IMPLEMENTING TEXTBOOK ONCOLOGIC OUTCOME IN THE DEPARTMENT OF SURGICAL ONCOLOGY OF IPO-PORTO: PRELIMINARY RESULTS
DOI:
https://doi.org/10.34635/rpc.1011Keywords:
cancer, patiepatient outcome assessmentAbstract
Background: Textbook Oncologic Outcome (TOO) serves as a comprehensive quality metric, representing the optimal outcome for oncological patients undergoing therapeutic surgery and, consequently, indicating the quality of healthcare provided.Methods: The TOO variables were applied to the entire cohort of adult patients (≥18 years of age) diagnosed with esophagus, stomach, pancreas, colon, rectum, urinary bladder, or ovarian cancer at the Portuguese Institute of Oncology of Porto (IPO-Porto) between January 1st, 2022, and June 30th, 2022. This evaluation specifically included patients who underwent surgery with curative intent.
Results: A thorough assessment was conducted on 288 patients. Among the 143 patients with colon cancer, 69.9% achieved the TOO benchmark; for the 46 rectum cancer patients, TOO was attained by 57.1%; 40.0% of the 15 patients with esophageal cancer met the TOO criteria; 59.7% of the 67 patients with stomach cancer achieved TOO; 40% of the 5 patients with pancreatic cancer met the TOO standard; 45.5% of the 12 patients with urinary bladder cancer achieved TOO, while 66.7% of the 9 women with ovarian cancer reached the TOO benchmark. These results are comparable to those of the best comprehensive cancer centers.
Conclusions: Achieving optimal TOO not only signifies the quality of patient care but also reflects positively on the institution. Subsequently, despite obtaining relevant results, there is potential for improving outcomes for patients at IPO-Porto, particularly concerning the evaluated cancers.
Downloads
Download data is not yet available.
References
1. Conselho das Finanças Públicas. Evolução do Desempenho do Serviço Nacional de Saúde em 2021. Lisboa: 2022.
2. Macfarlane A. What is clinical governance? BJA Education [Internet]. 2019 Jun;19(6):174–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808043/
3. Chiozza ML, Plebani M. Clinical Governance: from clinical risk management to continuous quality improvement. Clinical Chemistry and Laboratory Medicine (CCLM). 2006 Jan 1;44(6).
4. Vlad DVGD Dr Ioana. Differences in cancer incidence and mortality across the globe [Internet]. WCRF Internacional. 2023. Available from: https://www.wcrf.org/differences-in-cancer-incidence-and-mortality-across-the-globe/
5. Cancer Over Time [Internet]. Gco.iarc.fr. [citado a 16 jun 2023]. Disponível em: https://gco.iarc.fr/overtime/en/dataviz/trends?populations=62000&sexes=1_2&types=1&multiple_populations=1
6. European Society of Surgical Oncology. What is Surgical Oncology? [Internet]. www.essoweb.org. [cited a 19 de jun 2023]. Available from: https://www.essoweb.org/what-is-surgical-oncology/
7. Aquina CT, Hamad A, Becerra AZ, Cloyd JM, Tsung A, Pawlik TM, et al. Is Textbook Oncologic Outcome a Valid Hospital-Quality Metric after High-Risk Surgical Oncology Procedures? 2021 Aug 15;28(13):8028–45.
8. Kolfschoten NE, Kievit J, Gooiker GA, et al. Focusing on desired outcomes of care after colon cancer resections; hospital variations in ‘textbook outcome’. 2013; 39:156-163.
9. Islam M, Li YC (Jack). Quality improvement in healthcare: the need for valid, reliable and efficient methods and indicators. International Journal for Quality in Health Care. 2019, 31(7):495-6.
10. Hussein M, Pavlova M, Ghalwash M, Groot W. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research. 2021 Oct 6;21(1).
11. Munir M, Alaimo L, Zorays Moazzam, Endo Y, Lima HÁ, Shaikh CF, et al. Textbook oncologic outcomes and regionalization among patients undergoing hepatic resection for intrahepatic cholangiocarcinoma. 2022 Sep 22; 127(1):81-9.
