Consensus recommendations on how to assess the quality of surgical interventions

Panel 6; Panel 5; Panel 4; Panel 3; Panel 2; Panel 1; Panel chairs; Jury; The Outcome4Medicine consensus group; Panel 9; Panel 8; Panel 7

doi:10.1038/s41591-023-02237-3

Consensus recommendations on how to assess the quality of surgical interventions

Panel 6, Panel 5, Panel 4, Panel 3, Panel 2, Panel 1, Panel chairs, Jury, The Outcome4Medicine consensus group, Panel 9, Panel 8, Panel 7

Population Health Sciences

Research output: Contribution to journal › Article › peer-review

58 Citations (Scopus)

Abstract

Postoperative complications represent a major public health burden worldwide. Without standardized, clinically relevant and universally applied endpoints, the evaluation of surgical interventions remains ill-defined and inconsistent, opening the door for biased interpretations and hampering patient-centered health care delivery. We conducted a Jury-based consensus conference incorporating the perspectives of different stakeholders, who based their recommendations on the work of nine panels of experts. The recommendations cover the selection of postoperative outcomes from the perspective of patients and other stakeholders, comparison and interpretation of outcomes, consideration of cultural and demographic factors, and strategies to deal with unwarranted outcomes. With the recommendations developed exclusively by the Jury, we provide a framework for surgical outcome assessment and quality improvement after medical interventions, that integrates the main stakeholders’ perspectives.

Original language	English
Pages (from-to)	811-822
Number of pages	12
Journal	Nature Medicine
Volume	29
Issue number	4
DOIs	https://doi.org/10.1038/s41591-023-02237-3
Publication status	Published - Apr 2023

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10.1038/s41591-023-02237-3

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title = "Consensus recommendations on how to assess the quality of surgical interventions",

abstract = "Postoperative complications represent a major public health burden worldwide. Without standardized, clinically relevant and universally applied endpoints, the evaluation of surgical interventions remains ill-defined and inconsistent, opening the door for biased interpretations and hampering patient-centered health care delivery. We conducted a Jury-based consensus conference incorporating the perspectives of different stakeholders, who based their recommendations on the work of nine panels of experts. The recommendations cover the selection of postoperative outcomes from the perspective of patients and other stakeholders, comparison and interpretation of outcomes, consideration of cultural and demographic factors, and strategies to deal with unwarranted outcomes. With the recommendations developed exclusively by the Jury, we provide a framework for surgical outcome assessment and quality improvement after medical interventions, that integrates the main stakeholders{\textquoteright} perspectives.",

author = "{Panel 6} and {Panel 5} and {Panel 4} and {Panel 3} and {Panel 2} and {Panel 1} and {Panel chairs} and Jury and {The Outcome4Medicine consensus group} and {Panel 9} and {Panel 8} and {Panel 7} and Anja Domenghino and Carmen Walbert and Birrer, {Dominique Lisa} and Puhan, {Milo A.} and Clavien, {Pierre Alain} and Witt, {Claudia M.} and {Tyebally Fang}, Mirriam and Snyder, {Rebecca A.} and Ana Costa-Ramon and Tala Ballouz and Guru Sivaraman and Yuki Seidler and Felix Schneuwly and Fabia Rothenfluh and Alexander Joeris and Bernice Elger and Fariba Abbassi and Moonesinghe, {S. Ramani} and Jackson, {Alexander I.R.} and Chiche, {Jean Daniel} and Hofmaenner, {Daniel A.} and Marit Kalisvaart and Alicja Zientara and Reto Schuepbach and Patricia S{\'a}nchez-Vel{\'a}zquez and Anne L{\"u}bbeke and Joel Armitage and Mark Adams and Pawlik, {Timothy M.} and Norihiro Kokudo and Hincapi{\'e}, {Cesar A.} and Fiore, {Julio F.} and Jad Abou-Khalil and Sridhar Venkatapuram and Truog, {Robert D.} and Tanja Krones and Jonathan Ives and Huber, {Mia Aurelia} and Ko, {Clifford Y.} and Zeynep Or and Lazarus, {Jeffrey V.} and {von Eschenbach}, {Andrew C.} and Ren{\'e} Vonlanthen and Susan O{\textquoteright}Reilly and Martin Fey and M{\"u}ller, {Philip C.} and Henrik Kehlet and {de Vos}, {Marit S.} and Kathy Sienko and Staiger, {Roxane D.}",

note = "Publisher Copyright: {\textcopyright} The Author(s), under exclusive licence to Springer Nature America, Inc. 2023.",

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Consensus recommendations on how to assess the quality of surgical interventions

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