Multistakeholder Collaborative Effort to Enhance Long-Term Follow-Up in the Abdominal Core Health Quality Collaborative.
Journal
Annals of surgery open : perspectives of surgical history, education, and clinical approaches
ISSN: 2691-3593
Titre abrégé: Ann Surg Open
Pays: United States
ID NLM: 101769928
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
16
01
2021
accepted:
07
02
2021
medline:
4
3
2021
pubmed:
4
3
2021
entrez:
28
8
2023
Statut:
epublish
Résumé
To determine the effectiveness of a clinical call center in performing focused long-term patient reported outcome (PRO)-based follow-up for ventral hernia patients in routine practice. Long-term follow-up remains the mainstay of assessing quality of care in hernia management. Achieving acceptable rates of long-term follow-up outside of clinical trials in the routine care of patients has been very difficult to achieve. A prospective quality improvement intervention using a clinical call center in 1000 random patients eligible for long-term (1 year or greater) follow-up after ventral hernia repair in the Abdominal Core Health Quality Collaborative was performed. The primary outcome measure was the proportion of patients with successfully completed PRO-based long-term follow-up. Between 2013 and 2017, the baseline long-term follow-up PRO completion rate was 2167/13,950 (15.5%). For the Focus on Follow-Up initiative, 890 patients were eligible for contact; a completion rate of 450/890 (50.6%, Clinical call center-based patient contact can greatly facilitate the completion of PROs utilized for long-term follow-up in ventral hernia repair. This has important implications for quality improvement programs and postmarket device surveillance.
Sections du résumé
Objective
UNASSIGNED
To determine the effectiveness of a clinical call center in performing focused long-term patient reported outcome (PRO)-based follow-up for ventral hernia patients in routine practice.
Background
UNASSIGNED
Long-term follow-up remains the mainstay of assessing quality of care in hernia management. Achieving acceptable rates of long-term follow-up outside of clinical trials in the routine care of patients has been very difficult to achieve.
Methods
UNASSIGNED
A prospective quality improvement intervention using a clinical call center in 1000 random patients eligible for long-term (1 year or greater) follow-up after ventral hernia repair in the Abdominal Core Health Quality Collaborative was performed. The primary outcome measure was the proportion of patients with successfully completed PRO-based long-term follow-up.
Results
UNASSIGNED
Between 2013 and 2017, the baseline long-term follow-up PRO completion rate was 2167/13,950 (15.5%). For the Focus on Follow-Up initiative, 890 patients were eligible for contact; a completion rate of 450/890 (50.6%,
Conclusions
UNASSIGNED
Clinical call center-based patient contact can greatly facilitate the completion of PROs utilized for long-term follow-up in ventral hernia repair. This has important implications for quality improvement programs and postmarket device surveillance.
Identifiants
pubmed: 37638249
doi: 10.1097/AS9.0000000000000052
pmc: PMC10455236
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e052Informations de copyright
Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
Disclosure: B.K.P. has received research support from BD and Advanced Medical Solutions; he receives salary from the Abdominal Core Health Quality Collaborative (ACHQC) as the ACHQC Director for Quality and Outcomes. H.S. receives consulting service fees from the ACHQC as Director of Business Development. M.J.R. has received research support from Pacira Medical and Intuitive Surgical; he receives salary from the ACHQC as the ACHQC Medical Director. The ACHQC receives funds from the following companies: Allergan, BD, Intuitive Surgical, Medtronic, Acell, Cook Biotech, Ethicon, and W.L. Gore. The remaining authors declare that they have nothing to disclose. This work was supported by Allergan, BD Interventional, Intuitive Surgical, and Medtronic.
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