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Textbook outcome among voluntary donors undergoing major living donor hepatectomy
PURPOSE: Textbook outcome (TO) is a composite measure of outcome and provides superior assessment of quality of care after surgery. TO after major living donor hepatectomy (MLDH) has not been assessed. The objective of this study was to determine the rate of TO and its associated factors, after MLDH...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171097/ https://www.ncbi.nlm.nih.gov/pubmed/35670859 http://dx.doi.org/10.1007/s00423-022-02578-6 |
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author | Bhatti, Abu Bakar Hafeez Naqvi, Wajih Ali, Nazish Khan, Nusrat Yar Zia, Haseeb Haider Faiz, Belqees Yawar Ilyas, Abid Rana, Atif Khan, Nasir Ayub |
author_facet | Bhatti, Abu Bakar Hafeez Naqvi, Wajih Ali, Nazish Khan, Nusrat Yar Zia, Haseeb Haider Faiz, Belqees Yawar Ilyas, Abid Rana, Atif Khan, Nasir Ayub |
author_sort | Bhatti, Abu Bakar Hafeez |
collection | PubMed |
description | PURPOSE: Textbook outcome (TO) is a composite measure of outcome and provides superior assessment of quality of care after surgery. TO after major living donor hepatectomy (MLDH) has not been assessed. The objective of this study was to determine the rate of TO and its associated factors, after MLDH. METHODS: This was a single center retrospective review of living liver donors who underwent MLDH between 2012 and 2021 (n = 1022). The rate of TO and its associated factors was determined. RESULTS: Among 1022 living donors (of whom 693 [67.8%] were males, median age 26 [range, 18–54] years), TO was achieved in 714 (69.9%) with no donor mortality. Majority of donors met the cutoffs for individual outcome measures: 908 (88.8%) for no major complications, 904 (88.5%) for ICU stay ≤ 2 days, 900 (88.1%) for hospital stay ≤ 10 days, 990 (96.9%) for no perioperative blood transfusion, 1004 (98.2%) for no 30-day re-admission, and 1014 (99.2%) for no post-hepatectomy liver failure. Early donation era (before streamlining of donor operative pathways) was associated with failure to achieve TO [OR 1.4, CI 1.1–1.9, P = 0.006]. TO was achieved in 506/755 (67%) donors in the early donation era versus 208/267 (77.9%) in the later period (P = 0.001). CONCLUSION: Despite zero mortality and low complication rate, TO was achieved in approximately 70% donors. TO was modifiable and improved with changes in donor operative pathway. |
format | Online Article Text |
id | pubmed-9171097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-91710972022-06-08 Textbook outcome among voluntary donors undergoing major living donor hepatectomy Bhatti, Abu Bakar Hafeez Naqvi, Wajih Ali, Nazish Khan, Nusrat Yar Zia, Haseeb Haider Faiz, Belqees Yawar Ilyas, Abid Rana, Atif Khan, Nasir Ayub Langenbecks Arch Surg Original Article PURPOSE: Textbook outcome (TO) is a composite measure of outcome and provides superior assessment of quality of care after surgery. TO after major living donor hepatectomy (MLDH) has not been assessed. The objective of this study was to determine the rate of TO and its associated factors, after MLDH. METHODS: This was a single center retrospective review of living liver donors who underwent MLDH between 2012 and 2021 (n = 1022). The rate of TO and its associated factors was determined. RESULTS: Among 1022 living donors (of whom 693 [67.8%] were males, median age 26 [range, 18–54] years), TO was achieved in 714 (69.9%) with no donor mortality. Majority of donors met the cutoffs for individual outcome measures: 908 (88.8%) for no major complications, 904 (88.5%) for ICU stay ≤ 2 days, 900 (88.1%) for hospital stay ≤ 10 days, 990 (96.9%) for no perioperative blood transfusion, 1004 (98.2%) for no 30-day re-admission, and 1014 (99.2%) for no post-hepatectomy liver failure. Early donation era (before streamlining of donor operative pathways) was associated with failure to achieve TO [OR 1.4, CI 1.1–1.9, P = 0.006]. TO was achieved in 506/755 (67%) donors in the early donation era versus 208/267 (77.9%) in the later period (P = 0.001). CONCLUSION: Despite zero mortality and low complication rate, TO was achieved in approximately 70% donors. TO was modifiable and improved with changes in donor operative pathway. Springer Berlin Heidelberg 2022-06-07 2022 /pmc/articles/PMC9171097/ /pubmed/35670859 http://dx.doi.org/10.1007/s00423-022-02578-6 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Bhatti, Abu Bakar Hafeez Naqvi, Wajih Ali, Nazish Khan, Nusrat Yar Zia, Haseeb Haider Faiz, Belqees Yawar Ilyas, Abid Rana, Atif Khan, Nasir Ayub Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title | Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title_full | Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title_fullStr | Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title_full_unstemmed | Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title_short | Textbook outcome among voluntary donors undergoing major living donor hepatectomy |
title_sort | textbook outcome among voluntary donors undergoing major living donor hepatectomy |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171097/ https://www.ncbi.nlm.nih.gov/pubmed/35670859 http://dx.doi.org/10.1007/s00423-022-02578-6 |
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