scholarly journals Clinical Pathways For Pancreatic Surgery: Are They A Suitable Instrument For Process Standardization To Improve Process And Outcome Quality Of Patients Undergoing Distal And Total Pancreatectomy? - A Retrospective Cohort Study

2019 ◽  
Vol Volume 15 ◽  
pp. 1141-1152 ◽  
Author(s):  
Patrick Téoule ◽  
Laura Römling ◽  
Matthias Schwarzbach ◽  
Emrullah Birgin ◽  
Felix Rückert ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Pancreatic Surgery ◽  
Total Pancreatectomy ◽  
Clinical Pathways ◽  
Outcome Quality ◽  
Process Standardization ◽  
Process And Outcome

scholarly journals Clinical Pathways for Oncological Gastrectomy: Are They a Suitable Instrument for Process Standardization to Improve Process and Outcome Quality for Patients Undergoing Gastrectomy? A Retrospective Cohort Study

Cancers ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 434 ◽  
Author(s):  
Patrick Téoule ◽  
Emrullah Birgin ◽  
Christina Mertens ◽  
Matthias Schwarzbach ◽  
Stefan Post ◽  
...  
Keyword(s):  
Retrospective Cohort ◽  
Clinical Pathways ◽  
Multidisciplinary Management ◽  
Outcome Quality ◽  
Process Standardization ◽  
Readmission Rates ◽  
Promising Tool ◽  
Process And Outcome ◽  
Reoperation Rates ◽  
Drain Management

(1) Background: Oncological gastrectomy requires complex multidisciplinary management. Clinical pathways (CPs) can potentially facilitate this task, but evidence related to their use in managing oncological gastrectomy is limited. This study evaluated the effect of a CP for oncological gastrectomy on process and outcome quality. (2) Methods: Consecutive patients undergoing oncological gastrectomy before (n = 64) or after (n = 62) the introduction of a CP were evaluated. Assessed parameters included catheter and drain management, postoperative mobilization, resumption of diet and length of stay. Morbidity, mortality, reoperation and readmission rates were used as indicators of outcome quality. (3) Results: Enteral nutrition was initiated significantly earlier after CP implementation (5.0 vs. 7.0 days, p < 0.0001). Readmission was more frequent before CP implementation (7.8% vs. 0.0%, p = 0.05). Incentive spirometer usage increased following CP implementation (100% vs. 90.6%, p = 0.11). Mortality, morbidity and reoperation rates remained unchanged. (4) Conclusions: After implementation of an oncological gastrectomy CP, process quality improved, while indicators of outcome quality such as mortality and reoperation rates remained unchanged. CPs are a promising tool to standardize perioperative care for oncological gastrectomy.

scholarly journals Influence of Clinical pathways on treatment and outcome quality for patients undergoing pancreatoduodenectomy? A retrospective cohort study

2020 ◽  
Vol 43 (8) ◽  
pp. 799-809 ◽  
Author(s):  
Patrick Téoule ◽  
Britta Kunz ◽  
Matthias Schwarzbach ◽  
Emrullah Birgin ◽  
Felix Rückert ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Clinical Pathways ◽  
Outcome Quality

The quality of diabetes care among cancer survivors: a retrospective cohort study

2021 ◽  
Author(s):  
Xinyun Liang ◽  
Jacob Etches ◽  
Bogdan Pinzaru ◽  
Karen Tu ◽  
Liisa Jaakkimainen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Cancer Survivors ◽  
Diabetes Care ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Quality Of Diabetes Care

scholarly journals Emotional and behavioral outcomes and quality of life in school-age children born as late preterm: retrospective cohort study

2017 ◽  
Vol 58 (5) ◽  
pp. 332-341 ◽  
Author(s):  
Branka Polić ◽  
Andreja Bubić ◽  
Julije Meštrović ◽  
Joško Markić ◽  
Tanja Kovačević ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Behavioral Outcomes ◽  
Late Preterm ◽  
School Age Children ◽  
School Age

scholarly journals Can the adherence to quality of care indicators for early rheumatoid arthritis in clinical practice reduce risk of hospitalisation? Retrospective cohort study based on the Record Linkage of Rheumatic Disease study of the Italian Society for Rheumatology

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e038295
Author(s):  
Anna Zanetti ◽  
Carlo Alberto Scirè ◽  
Lisa Argnani ◽  
Greta Carrara ◽  
Antonella Zambon
Keyword(s):  
Rheumatoid Arthritis ◽  
Cohort Study ◽  
Quality Of Care ◽  
Retrospective Cohort Study ◽  
Lower Risk ◽  
Retrospective Cohort ◽  
Quality Standards ◽  
Standards Of Care ◽  
Adherence Score

ObjectiveTo describe the adherence to quality of care indicators in early rheumatoid arthritis (RA) and to evaluate its impact on the risk of hospitalisation in a real-world setting.DesignRetrospective cohort study.SettingPatients with early-onset RA identified from healthcare regional administrative databases by means of a validated algorithm between 2006 and 2012 in the Lombardy region (Italy).ParticipantsThe study cohort included 14 203 early-onset RA (71% female, mean age 60 years).Outcome measuresFor each patient, a summary adherence score was calculated starting from the compliance to six quality indicators: (1–2) methotrexate or sulfasalazine or leflunomide with/without glucocorticoids, (3–4) other disease-modifying antirheumatic drugs (DMARDs) with/without glucocorticoids, (5) early interruption of glucocorticoids, (6) early clinical assessment.The relationship between low, intermediate and high categories of the summary score and the 12-month risk of hospitalisation for all causes and for RA was assessed.ResultsDuring a follow-up of 1 year, 2609 hospitalisations occurred, of which 704 were for RA (main or secondary diagnosis) and 252 primarily for RA. In a 7-year period (2006–2012), early DMARDs and timely clinical monitoring treatment increased (from 52% to 62% p trend <0.001 and from 25% to 30% p trend 0.009, respectively).Intermediate and high summary adherence score categories (compared with the low category) were related significantly with a lower risk of hospitalisation (adjusted HR 0.85 (95% CI 0.77 to 0.93), p<0.001 and HR 0.76 (95% CI 0.69 to 0.84), p<0.001, respectively). Among the indicators of the adherence score, early DMARD prescription showed the strongest positive impact, while long-term use of glucocorticoids was the worst negative one.ConclusionIn early RA, adherence to quality standards of care is associated with a lower risk of hospitalisation. Future interventions to improve the adherence to quality standards of care in this setting should decrease the risk of hospitalisation with a significant impact on individual and population health.

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