Association of modified textbook outcome and overall survival after surgery for colorectal liver metastases: A nationwide analysis

Textbook outcome (TO) represents a multidimensional quality measurement, encompassing the desirable short-term outcomes following surgery. This study aimed to investigate whether achieving TO after resection of colorectal liver metastases (CRLM) surgery is related to better overall survival (OS) in...

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Published in:European journal of surgical oncology 2024-03, Vol.50 (3), p.107972-107972, Article 107972
Main Authors: Voigt, Kelly R., de Graaff, Michelle R., Verhoef, Cornelis, Kazemier, Geert, Swijneburg, Rutger J., Mieog, J.Sven D., Derksen, Wouter J.M., Buis, Carlijn I., Gobardhan, Paul D., Dulk, Marcel den, van Dam, Ronald M., Liem, Mike S.L., Leclercq, Wouter K.G., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Kok, Niels F.M., Patijn, Gijs A., Marsman, H.M., van den Boezem, Peter B., Klaase, Joost M., Grünhagen, Dirk J., Manusama, Hans Torrenga E., van Heek, Tjarda N., Oosterling, S.J.
Format: Article
Language:English
Subjects:
Colorectal Neoplasms - pathology
Hepatectomy - methods
Humans
Liver Neoplasms - secondary
Postoperative Complications - etiology
Propensity Score
Retrospective Studies
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Summary:Textbook outcome (TO) represents a multidimensional quality measurement, encompassing the desirable short-term outcomes following surgery. This study aimed to investigate whether achieving TO after resection of colorectal liver metastases (CRLM) surgery is related to better overall survival (OS) in a national cohort. Data was retrieved from the Dutch Hepato Biliary Audit. A modified definition of TO (mTO) was used because readmissions were only recorded from 2019. mTO was achieved when no severe postoperative complications, mortality, prolonged length of hospital stay, occurred and when adequate surgical resection margins were obtained. To compare outcomes of patients with and without mTO and reduce baseline differences between both groups propensity score matching (PSM) was used for patients operated on between 2014 and 2018. Out of 6525 eligible patients, 81 % achieved mTO. For the cohort between 2014 and 2018, those achieving mTO had a 5-year OS of 46.7 % (CI 44.8–48.6) while non-mTO patients had a 5-year OS of 33.7 % (CI 29.8–38.2), p 
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2024.107972