“Textbook outcome(s)” in colorectal surgery: a systematic review and meta-analysis
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Le résumé fourni par la source
BACKGROUND: Textbook outcome (TO) is a composite measure used in surgery to evaluate post operative outcomes. No review has synthesised the evidence in relation to TO regarding the elements surgeons are utilising to inform their TO composite measure and the rates of TO achieved. METHODS: Our systematic review and meta analysis was conducted in line with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) recommendations. PubMed, EMBASE, and Cochrane central registry of controlled trials were searched up to 8th November 2023. Pooled proportions of TO, clinical factors considered and risk factors in relation to TO are reported. RESULTS: Fifteen studies with 301,502 patients were included in our systematic review while fourteen studies comprising of 247,843 patients were included in our meta-analysis. Pooled rates of TO achieved were 55% with a 95% confidence interval (95% CI) of 54-55%. When stratified by elective versus mixed case load, rates were 56% (95% CI 49-62) and 54% (95% CI 50-58), respectively. Studies reported differing definitions of TO. Reported predictors of achieving TO include age, left sided surgery and elective nature. CONCLUSIONS: TO is achieved, on average in 55% of reported cases and it may predict short and long term post operative patient outcomes. This study did not detect a difference in rates between elective versus mixed case load TO proportions. There is no standardised definition in use of TO. Standardisation of the composite is likely required to enable meaning comparison using TO in the future and a Delphi consensus is warranted.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- “Textbook outcome(s)” in colorectal surgery: a systematic review and meta-analysis
- Date Crossref
- 10/07/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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St. Vincent's University Hospital pays non établi dans la noticeÉtablissement de santé
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St John of God Hospital pays non établi dans la noticeÉtablissement de santé
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University Hospital Limerick Department of Surgery pays non établi dans la noticeÉtablissement de santé
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Fiona Stanley Hospital Department of Surgery pays non établi dans la noticeÉtablissement de santé
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University College Dublin pays non établi dans la noticeUniversité ou école supérieure
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St. James's Hospital pays non établi dans la noticeÉtablissement de santé
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Royal Perth Hospital Department of General Surgery pays non établi dans la noticeÉtablissement de santé
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St Vincent's University Hospital Department of Urology pays non établi dans la noticeUniversité ou école supérieure
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St John of God Midland Hospital Dept of General Surgery pays non établi dans la noticeÉtablissement de santé
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School of Medicine pays non établi dans la noticeUniversité ou école supérieure
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St James' University Hospital Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
St. Vincent's University Hospital, St John of God Hospital et Department of Surgery — University Hospital Limerick, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.