Textbook outcomes for lower extremity bypass: A useful quality metric for care optimization.

ABSTRACT:

Objective

Textbook outcomes (TOs) represent the ideal postsurgical scenario that can identify at risk subgroups in need of better follow up. Their application in lower extremity bypass (LEB) has been underexplored. Here, the TO for LEB is defined risk factors identified for failure to achieve a TO.

Methods

The Vascular Quality Initiative was queried for elective LEB cases between 2010 and 2023. A TO was defined as absence of major complications, major adverse limb events, prolonged length of stay (>75th percentile), 30-day mortality, and nonhome discharge. Exclusions were based on pathology, inflow/outflow, conduit, and concomitant operations. Primary outcomes included 1-year survival and failure to achieve a TO. Time-to-event analyses were conducted using the Kaplan-Meier m

SUBMITTER: Sickels AD 

PROVIDER: S-EPMC12746074 | biostudies-literature | 2026 Feb

REPOSITORIES: biostudies-literature