Document Detail


Risk-adjusted surgical outcomes.
MedLine Citation:
PMID:  11160779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Measures of risk-adjusted outcome are particularly suited for the assessment of the quality of surgical care. The reliability of measures of quality that use surgical outcomes is enhanced by prospective data acquisition and should be adjusted for the preoperative severity of illness. Such measures should be based only on reliable and validated data, and they should apply state-of-the-art analytical methods. The risk-adjusted postoperative mortality rate is useful as a quality measure only in specialties and operations expected to have a high rate of postoperative deaths. Risk-adjusted complications are more common but are limited as a comparative measure of quality by a lack of uniform definitions and data collection mechanisms. In specialties in which the expected postoperative mortality is low, risk-adjusted functional outcomes are promising measures for the assessment of the quality of surgical care. Measures of cost and patient satisfaction should also be incorporated in systems designed to measure the quality and cost-effectiveness of surgical care.
Authors:
J Daley; W G Henderson; S F Khuri
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annual review of medicine     Volume:  52     ISSN:  0066-4219     ISO Abbreviation:  Annu. Rev. Med.     Publication Date:  2001  
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-04-26     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  2985151R     Medline TA:  Annu Rev Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  275-87     Citation Subset:  IM    
Affiliation:
Department of Medicine, Boston Veterans Administration Healthcare System, Harvard Medical School, Boston, Massachusetts 02114, USA. jdaley1@partners.org
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Cost-Benefit Analysis
Data Collection / methods
Data Interpretation, Statistical
Hospital Mortality
Hospitals, Veterans
Humans
Length of Stay / statistics & numerical data
Morbidity
Patient Satisfaction
Quality Indicators, Health Care
Quality of Health Care*
Reproducibility of Results
Risk Adjustment / methods*
Severity of Illness Index
Surgical Procedures, Operative / adverse effects*,  psychology,  standards*
Survival Analysis
Total Quality Management / organization & administration
Treatment Outcome*
United States / epidemiology
United States Department of Veterans Affairs

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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