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从不同利益相关者的角度进行围手术期结果评估:是否需要重新考虑?

Perioperative outcome assessment from the perspectives of different stakeholders: need for reconsideration?

作者信息

Abbassi Fariba, Walbert Carmen, Kehlet Henrik, Grocott Michael P W, Puhan Milo A, Clavien Pierre-Alain

机构信息

Department of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland; Epidemiology, Biostatistics and Prevention Institute, University of Zurich, Zurich, Switzerland.

Biogen International GmbH, Baar, Switzerland.

出版信息

Br J Anaesth. 2023 Dec;131(6):969-971. doi: 10.1016/j.bja.2023.09.014. Epub 2023 Oct 23.

Abstract

Standardised and universal perioperative endpoint reporting are the cornerstone for outcomes assessment, reliable clinical trials, and health services research. The Outcome4medicine initiative recently reported consensus recommendations on how to assess the quality of surgical interventions, proposing a framework for surgical outcome assessment and quality improvement after medical interventions. In the same field, the Standardised Endpoints in Perioperative Medicine - Core Outcome Measures for Perioperative and Anaesthetic Care (StEP-COMPAC) group recently proposed standardised and valid measures of mortality and morbidity, derived from a three-stage Delphi process. Here a core group of the Outcome4medicine conference discusses how these two initiatives are aligned and emphasises the importance of standardised outcome assessment by integrating the perspectives of different stakeholders.

摘要

标准化和通用的围手术期终点报告是结果评估、可靠的临床试验以及卫生服务研究的基石。“医学结果4”倡议最近报告了关于如何评估手术干预质量的共识建议,提出了一个医疗干预后手术结果评估和质量改进的框架。在同一领域,围手术期医学标准化终点——围手术期和麻醉护理核心结果指标(StEP - COMPAC)小组最近通过三轮德尔菲法提出了标准化且有效的死亡率和发病率衡量指标。在此,“医学结果4”会议的一个核心小组讨论了这两项倡议如何相互协调,并通过整合不同利益相关者的观点强调了标准化结果评估的重要性。

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