Tsilimigras Diamantis I, Pawlik Timothy Michael, Moris Dimitrios
Department of Surgery, Ohio State University, Columbus, OH 43210, United States.
Department of Surgery, Duke University Medical Center, Duke University, Durham, NC 27710, United States.
World J Gastroenterol. 2021 Apr 21;27(15):1524-1530. doi: 10.3748/wjg.v27.i15.1524.
The concept of textbook outcome (TO) has recently gained popularity in surgical research and has been used to evaluate the quality or success of different surgical procedures, including hepatopancreatobiliary (HPB) operations. TO consists of individual outcome parameters that each reflect different domains of care including structure, process, and individual outcomes; in turn, the composite TO metric represents the optimal course after a surgical episode. TO can be used to assess patient-level outcomes, hospital performance, center designation and quality metrics. In addition to being an outcome measurement, TO may also be linked to healthcare costs. Future efforts should be directed towards establishing a universal definition of TO in HPB surgery so that surgeons and hospitals can assess and compare outcomes, identify shortcomings and improve real world patient outcomes.
教科书式结局（TO）的概念最近在外科研究中受到关注，并已用于评估包括肝胆胰（HPB）手术在内的不同外科手术的质量或成功率。TO由各个结局参数组成，每个参数反映护理的不同领域，包括结构、过程和个体结局；反过来，综合TO指标代表手术过程后的最佳进程。TO可用于评估患者层面的结局、医院绩效、中心指定和质量指标。除了作为一种结局测量方法外，TO还可能与医疗成本相关。未来的工作应致力于在HPB手术中建立TO的通用定义，以便外科医生和医院能够评估和比较结局，识别不足之处并改善实际患者的结局。
