Beyond Mortality: Textbook Outcome as a Novel Quality Metric in Cardiothoracic Surgical Care.

ABSTRACT: Objective: Textbook outcome (TO) is a multidimensional composite quality metric that integrates several desirable short-term outcomes into a single measure representing the "ideal" perioperative course. Unlike traditional indicators that focus narrowly on mortality or single complications, TO captures the complexity of cardiothoracic care, encompassing oncologic adequacy, absence of major complications, avoidance of reintervention and readmission, and timely discharge. Methods: In this systematic review, we synthesize evidence on the definition, incidence, determinants, prognostic impact, and limitations of TO across cardiothoracic surgery (lung and esophageal resections, lung transplantation, cardiac surgery, and adult heart transplantation) in accordance with the PRISMA gui

SUBMITTER: Magouliotis DE 

PROVIDER: S-EPMC12609948 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature