Textbook Outcome Following Liver Transplantation.
Journal
World journal of surgery
ISSN: 1432-2323
Titre abrégé: World J Surg
Pays: United States
ID NLM: 7704052
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
accepted:
14
07
2021
pubmed:
30
7
2021
medline:
3
11
2021
entrez:
29
7
2021
Statut:
ppublish
Résumé
Textbook outcome (TBO) is a patient-oriented composite criterion achieved when all desired main health outcomes are realized. The aim was to assess the incidence and the independent factors associated with TBO following LT. This bicentric study included all patients who underwent their first elective liver-only LT between 2011 and 2015. TBO occurred when all the following criteria were fulfilled: no mortality within 90 days, no major complications within 90 days, no reintervention within 90 days (liver graft biopsy, radiological, endoscopic or surgical interventions, or retransplantation), no prolonged intensive care unit stay, and no prolonged hospital stay. Univariable and multivariable analyses were performed to identify factors associated with TBO and to assess whether TBO is an independent factor associated with patient and graft survival. The study population included 530 patients. TBO occurred in 176/530 (33%) patients. Independent factors associated with TBO included the balance of risk score, the use of an intraoperative temporary portacaval shunt, and duration of the operation. TBO was identified as an independent factor associated with graft survival but not patient survival. TBO might be implemented in the patient-doctor decision-making regarding whether to proceed with LT and in the reporting of patient-level hospital performance related to LT.
Sections du résumé
BACKGROUND
Textbook outcome (TBO) is a patient-oriented composite criterion achieved when all desired main health outcomes are realized. The aim was to assess the incidence and the independent factors associated with TBO following LT.
METHODS
This bicentric study included all patients who underwent their first elective liver-only LT between 2011 and 2015. TBO occurred when all the following criteria were fulfilled: no mortality within 90 days, no major complications within 90 days, no reintervention within 90 days (liver graft biopsy, radiological, endoscopic or surgical interventions, or retransplantation), no prolonged intensive care unit stay, and no prolonged hospital stay. Univariable and multivariable analyses were performed to identify factors associated with TBO and to assess whether TBO is an independent factor associated with patient and graft survival.
RESULTS
The study population included 530 patients. TBO occurred in 176/530 (33%) patients. Independent factors associated with TBO included the balance of risk score, the use of an intraoperative temporary portacaval shunt, and duration of the operation. TBO was identified as an independent factor associated with graft survival but not patient survival.
CONCLUSIONS
TBO might be implemented in the patient-doctor decision-making regarding whether to proceed with LT and in the reporting of patient-level hospital performance related to LT.
Identifiants
pubmed: 34324026
doi: 10.1007/s00268-021-06255-5
pii: 10.1007/s00268-021-06255-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3414-3423Informations de copyright
© 2021. Société Internationale de Chirurgie.
Références
Knops AM, Legemate DA, Goossens A et al (2013) Decision aids for patients facing a surgical treatment decision: a systematic review and meta-analysis. Ann Surg 257(5):860–6
doi: 10.1097/SLA.0b013e3182864fd6
Beach MC, Sugarman J. Realizing Shared Decision-making in Practice. JAMA 2019.
Boss EF, Mehta N, Nagarajan N et al (2015) Shared decision making and choice for elective surgical care: a systematic review. Otolaryngol Head Neck Surg 154(3):405–20
doi: 10.1177/0194599815620558
Kobayashi T, Aikata H, Honda F et al (2016) Preoperative Fluorine 18 fluorodeoxyglucose positron emission tomography/computed tomography for prediction of microvascular invasion in small hepatocellular carcinoma. J Comput Assist Tomogr 40(4):524–30
doi: 10.1097/RCT.0000000000000405
Austin CA, Mohottige D, Sudore RL et al (2015) Tools to promote shared decision making in serious illness: a systematic review. JAMA Intern Med 175(7):1213–21
doi: 10.1001/jamainternmed.2015.1679
de Groot IB, Otten W, Smeets HJ, Marang-van de Mheen PJ. Is the impact of hospital performance data greater in patients who have compared hospitals? BMC Health Serv Res 2011; 11:214.
Marshall MN, Shekelle PG, Leatherman S, Brook RH (2000) The public release of performance data: what do we expect to gain? A review of the evidence. JAMA 283(14):1866–74
doi: 10.1001/jama.283.14.1866
Rotenstein LS, Huckman RS, Wagle NW (2017) Making patients and doctors happier - the potential of patient-reported outcomes. N Engl J Med 377(14):1309–1312
doi: 10.1056/NEJMp1707537
Dimick JB, Birkmeyer NJ, Finks JF et al (2013) Composite measures for profiling hospitals on bariatric surgery performance. JAMA Surg 149(1):10–6
doi: 10.1001/jamasurg.2013.4109
Dimick JB, Staiger DO, Baser O, Birkmeyer JD (2009) Composite measures for predicting surgical mortality in the hospital. Health Aff (Millwood) 28(4):1189–98
doi: 10.1377/hlthaff.28.4.1189
Dimick JB, Staiger DO, Osborne NH et al (2012) Composite measures for rating hospital quality with major surgery. Health Serv Res 47(5):1861–79
doi: 10.1111/j.1475-6773.2012.01407.x
Tsilimigras DI, Sahara K, Moris D et al (2020) Assessing textbook outcomes following liver surgery for primary liver cancer over a 12-year time period at major hepatobiliary centers. Ann Surg Oncol 27(9):3318–3327
doi: 10.1245/s10434-020-08548-w
Shulman M, Myles P (2016) Measuring perioperative outcome. Curr Opin Anaesthesiol 29(6):733–738
doi: 10.1097/ACO.0000000000000383
Kolfschoten NE, Kievit J, Gooiker GA et al (2013) Focusing on desired outcomes of care after colon cancer resections; hospital variations in “textbook outcome.” Eur J Surg Oncol 39(2):156–63
doi: 10.1016/j.ejso.2012.10.007
Metcalfe D, Rios Diaz AJ, Olufajo OA, et al. (2018) Impact of public release of performance data on the behaviour of healthcare consumers and providers. Cochrane Database Syst Rev; 9:CD004538.
Busweiler LA, Schouwenburg MG, van Berge Henegouwen MI et al (2017) Textbook outcome as a composite measure in oesophagogastric cancer surgery. Br J Surg 104(6):742–750
doi: 10.1002/bjs.10486
Levy J, Gupta V, Amirazodi E, et al. (2020) Textbook Outcome and Survival in Patients With Gastric Cancer: An Analysis of the Population Registry of Esophageal and Stomach Tumours in Ontario (PRESTO). Ann Surg 2020.
Merath K, Chen Q, Bagante F, et al. (2019) A Multi-institutional International Analysis of Textbook Outcomes Among Patients Undergoing Curative-Intent Resection of Intrahepatic Cholangiocarcinoma. JAMA Surg; 154(6):e190571.
Priego P, Cuadrado M, Ballestero A et al (2018) Comparison of laparoscopic versus open gastrectomy for treatment of gastric cancer: analysis of a textbook outcome. J Laparoendosc Adv Surg Tech A 29(4):458–464
doi: 10.1089/lap.2018.0489
Karthaus EG, Lijftogt N, Busweiler LAD et al (2017) Textbook outcome: a composite measure for quality of elective aneurysm surgery. Ann Surg 266(5):898–904
doi: 10.1097/SLA.0000000000002388
Poelemeijer YQM, Marang-van de Mheen PJ, Wouters M, et al. (2018) Textbook Outcome: an Ordered Composite Measure for Quality of Bariatric Surgery. Obes Surg 2018; 29(4):1287-1294.
Gorgec B, Benedetti Cacciaguerra A, Lanari J, et al. Assessment of Textbook Outcome in Laparoscopic and Open Liver Surgery. JAMA Surg 2021:e212064.
Hobeika C, Cauchy F, Fuks D et al (2021) Laparoscopic versus open resection of intrahepatic cholangiocarcinoma: nationwide analysis. Br J Surg 108(4):419–426
doi: 10.1093/bjs/znaa110
Hobeika C, Nault JC, Barbier L, et al. Influence of surgical approach and quality of resection on the probability of cure for early-stage HCC occurring in cirrhosis. JHEP Rep 2020; 2(6):100153.
Asrani SK, Kim WR, Edwards EB et al (2013) Impact of the center on graft failure after liver transplantation. Liver Transpl 19(9):957–64
doi: 10.1002/lt.23685
Muller X, Marcon F, Sapisochin G et al (2017) Defining benchmarks in liver transplantation: a multicenter outcome analysis determining best achievable results. Ann Surg 267(3):419–425
doi: 10.1097/SLA.0000000000002477
Moris D, Shaw BI, Gloria J, et al. Textbook Outcomes in Liver Transplantation. World J Surg 2020.
Benchimol EI, Langan S, Guttmann A (2012) Call to RECORD: the need for complete reporting of research using routinely collected health data. J Clin Epidemiol 66(7):703–5
doi: 10.1016/j.jclinepi.2012.09.006
Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40(5):373–83
doi: 10.1016/0021-9681(87)90171-8
Slankamenac K, Graf R, Barkun J et al (2013) The comprehensive complication index: a novel continuous scale to measure surgical morbidity. Ann Surg 258(1):1–7
doi: 10.1097/SLA.0b013e318296c732
Feng S, Goodrich NP, Bragg-Gresham JL et al (2006) Characteristics associated with liver graft failure: the concept of a donor risk index. Am J Transplant 6(4):783–90
doi: 10.1111/j.1600-6143.2006.01242.x
Dutkowski P, Oberkofler CE, Slankamenac K, et al. Are there better guidelines for allocation in liver transplantation? A novel score targeting justice and utility in the model for end-stage liver disease era. Ann Surg 2011; 254(5):745-53; discussion 753.
