en
Scientific article
Review
English

Consensus recommendations on how to assess the quality of surgical interventions

CollaboratorsHeuskel, Dieter; Kwan Man, Nancy; Monteiro, Joao; Perellon, Juan; Perez Martinez, Sara; Seedat, Soraya; Urbaniok, Frank; Walbert, Carmen; Woodbridge, Jayson; Barkun, Jeffrey; Grocott, Michael; Hurst, Samiaorcid; Meier, Christoph; Stamm, Tanja; Szucs, Thomas; Tuttle, J.E.; Yang, Han-Kwang; Zeltner, Thomas; Zimlichman, Eyal; Rüter, Florian; Deerberg-Wittram, Jens; Bloom, Lara; Pomey, Marie-Pascale; Webb, Susan; Berlth, Felix; Ramia, Jose; Staiger, Roxane; Sienko, Kathy; de Vos, Marit; Kehlet, Henrik; Müller, Philip; Fey, Martin; O'Reilly, Susan; Vonlanthen, René; von Eschenbach, Andrew; Lazarus, Jeffrey; Or, Zeynep; Ko, Clifford; Huber, Mia Aurelia; Ives, Jonathan; Krones, Tanja; Truog, Robert; Venkatapuram, Sridhar; Abou-Khalil, Jad; Fiore, Julio; Hincapié, Cesar; Kokudo, Norihiro; Pawlik, Timothy; Adams, Mark; Armitage, Joel; Lübbeke, Anne; Sanchez-Velasquez, Patricia; Schuepbach, Reto; Zientara, Alicja; Kalisvaart, Marit; Hofmaenner, Daniel; Chiche, Jean-Daniel; Jackson, Alexander; Moonesinghe, Ramani; Abbassi, Fariba; Elger, Bernice Simone; Joeris, Alexander; Rothenfluh, Fabia; Schneuwly, Felix; Seidler, Yuki; Sivaraman, Guru; Ballouz, Tala; Costa-Ramon, Ana; Snyder, Rebecca; Tyebally Fang, Mirriam; Witt, Claudia
Published inNature medicine, vol. 29, no. 4, p. 811-822
Publication date2023-04
First online date2023-04-17
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.

eng
Keywords
  • Humans
  • Patients
  • Postoperative Complications / prevention & control
  • Surgical Procedures, Operative / standards
Citation (ISO format)
DOMENGHINO, Anja et al. Consensus recommendations on how to assess the quality of surgical interventions. In: Nature medicine, 2023, vol. 29, n° 4, p. 811–822. doi: 10.1038/s41591-023-02237-3
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Article (Published version)
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Identifiers
ISSN of the journal1546-170X
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