Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Liver Unit, ASST Grande Ospedale Metropolitano (GOM) Niguarda, Milan, Italy.
Transpl Int. 2024 Jan 25;36:12190. doi: 10.3389/ti.2023.12190. eCollection 2023.
Liver transplantation is a highly complex, life-saving, treatment for many patients with advanced liver disease. Liver transplantation requires multidisciplinary teams, system-wide adaptations and significant investment, as well as being an expensive treatment. Several metrics have been proposed to monitor processes and outcomes, however these lack patient focus and do not capture all aspects of the process. Most of the reported outcomes do not capture those outcomes that matter to the patients. Adopting the principles of Value-Based Health Care (VBHC), may provide an opportunity to develop those metrics that matter to patients. In this article, we present a Consensus Statement on Outcome Measures in Liver Transplantation following the principles of VBHC, developed by a dedicated panel of experts under the auspices of the European Society of Organ Transplantation (ESOT) Guidelines' Taskforce. The overarching goal is to provide a framework to facilitate the development of outcome measures as an initial step to apply the VMC paradigm to liver transplantation.
肝移植是治疗许多晚期肝病患者的一种高度复杂的、救生的治疗方法。肝移植需要多学科团队、全系统适应和大量投资，而且是一种昂贵的治疗方法。已经提出了几种指标来监测过程和结果，但这些指标缺乏患者关注，并且没有捕捉到过程的所有方面。大多数报告的结果并没有捕捉到对患者重要的结果。采用基于价值的医疗保健（VBHC）原则，可能为开发对患者重要的指标提供机会。在本文中，我们根据欧洲器官移植学会（ESOT）指南工作组的专门专家小组的 VBHC 原则，提出了肝移植后结局衡量标准的共识声明。首要目标是提供一个框架，以促进结局衡量标准的制定，作为将 VMC 范式应用于肝移植的初始步骤。
