Textbook outcome in gastrectomy: useful metric or moving target? A scoping review.

ABSTRACT:

Background

Composite metrics including Textbook Outcome (TO) and Textbook Oncological Outcome (TOO) are increasingly utilised to assess quality in gastric cancer surgical research. However, inconsistent and variable reporting limits their clinical application.

Objective

This scoping review aimed to catalogue definitions and criteria of TO and TOO in gastrectomy, report achievement rates and determinants, associations with survival outcomes, and identify methodological gaps.

Methods

A search was conducted in MEDLINE, Embase, Web of Science, and Scopus from inception to April 2025. Eligible studies reported TO or TOO for adults undergoing curative-intent gastrectomy for cancer. Reviewers screened studies and extracted data on characteristics, definitions, achievement ra

SUBMITTER: Salem R 

PROVIDER: S-EPMC12630219 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature