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Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.
Naumann, D., Bhangu, A., Brooks, A., Martin, M., Cotton, B., Khan, M., et al. (2024). Novel Textbook Outcomes following emergency laparotomy: Delphi exercise. BJS OPEN, 8(1) [10.1093/bjsopen/zrad145].
Novel Textbook Outcomes following emergency laparotomy: Delphi exercise
Naumann D. N.;Bhangu A.;Brooks A.;Martin M.;Cotton B. A.;Khan M.;Midwinter M. J.;Pearce L.;Bowley D. M.;Holcomb J. B.;Griffiths E. A.;Abu-Abeid A.;Peckham-Cooper A.;Dyas A. R.;Adeyeye A.;Dogjani A.;Ball A. C. Y.;Wolthuis A. M.;Quiroga-Garza A.;Karamarkovic A. R.;Giordano A.;Fuchs A.;Julianov A.;Phillips A. W.;Zimmermann A.;Charalabopoulos A.;Birkun A. A.;Narvaez-Rojas A. R.;Guner A.;Fayed A.;Davis A. L.;Vereczkei A.;Balla A.;Celotti A.;Romanzi A.;Trombetta A.;Beggs A. D.;Robertson A. G.;Petrosoniak A.;Davies A. R.;Becerra-Bolanos A.;Loria A.;Brillantino A.;Athanasiou A.;Isik A.;Ioannidis A.;Santos A. P.;Saha A. K.;Vilches-Moraga A.;Choudhry A. J.;Tsuchiya A.;Smithers B. M.;Wijnhoven B. P. L.;Keeler B. D.;De Simone B.;Birla R.;Mitra B.;Atanasov B. C.;Badgwell B.;Nolan B.;Kang B. H.;Duffy C. C.;Ordonez C. A.;Gomes C. A.;Mueller C. L.;Reinke C. E.;Lebares C. C.;Hunter C. J.;Villodre C.;Guldogan C. E.;Seretis C.;Adams C. A.;Pilgrim C. H. C.;Varghese C.;Owoo C.;Meyhoff C. S.;Fleming C. A.;Stuart C. M.;Lewis-Lloyd C. A.;McLaughlin C. J.;Stevens C. L.;Graham C. A.;Magee C.;Saunders D. I.;Yeh D. D.;Chan D. L.;Felsenreich D. M.;Holena D. N.;Bawa D.;Bowrey D. J.;Liu D. S.;Chan D. S. Y.;Nag D. S.;Haddad D. N.;Corallino D.;Damaskos D.;Moris D.;Schizas D.;Korkolis D. P.;Bagaria D. K.;Adamovich D. M.;Colquhoun D. A.;Singhal D.;Siddaiah-Subramanya M.;Kapoor R.;Wyncoll D.;Van Hai D.;Muttillo E. M.;Picetti E.;Kelly E.;Baili E.;Takeda F. R.;Pinto E.;Colak E.;Dixon E.;Reitano E.;Zambaiti E.;Sultana E.;Mills E. C.;Ley E. J.;Osterman E.;Pivalizza E. G.;Tokidis E.;Ezanno A. -C.;Catena F.;Pederiva F.;Coccolini F.;Nickel F.;Agresta F.;Tovar F. N.;Abu-Zidan F. M.;Brzeszczynski F.;El Boghdady M.;Fleres F.;Pecchini F.;Carrano F. M.;Pata F.;Mulita F.;Klevebro F.;Rodrigues G.;Gallo G.;Poillucci G.;Bass G. A.;Aggarwal G.;Perrone G.;Roberts G.;Koukoulis G.;Zacharis G.;Baiocchi G. L.;Pellino G.;Lisi G.;Dapri G.;Brisinda G.;Augustin G.;Christodoulidis G.;Imbriaco G.;Ducarme G.;Rasa H. K.;Hamer P. W.;Lederhuber H.;Plaudis H.;Uchino H.;Beji H.;Ferguson H. J. M.;Cohen H. M. L.;Wilson I.;Kryvoruchko I. A.;Kuitunen I.;Benzoni I.;Merlini I.;Ose I.;Wani I.;Gockel I.;Negoi I.;Gribovskaja-Rupp I.;Tomasi I.;Olaoye I. O.;Kenington J. C.;Roth J. S.;Rosenberg J.;Vigano J.;Williamson J. M. L.;De Waele J. J.;Smith J. E.;Nahmias J.;Stevens J. L.;Rickard J.;Mah J. J.;Waalwijk J. F.;Taylor J. V.;Yuval J. B.;Kauppila J. H.;Cuschieri J.;Brown J. B.;Rivas J. G.;Emamaullee J.;Lasithiotakis K.;McKenzie K.;Matsushima K.;Koivusalo A. I.;Almond L. M.;Konge L.;Jorgensen L. N.;Genser L.;Napolitano L. M.;Brown L. R.;Kaplan L. J.;Degrate L.;Bonavina L.;Moore L.;Gachabayov M.;Dornseifer M. D.;Avest E. T.;Abdulshafea M.;Ribeiro M. A. F.;Migliore M.;Ceresoli M.;Clementi M.;Scarpa M.;Olausson M.;Sousa M. R. F.;Giuffrida M.;D'Oria M.;Pacilli M.;Czerny M.;Reichert M.;Rutegard M.;Bahreini M.;Forshaw M.;Lee M. J.;Tolonen M.;Fehervari M.;Rho M.;Podda M.;Leger M.;Frountzas M.;Chisthi M. M.;Lewis M. R.;Berube M.;Oliveira-Cunha M.;Marsden M. E. R.;Tez M.;Piccoli M.;Bath M. F.;Flanagan M.;Gottlieb M.;Pearl M. L.;Achiam M. P.;Swart M.;Ukkonen M.;Bala M.;Ebrahim M.;AlAli M. N.;Ortenzi M.;Ghalleb M.;Moller M. H.;Iqbal M. R.;Ali M. A.;Tarazi M.;Newton N. J.;Hanna N. M.;Henriksen N. A.;Blencowe N. S.;Merrett N.;Welch N. T.;Colucci N.;De'Angelis N.;Latronico N.;Werner N. L.;Martin N. D.;MacHairas N.;Bugaev N.;Pang N. Q.;Obinwa O.;Akanji O. O.;Kapsampelis P.;De Nardi P.;Vincenzi P.;Kohan P. L.;Pucher P. H.;Herrod P. J. J.;Chiu P. W. Y.;Marzuillo P.;Sileri P.;Fransvea P.;Navsaria P. H.;Valentin P. D.;Bakx R.;Choron R. L.;Gupta R.;Ivatury R. R.;Diaz R.;Bradley R. A.;Elisa R.;Huatuco R. M. P.;Shahriarirad R.;Rattan R.;Karmy-Jones R.;Sawyer R. G.;Coelen R. J. S.;Cirocchi R.;Gelbard R. B.;Zakeri R.;Farinha R.;Schols R. M.;Dumas R. P.;Di Saverio S.;Bandyopadhyay S. K.;Delibegovic S.;Stevens S.;Navarro S. M.;Chatterjee S.;Petousis S.;Gourgiotis S.;Streit S. M.;Baral S.;Karna S. T.;Moug S.;Yoong S.;Gisbertz S. S.;Kheirbek T.;Jeremy T. Y. -C.;Duane T. M.;Jensen T. K.;Bright T.;Hardcastle T. C.;Tania T.;Nikolian V. C.;Bianchi V.;Kong V.;Trapani V.;Shelat V. G.;Mani V. R.;Khokha V. M.;Yang W.;Al-Khyatt W.;Lam Y. H.;Kijima Y.;Cui Y.;Perkins Z. B.;Demetrashvili Z.;Ng Z. Q.
2024
Abstract
Background: Textbook outcomes are composite outcome measures that reflect the ideal overall experience for patients. There are many of these in the elective surgery literature but no textbook outcomes have been proposed for patients following emergency laparotomy. The aim was to achieve international consensus amongst experts and patients for the best Textbook Outcomes for non-trauma and trauma emergency laparotomy. Methods: A modified Delphi exercise was undertaken with three planned rounds to achieve consensus regarding the best Textbook Outcomes based on the category, number and importance (Likert scale of 1–5) of individual outcome measures. There were separate questions for non-trauma and trauma. A patient engagement exercise was undertaken after round 2 to inform the final round. Results: A total of 337 participants from 53 countries participated in all three rounds of the exercise. The final Textbook Outcomes were divided into ‘early’ and ‘longer-term’. For non-trauma patients the proposed early Textbook Outcome was ‘Discharged from hospital without serious postoperative complications (Clavien–Dindo ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation or death). For trauma patients it was ‘Discharged from hospital without unexpected transfusion after haemostasis, and no serious postoperative complications (adapted Clavien–Dindo for trauma ≥ grade III; including intra-abdominal sepsis, organ failure, unplanned re-operation on or death)’. The longer-term Textbook Outcome for both non-trauma and trauma was ‘Achieved the early Textbook Outcome, and restoration of baseline quality of life at 1 year’. Conclusion: Early and longer-term Textbook Outcomes have been agreed by an international consensus of experts for non-trauma and trauma emergency laparotomy. These now require clinical validation with patient data.
Naumann, D., Bhangu, A., Brooks, A., Martin, M., Cotton, B., Khan, M., et al. (2024). Novel Textbook Outcomes following emergency laparotomy: Delphi exercise. BJS OPEN, 8(1) [10.1093/bjsopen/zrad145].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/522283
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 598/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
