Establishing Key performance indicators [KPIs] and their importance for the surgical management of inflammatory bowel disease - Results from a Pan-European, Delphi Consensus Study

TY - JOUR

T1 - Establishing Key performance indicators [KPIs] and their importance for the surgical management of inflammatory bowel disease - Results from a Pan-European, Delphi Consensus Study

AU - Morar, Pritesh S.

AU - Hollingshead, James

AU - Bemelman, Willem

AU - Sevdalis, Nick

AU - Pinkney, Thomas

AU - Wilson, Graeme

AU - Dunlop, Malcolm

AU - Justin Davies, R.

AU - Guy, Richard

AU - Fearnhead, Nicola

AU - Brown, Steven

AU - Warusavitarne, Janindra

AU - Edwards, Cathryn

AU - Faiz, Omar

PY - 2017/11/1

Y1 - 2017/11/1

N2 - Background and Aims: Key performance indicators [KPIs] exist across a range of areas in medicine. They help to monitor outcomes, reduce variation, and drive up standards across services. KPIs exist for inflammatory bowel disease [IBD] care, but none specifically cover inflammatory bowel disease [IBD] surgical service provision. Methods: This was a consensus-based study using a panel of expert IBD clinicians from across Europe. Items were developed and fed through a Delphi process to achieve consensus. Items were ranked on a Likert scale from 1 [not important] to 5 [very important]. Consensus was defined when the inter quartile range was ≤ 1, and items with a median score > 3 were considered for inclusion. Results: A panel of 21 experts [14 surgeons and 7 gastroenterologists] was recruited. Consensus was achieved on procedure-specific KPIs for ileocaecal and perianal surgery for Crohn's disease, [N = 10] with themes relating to morbidity [N = 7], multidisciplinary input [N = 2], and quality of life [N = 1]; and for subtotal colectomy, proctocolectomy and ileoanal pouch surgery for ulcerative colitis [N = 11], with themes relating to mortality [N = 2], morbidity [N = 8], and service provision [N = 1]. Consensus was also achieved for measures of the quality of IBD surgical service provision and quality assurance in IBD surgery. Conclusions: This study has provided measurable KPIs for the provision of surgical services in IBD. These indicators cover IBD surgery in general, the governance and structures of the surgical services, and separate indicators for specific subareas of surgery. Monitoring of IBD services with these KPIs may reduce variation across services and improve quality.

AB - Background and Aims: Key performance indicators [KPIs] exist across a range of areas in medicine. They help to monitor outcomes, reduce variation, and drive up standards across services. KPIs exist for inflammatory bowel disease [IBD] care, but none specifically cover inflammatory bowel disease [IBD] surgical service provision. Methods: This was a consensus-based study using a panel of expert IBD clinicians from across Europe. Items were developed and fed through a Delphi process to achieve consensus. Items were ranked on a Likert scale from 1 [not important] to 5 [very important]. Consensus was defined when the inter quartile range was ≤ 1, and items with a median score > 3 were considered for inclusion. Results: A panel of 21 experts [14 surgeons and 7 gastroenterologists] was recruited. Consensus was achieved on procedure-specific KPIs for ileocaecal and perianal surgery for Crohn's disease, [N = 10] with themes relating to morbidity [N = 7], multidisciplinary input [N = 2], and quality of life [N = 1]; and for subtotal colectomy, proctocolectomy and ileoanal pouch surgery for ulcerative colitis [N = 11], with themes relating to mortality [N = 2], morbidity [N = 8], and service provision [N = 1]. Consensus was also achieved for measures of the quality of IBD surgical service provision and quality assurance in IBD surgery. Conclusions: This study has provided measurable KPIs for the provision of surgical services in IBD. These indicators cover IBD surgery in general, the governance and structures of the surgical services, and separate indicators for specific subareas of surgery. Monitoring of IBD services with these KPIs may reduce variation across services and improve quality.

KW - Delphi

KW - IBD surgery

KW - Inflammatory bowel disease

UR - http://www.scopus.com/inward/record.url?scp=85042176082&partnerID=8YFLogxK

U2 - 10.1093/ecco-jcc/jjx099

DO - 10.1093/ecco-jcc/jjx099

M3 - Article

AN - SCOPUS:85042176082

SN - 1873-9946

VL - 11

SP - 1362

EP - 1368

JO - Journal of Crohn's and Colitis

JF - Journal of Crohn's and Colitis

IS - 11

ER -