Evidence map›Paper›PMID 41988294›Full record

ReviewJournal of thoracic disease2026

The impact of best practice meetings on clinical outcomes in surgical and oncological care: a scoping review.

Janne van den Hurk, Felix Hers, Lars van de Sanden, Barend M E Mees, Grard A P Nieuwenhuijzen, Mark M J Nielen, Rob H A Verhoeven, Misha D P Luyer, Bas P L van Wijnhoven, Michel W J M Wouters

Abstract readReview
In one paragraph

Review in Journal of thoracic disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Advancing learning health care systems with best practice meetings: a mixed-methods study with insights from the Dutch Institute for Clinical Auditing.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026
    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

10 authors.

Janne van den Hurk *Dutch Institute of Clinical Auditing, Leiden, The Netherlands.
Felix Hers *Dutch Institute of Clinical Auditing, Leiden, The Netherlands.ORCID https://orcid.org/0009-0004-0524-3826
Lars van de SandenDutch Institute of Clinical Auditing, Leiden, The Netherlands.
Barend M E MeesDepartment of Vascular Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
Grard A P NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Mark M J NielenDutch Institute of Clinical Auditing, Leiden, The Netherlands.
Rob H A VerhoevenDepartment of Research & Development, Netherlands Comprehensive Cancer Organization (IKNL), Utrecht, The Netherlands.
Misha D P LuyerDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
Bas P L van WijnhovenDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Michel W J M WoutersDutch Institute of Clinical Auditing, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Best practice meetings (BPMs) serve as collaborative forums where peer clinicians systematically review inter-institutional data, including treatment characteristics, clinical processes, and survival outcomes. The goal is to identify inter-hospital variation and facilitate mutual learning to improve the quality of care. Despite centralization of surgical and oncological care and implementation of volume thresholds, inter-hospital outcome variation persists. Additional instruments, such as BPMs, are necessary to help drive quality improvement (QI), but the effectiveness remains uncertain. This scoping review aims to evaluate the effect of BPMs on clinical outcomes. Methods: A scoping review was conducted according to the PRISMA-ScR guidelines. PubMed, Embase, and CINAHL were searched for articles published before January 1st, 2026. Eligible studies described meetings involving surgical or oncological healthcare professionals (HCPs) from ≥3 centers, with comparison of hospital data, and discussion of inter-hospital variation in outcomes. Reviews were excluded. Results: A total of 2,208 articles were identified through the search, of which 27 were included. Two articles described the structure of BPMs. The remaining articles reported formulated best practices or evaluated the effect on clinical outcomes. Positive trends were observed in clinical processes (83.3%), morbidity (29.2%), and/or mortality rates (8.3%). A statistically significant improvement in at least one quality indicator following BPMs, either alone or within broader QI initiatives, was observed in 87.5% of the included outcome studies. Patient and participant experience had a high satisfaction rate. In 8 out of 27 articles, data were compared with a control group, and in 14 out of 27 articles, no control group was included. Conclusions: Most included articles reported predominantly positive effects following BPMs. However, the level of evidence is low (Level 4) due to risk of bias and the study designs of the articles; the majority were uncontrolled time-series, making them susceptible to secular trends. In the future, high-quality studies, e.g., with a stepped-wedge design, are needed to establish a causal relationship between BPMs and improved clinical outcomes.

Indexed as

best practice meeting (BPM)oncologyquality improvement (QI)Scoping reviewsurgical

Identifiers

PMID41988294
PMCPMC13077351

What OpenQuestion holds

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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.