Evidence map›Paper›PMID 38316661›Full record

ArticleSurgical endoscopy2024

Quality indicators for ambulatory colectomy: literature search and expert consensus.

Ellen Coeckelberghs, Gabriele Bislenghi, Albert Wolthuis, An Teunkens, Geertrui Dewinter, Steve Coppens, Kris Vanhaecht, André D'Hoore

Abstract readConsensus Statement
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Ellen CoeckelberghsLeuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven - University of Leuven, Leuven, Belgium. Ellen.coeckelberghs@kuleuven.be.
Gabriele BislenghiDepartment of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium.
Albert WolthuisDepartment of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium.
An TeunkensDepartment of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium.
Geertrui DewinterDepartment of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium.
Steve CoppensDepartment of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium.
Kris VanhaechtLeuven Institute for Healthcare Policy, Department of Public Health and Primary Care, KU Leuven - University of Leuven, Leuven, Belgium.
André D'HooreDepartment of Abdominal Surgery, University Hospitals Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCare for patients undergoing elective colectomy has become increasingly standardized using Enhanced Recovery Programs (ERP). ERP, encorporating minimally invasive surgery (MIS), decreased postoperative morbidity and length of stay (LOS). However, disruptive changes are needed to safely introduce colectomy in an ambulatory or same-day discharge (SDD) setting. Few research groups showed the feasibility of ambulatory colectomy. So far, no minimum standards for the quality of care of this procedure have been defined. This study aims to identify quality indicators (QIs) that assess the quality of care for ambulatory colectomy.

methodsA literature search was performed to identify recommendations for ambulatory colectomy. Based on that search, a set of QIs was identified and categorized into seven domains: preparation of the patient (pre-admission), anesthesia, surgery, in-hospital monitoring, home monitoring, feasibility, and clinical outcomes. This list was presented to a panel of international experts (surgeons and anesthesiologists) in a 1 round Delphi to assess the relevance of the proposed indicators.

resultsBased on the literature search (2010-2021), 3841 results were screened on title and abstract for relevant information. Nine papers were withheld to identify the first set of QIs (n = 155). After excluding duplicates and outdated QIs, this longlist was narrowed down to 88 indicators. Afterward, consensus was reached in a 1 round Delphi on a final list of 32 QIs, aiming to be a comprehensive set to evaluate the quality of ambulatory colectomy care.

conclusionWe propose a list of 32 QI to guide and evaluate the implementation of ambulatory colectomy.

Indexed as

HospitalsQuality Indicators, Health CareAmbulatory CareConsensusDelphi TechniqueHumansLength of StayAbdominal surgeryAmbulatory careColectomyQuality indicatorsQuality of care

Identifiers

PMID38316661
PMCPMC10978605

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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.