Evidence map›Paper›PMID 34863254›Full record

ArticleTrials2021

Performance feedback on the quality of care in hospitals performing thrombectomy for ischemic stroke (PERFEQTOS): protocol of a stepped wedge cluster randomized trial.

Marzyeh Amini, Sanne J den Hartog, Nikki van Leeuwen, Frank Eijkenaar, Laurien S Kuhrij, Lotte J Stolze, Paul J Nederkoorn, Hester F Lingsma, Adriaan C G M van Es, Ido R van den Wijngaard and 4 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. 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

14 authors.

Marzyeh AminiDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Sanne J den HartogDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Nikki van LeeuwenDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Frank EijkenaarErasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.
Laurien S KuhrijDutch Institute for Clinical Auditing, Leiden, The Netherlands.
Lotte J StolzeDutch Institute for Clinical Auditing, Leiden, The Netherlands.
Paul J NederkoornDepartment of Neurology, Amsterdam University Medical Centers, location AMC, Amsterdam, The Netherlands.
Hester F LingsmaDepartment of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Adriaan C G M van EsDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Ido R van den WijngaardDepartment of Neurology, Haaglanden Medical Center, the Hague, The Netherlands.
Aad van der LugtDepartment of Radiology and Nuclear Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Diederik W J DippelDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Bob RoozenbeekDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands. b.roozenbeek@erasmusmc.nl.ORCID http://orcid.org/0000-0002-8320-8303
PERFEQTOS Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the provision of performance feedback to healthcare professionals based on data from quality registries is common practice in many fields of medicine, observational studies of its effect on the quality of care have shown mixed results. The objective of this study is to evaluate the effect of performance feedback on the quality of care for acute ischemic stroke.

methodsPERFEQTOS is a stepped wedge cluster randomized trial in 13 hospitals in the Netherlands providing endovascular thrombectomy for ischemic stroke. The primary outcome is the hospital's door-to-groin time. The study starts with a 6-month period in which none of the hospitals receives the performance feedback intervention. Subsequently, every 6 months, three or four hospitals are randomized to cross over from the control to the intervention conditions, until all hospitals receive the feedback intervention. The feedback intervention consists of a dashboard with quarterly reports on patient characteristics, structure, process, and outcome indicators related to patients with ischemic stroke treated with endovascular thrombectomy. Hospitals can compare their present performance with their own performance in the past and with other hospitals. The performance feedback is provided to local quality improvement teams in each hospital, who define their own targets on specific indicators and develop performance improvement plans. The impact of the performance feedback and improvement plans will be evaluated by comparing the primary outcome before and after the intervention. DISCUSSION: This study will provide evidence on the effectiveness of performance feedback to healthcare providers. The results will be actively disseminated through peer-reviewed journals, conference presentations, and various stakeholder engagement activities.

trial registrationNetherlands Trial Register NL9090 . Registered on December 3, 2020.

Indexed as

Brain IschemiaIschemic StrokeStrokeFeedbackHospitalsHumansQuality ImprovementRandomized Controlled Trials as TopicThrombectomyEndovascular thrombectomyIschemic strokePerformance feedbackQuality of careStepped wedge cluster randomized trial

Identifiers

PMID34863254
PMCPMC8643025

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Registered trials

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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.