Benchmarking Performance in Pancreatic Surgery: a Systematic Review of Published Quality Metrics

Background Pancreatic surgery is performed in relatively few centres. There are validated quality benchmarks for pancreatic surgery, although it remains unclear how published benchmarks compare with each other. This study aimed to systematically review published literature to summarise metrics that...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2021-03, Vol.25 (3), p.834-842
Main Authors: Ou, Cindy, Rektorysova, Michaela, Othman, Bushra, Windsor, John A., Pandanaboyana, Sanjay, Loveday, Benjamin P. T.
Format: Article
Language:English
Subjects:
Benchmarking
Benchmarks
Consensus
Gastroenterology
Health care
Hospitals
Humans
Medicine
Medicine & Public Health
Pancreas
Process controls
Review Article
Surgery
Systematic review
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Summary:Background Pancreatic surgery is performed in relatively few centres. There are validated quality benchmarks for pancreatic surgery, although it remains unclear how published benchmarks compare with each other. This study aimed to systematically review published literature to summarise metrics that define quality benchmarks for pancreatic surgery. Method A search of MEDLINE, EMBASE and CENTRAL was undertaken until June 2019. Articles that developed or validated published quality benchmarks for pancreatic surgery were included. Benchmarks were classified into three domains using the Donabedian framework, and their quality assessed using the AIRE Instrument. Results Nineteen studies included 55 quality metrics, of which 8 developed new metrics, and 11 studies validated previously published metrics. The methodology of metric development was either expert opinion-driven or data-driven. All metrics demonstrated moderate quality scores. There was partial agreement in some metrics (e.g. < 10 h total operative duration), but lack of consensus for most others (e.g. lymph node yield ≥ 10, ≥ 12, ≥ 15, ≥ 16). No metrics related to patient reported outcomes. Conclusions Published quality benchmarks for pancreatic surgery predominantly arise from eight studies, with heterogeneity in how the metrics were developed. There was not consensus for all metrics. Metrics need to be reviewed as new data emerge, technologies develop and opinions change.
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-020-04827-9