12. Sweigert P, Eguia E, Baker MS, Link C, J. Madison Hyer, Paredes AZ, et al. Assessment of Cancer Center Variation in Textbook Oncologic Outcomes Following Colectomy for Adenocarcinoma. 2020 Aug 10;25(3):775-65.
13. SĘDŁAK, K. et al. Textbook Oncological Outcome in European Gastrodata. Annals of Surgery, 9 ago. 2023.
2. Macfarlane A. What is clinical governance? BJA Education [Internet]. 2019 Jun;19(6):174–5. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7808043/
3. Chiozza ML, Plebani M. Clinical Governance: from clinical risk management to continuous quality improvement. Clinical Chemistry and Laboratory Medicine (CCLM). 2006 Jan 1;44(6).
4. Vlad DVGD Dr Ioana. Differences in cancer incidence and mortality across the globe [Internet]. WCRF Internacional. 2023. Available from: https://www.wcrf.org/differences-in-cancer-incidence-and-mortality-across-the-globe/
5. Cancer Over Time [Internet]. Gco.iarc.fr. [citado a 16 jun 2023]. Disponível em: https://gco.iarc.fr/overtime/en/dataviz/trends?populations=62000&sexes=1_2&types=1&multiple_populations=1
6. European Society of Surgical Oncology. What is Surgical Oncology? [Internet]. www.essoweb.org. [cited a 19 de jun 2023]. Available from: https://www.essoweb.org/what-is-surgical-oncology/
7. Aquina CT, Hamad A, Becerra AZ, Cloyd JM, Tsung A, Pawlik TM, et al. Is Textbook Oncologic Outcome a Valid Hospital-Quality Metric after High-Risk Surgical Oncology Procedures? 2021 Aug 15;28(13):8028–45.
8. Kolfschoten NE, Kievit J, Gooiker GA, et al. Focusing on desired outcomes of care after colon cancer resections; hospital variations in ‘textbook outcome’. 2013; 39:156-163.
9. Islam M, Li YC (Jack). Quality improvement in healthcare: the need for valid, reliable and efficient methods and indicators. International Journal for Quality in Health Care. 2019, 31(7):495-6.
10. Hussein M, Pavlova M, Ghalwash M, Groot W. The impact of hospital accreditation on the quality of healthcare: a systematic literature review. BMC Health Services Research. 2021 Oct 6;21(1).
11. Munir M, Alaimo L, Zorays Moazzam, Endo Y, Lima HÁ, Shaikh CF, et al. Textbook oncologic outcomes and regionalization among patients undergoing hepatic resection for intrahepatic cholangiocarcinoma. 2022 Sep 22; 127(1):81-9.
12. Sweigert P, Eguia E, Baker MS, Link C, J. Madison Hyer, Paredes AZ, et al. Assessment of Cancer Center Variation in Textbook Oncologic Outcomes Following Colectomy for Adenocarcinoma. 2020 Aug 10;25(3):775-65.
13. SĘDŁAK, K. et al. Textbook Oncological Outcome in European Gastrodata. Annals of Surgery, 9 ago. 2023.
Downloads
Published
2024-01-11
Issue
Section
Original Papers
License
Para permitir ao editor a disseminação do trabalho do(s) autor(es) na sua máxima extensão, o(s) autor(es) deverá(ão) assinar uma Declaração de Cedência dos Direitos de Propriedade (Copyright). O acordo de transferência, (Transfer Agreement), transfere a propriedade do artigo do(s) autor(es) para a Sociedade Portuguesa de Cirurgia.
Se o artigo contiver extractos (incluindo ilustrações) de, ou for baseado no todo ou em parte em outros trabalhos com copyright (incluindo, para evitar dúvidas, material de fontes online ou de intranet), o(s) autor(es) tem(êm) de obter, dos proprietários dos respectivos copyrights, autorização escrita para reprodução desses extractos do(s) artigo(s) em todos os territórios e edições e em todos os meios de expressão e línguas. Todas os formulários de autorização devem ser fornecidos aos editores quando da entrega do artigo.