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–13
doi: 10.1097/01.sla.0000133083.54934.ae
Fleurence R, Whicher D, Dunham K et al (2014) The patient-centered outcomes research institute’s role in advancing methods for patient-centered outcomes research. Med Care 53(1):2–8
doi: 10.1097/MLR.0000000000000244
Marang-van de Mheen PJ, van Duijn-Bakker N, Kievit J. Surgical adverse outcomes and patients' evaluation of quality of care: inherent risk or reduced quality of care? Qual Saf Health Care 2007; 16(6):428-33.
Kim Y, Gani F, Lucas DJ, et al. Early versus late readmission after surgery among patients with employer-provided health insurance. Ann Surg 2015; 262(3):502-11; discussion 509-11.
Winter A, Feray C, Antoine C et al (2020) Matching graft quality to recipient’s disease severity based on the survival benefit in liver transplantation. Sci Rep 10(1):4111
doi: 10.1038/s41598-020-60973-9
Lonze BE, Parsikia A, Feyssa EL et al (2010) Operative start times and complications after liver transplantation. Am J Transplant 10(8):1842–9
doi: 10.1111/j.1600-6143.2010.03177.x
Neuberger J (2010) Surgery: day or night–does the time of liver transplantation matter? Nat Rev Gastroenterol Hepatol 7(11):596–7
doi: 10.1038/nrgastro.2010.156
Andrassy J, Wolf S, Hoffmann V et al (2016) Rescue management of early complications after liver transplantation-key for the long-term success. Langenbecks Arch Surg 401(3):389–96
doi: 10.1007/s00423-016-1398-z
DiNorcia J, Lee MK, Harlander-Locke M et al (2014) Reoperative complications after primary orthotopic liver transplantation: a contemporary single-center experience in the post-model for end-stage liver disease era. J Am Coll Surg 219(5):993–1000
doi: 10.1016/j.jamcollsurg.2014.07.005
Parikh A, Washburn KW, Matsuoka L et al (2015) A multicenter study of 30 days complications after deceased donor liver transplantation in the model for end-stage liver disease score era. Liver Transpl 21(9):1160–8
doi: 10.1002/lt.24181
Brustia R, Boleslawski E, Monsel A, et al. Definition and prospective assessment of functional recovery after liver transplantation: a new objective, consensus-based metric for safe discharge. Liver Transpl 2020.
Brustia R, Monsel A, Conti F et al (2018) Enhanced recovery in liver transplantation: a feasibility study. World J Surg 43(1):230–241
doi: 10.1007/s00268-018-4747-y
Li J, Wang C, Jiang Y, et al. Immediate versus conventional postoperative tracheal extubation for enhanced recovery after liver transplantation: IPTE versus CTE for enhanced recovery after liver transplantation. Medicine (Baltimore) 2018; 97(45):e13082.
Xu Q, Zhu M, Li Z et al (2020) Enhanced recovery after surgery protocols in patients undergoing liver transplantation: a retrospective comparative cohort study. Int J Surg 78:108–112
doi: 10.1016/j.ijsu.2020.03.081
Rana A, Petrowsky H, Hong JC et al (2013) Blood transfusion requirement during liver transplantation is an important risk factor for mortality. J Am Coll Surg 216(5):902–7
doi: 10.1016/j.jamcollsurg.2012.12.047
Bhangui P, Lim C, Levesque E et al (2019) Novel classification of non-malignant portal vein thrombosis: A guide to surgical decision-making during liver transplantation. J Hepatol 71(5):1038–1050
doi: 10.1016/j.jhep.2019.08.012
Lai JC, Sonnenday CJ, Tapper EB et al (2019) Frailty in liver transplantation: an expert opinion statement from the american society of transplantation liver and intestinal community of practice. Am J Transplant 19(7):1896–1906
pubmed: 30980701
pmcid: 6814290
Huque MF, Alosh M, Bhore R (2011) Addressing multiplicity issues of a composite endpoint and its components in clinical trials. J Biopharm Stat 21(4):610–34
doi: 10.1080/10543406.2011.551327
Cramm SL, Waits SA, Englesbe MJ et al (2016) Failure to rescue as a quality improvement approach in transplantation: a first effort to evaluate this tool in pediatric liver transplantation. Transplantation 100(4):801–7
doi: 10.1097/TP.0000000000001121
Ghaferi AA, Birkmeyer JD, Dimick JB (2009) Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. Ann Surg 250(6):1029–34
doi: 10.1097/SLA.0b013e3181bef697
Silber JH, Williams SV, Krakauer H, Schwartz JS (1992) Hospital and patient characteristics associated with death after surgery. A study of adverse occurrence and failure to rescue. Med Care 30(7):615-29.