ArticleActa paediatrica (Oslo, Norway : 1992)2025
Core Indicator Set for Measuring Quality of Care in Necrotising Enterocolitis: A European Delphi Study.
Otis C van Varsseveld, Irene de Haro Jorge, Daniel Rossi, Marlinde van der Kamp, Mohamed Riadh Boukhris, Miriam Duci, Johannes W Duess, Simon Eaton, Elisabeth M W Kooi, Martin Lacher and 10 more
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In one paragraphArticle in Acta paediatrica (Oslo, Norway : 1992), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 · Who and what moneyAuthors and funding
20 authors.
Otis C van VarsseveldDepartment of Surgery, Division of Pediatric Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0001-8764-7744 Irene de Haro JorgeNeonatal Surgery Section, Pediatric Surgery Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-1330-4428 Daniel RossiEPSA, ERNICA Registry, European Reference Network for Rare Inherited and Congenital (digestive and gastrointestinal) Anomalies, Rotterdam, the Netherlands.ORCID 0000-0002-1430-596X Marlinde van der KampEPSA, ERNICA Registry, European Reference Network for Rare Inherited and Congenital (digestive and gastrointestinal) Anomalies, Rotterdam, the Netherlands.
Mohamed Riadh BoukhrisDepartment of Neonatology, Jeanne de Flandre Hospital, University Hospital of Lille, Lille, France.ORCID 0000-0002-1597-0320 Miriam DuciPediatric Surgery Unit, Department of Women's and Children's Health, University Hospital of Padova, Padova, Italy.ORCID 0000-0003-1382-3527 Johannes W DuessDepartment of Pediatric Surgery, University Hospital Leipzig, University of Leipzig, Leipzig, Germany.
Simon EatonDevelopmental Biology and Cancer Research and Teaching Programme, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0003-0892-9204 Elisabeth M W KooiDivision of Neonatology, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0001-9195-4018 Martin LacherDepartment of Pediatric Surgery, University Hospital Leipzig, University of Leipzig, Leipzig, Germany.ORCID 0000-0002-4616-9464 Lucas E MatthyssensDepartment of Gastrointestinal & Paediatric Surgery, Ghent University Hospital, Ghent, Belgium.ORCID 0000-0002-3969-296X Carmen Mesas BurgosDepartment of Pediatric Surgery, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0001-5223-1909 Marc MiserezDepartment of Abdominal Surgery, University Hospitals Katholieke Universiteit Leuven, Leuven, Belgium.
Lorenzo NorsaPediatric Department, Vittore Buzzi Children's Hospital, University of Milan, Milan, Italy.ORCID 0000-0003-3322-2921 Rony SfeirPediatric Surgery Unit, Hôpital Jeanne de Flandre, CHU Lille, Université de Lille, Lille, France.ORCID 0000-0001-9755-0954 Marie SpruceNEC United Kingdom Charity, Nottingham, UK.
Marijn J VermeulenDepartment of Neonatal and Pediatric Intensive Care, Division of Neonatology, Erasmus Medical Centre, Rotterdam, the Netherlands.ORCID 0000-0001-9686-8186 Jan B F HulscherDepartment of Surgery, Division of Pediatric Surgery, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.ORCID 0000-0003-4491-486X Jordi Prat OrtellsNeonatal Surgery Section, Pediatric Surgery Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-8974-0827 Funding
European Commission HP-PJ-2019Rijksuniversiteit GroningenThe EPSA|ERNICA Registrythe European Commission in the 3rd Health Programthe University of Groningen
6 · The paper itselfAbstract
aimInconsistent guidelines and practice variations in necrotising enterocolitis (NEC) hamper care improvements. A universally accepted quality indicator set is needed to standardise and improve care throughout Europe. We aimed to establish a core set relevant to NEC patients and experts.
methodsClinicians, researchers, and patient representatives evaluated 27 baseline patient characteristics and 41 quality indicators identified by a literature review. Items were rated on a nine-point Likert scale during three online Delphi survey rounds, followed by a consensus meeting.
resultsFrom 19 European countries, 113 participants completed all Delphi rounds, including five patient representatives. All stakeholders reached consensus on eight baseline characteristics. Among the indicators that reached consensus, five of the top 10 were mutually prioritised by patients and experts. In the consensus meeting, attended by two patient representatives and 49 experts from 16 countries, four additional indicators were included. The final core set comprised eight baseline characteristics and nine indicators: one healthcare structure, three care process and five outcome indicators.
conclusionThis study established nine core quality indicators for NEC treatment through consensus among clinicians, researchers, and patient representatives. Their implementation in European clinical audits supports inter-institutional benchmarking, ultimately enhancing care and outcomes for infants with NEC.
Indexed as
Enterocolitis, NecrotizingQuality Indicators, Health CareDelphi TechniqueEuropeHumansInfant, Newbornbenchmarkingcore indicatorsDelphinecrotising enterocolitisquality improvement
Identifiers
PMID40781824
PMCPMC12599616
What OpenQuestion holds
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LicenceCC BY-NC
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