ArticleWorld journal of surgery2021
Definition and Analysis of Textbook Outcome: A Novel Quality Measure in Kidney Transplantation.
Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Textbook Outcome: A Novel Quality Measure for Surgical Management of Neuroblastoma with Image-Defined Risk Factors.Annals of surgical oncology · 2026Article
- Textbook outcomes for lower extremity bypass: A useful quality metric for care optimization.Journal of vascular surgery · 2026Article
- Beyond Mortality: Textbook Outcome as a Novel Quality Metric in Cardiothoracic Surgical Care.Journal of clinical medicine · 2025Review
- Textbook outcomes as a novel patient-centric metric to inform carotid revascularization.Journal of vascular surgery · 2025Article
- Endoscopic-assisted, minimally invasive versus sternotomy total arterial multivessel bypass grafting.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Textbook Outcomes in Solid Transplantation: A Systematic Review.Transplantation direct · 2024Article
- 6,126 hepatectomies in 2022: current trend of outcome in Italy.Langenbeck's archives of surgery · 2024Observational
- Benchmark Outcomes in Deceased Donor Kidney Transplantation: A Multicenter Analysis of 80 996 Transplants From 126 Centers.Transplantation direct · 2024Article
- Evaluation of optimum classification measures used to define textbook outcome among patients undergoing curative-intent resection of gastric cancer.BMC cancer · 2023Article
- Textbook outcome for the Norwood operation-an informative quality metric in congenital heart surgery.JTCVS open · 2023Article
- Textbook Outcome in Bariatric Surgery: Evolution During 15 Years in a Referral Center.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Observational
- Article
- Renal Vessel Extension With Cryopreserved Vascular Grafts: Overcoming Surgical Pitfalls in Living Donor Kidney Transplant.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
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Authors and funding
15 authors.
Funding
Abstract
background"Textbook outcome" (TO) is a novel composite quality measure that encompasses multiple postoperative endpoints, representing the ideal "textbook" hospitalization for complex surgical procedures. We defined TO for kidney transplantation using a cohort from a high-volume institution.
methodsAdult patients who underwent isolated kidney transplantation at our institution between 2016 and 2019 were included. TO was defined by clinician consensus at our institution to include freedom from intraoperative complication, postoperative reintervention, 30-day intensive care unit or hospital readmission, length of stay > 75th percentile of kidney transplant patients, 90-day mortality, 30-day acute rejection, delayed graft function, and discharge with a Foley catheter. Recipient, operative, financial characteristics, and post-transplant patient, graft, and rejection-free survival were compared between patients who achieved and failed to achieve TO.
resultsA total of 557 kidney transplant patients were included. Of those, 245 (44%) achieved TO. The most common reasons for TO failure were delayed graft function (N = 157, 50%) and hospital readmission within 30 days (N = 155, 50%); the least common was mortality within 90 days (N = 6, 2%). Patient, graft, and rejection-free survival were significantly improved among patients who achieved TO. On average, patients who achieved TO incurred approximately $50,000 less in total inpatient charges compared to those who failed TO.
conclusionsTO in kidney transplantation was associated with favorable post-transplant outcomes and significant cost-savings. TO may offer transplant centers a detailed performance breakdown to identify aspects of perioperative care in need of process improvement.
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