Wellner U F, Grützmann R, Keck T, Nüssler N, Witzigmann H E, Buhr H-J
Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Lübeck, Deutschland.
Chirurgische Klinik, Universitätsklinikum, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Deutschland.
Chirurg. 2018 Jan;89(1):32-39. doi: 10.1007/s00104-017-0564-3.
Quality indicators are by definition indirect measures of quality. The selection for the field of pancreatic surgery was based on the clinical relevance and controllability, scientific evidence and the practicability of data acquisition. In terms of outcome quality, hospital mortality, the composite endpoint MTL30 (mortality-transfer-length of stay), and major complications (Clavien-Dindo classification grades 3b and 4) were chosen as being essential. With respect to structural quality, the presence of interventional radiology with constant availability was considered essential. To evaluate target values two strategies were used: a systematic literature search and evaluation of the current numbers from the German Society for General and Visceral Surgery (DGAV) StuDoQ|Pancreas registry for the years 2014-2016. The results are presented in the following consensus statement.
质量指标从定义上来说就是质量的间接衡量标准。胰腺手术领域的指标选择基于临床相关性与可控性、科学证据以及数据采集的实用性。在结果质量方面，医院死亡率、综合终点指标MTL30（死亡率-转归-住院时长）以及主要并发症（Clavien-Dindo分类3b级和4级）被视为关键指标。在结构质量方面，具备随时可用的介入放射科被认为至关重要。为评估目标值，采用了两种策略：系统的文献检索以及对德国普通和内脏外科学会（DGAV）2014 - 2016年StuDoQ|胰腺登记处当前数据的评估。结果在以下共识声明中呈现。
