy reversals performed by residents: a retrospective cohort prognostic factor study.International journal of colorectal disease · 2023Article
- Evolution of endoscopic vacuum therapy for upper gastrointestinal leakage over a 10-year period: a quality improvement study.Surgical endoscopy · 2022Article
- Differences in morbidity and mortality between unilateral adrenalectomy for adrenal Cushing's syndrome and bilateral adrenalectomy for therapy refractory extra-adrenal Cushing's syndrome.Langenbeck's archives of surgery · 2022Article
- Robotic-Assisted versus Laparoscopic Left Hemicolectomy-Postoperative Inflammation Status, Short-Term Outcome and Cost Effectiveness.International journal of environmental research and public health · 2022Article
- Is there a weekend effect in emergency surgery for colorectal carcinoma? Analysis from the German StuDoQ registry.PloS one · 2022Article
- Safety of anastomoses in colorectal cancer surgery in octogenarians: a prospective cohort study with propensity score matching.BJS open · 2021Article
- [Indications for surgical treatment of diverticular disease].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Review
- Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.PloS one · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundValid indicators are required to measure surgical quality. These ideally should be sensitive and selective while being easy to understand and adjust. We propose here the MTL30 quality indicator which takes into account 30-day mortality, transfer within 30 days, and a length of stay of 30 days as composite markers of an uneventful operative/postoperative course.
methodsPatients documented in the StuDoQ|Colon and StuDoQ|Rectal carcinoma register of the German Society for General and Visceral Surgery (DGAV) were analyzed with regard to the effects of patient and tumor-related risk factors as well as postoperative complications on the MTL30.
resultsIn univariate analysis, the MTL30 correlated significantly with patient and tumor-related risk factors such as ASA score (p<0.001), age (p<0.001), or UICC stage (p<0.001). There was a high sensitivity for the postoperative occurrence of complications such as re-operations (p<0.001) or subsequent bleeding (p<0.001), as well as a significant correlation with the CDC classification (p<0.001). In multivariate analysis, patient-related risk factors and postoperative complications significantly increased the odds ratio for a positive MTL30. A negative MTL30 showed a high specify for an uneventful operative and postoperative course.
conclusionThe MTL30 is a valid indicator of colorectal surgical quality.
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