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Is Textbook Outcome a valuable composite measure for short-term outcomes of gastrointestinal treatments in the Netherlands using hospital information system data? A retrospective cohort study.


ABSTRACT: OBJECTIVE:To develop a feasible model for monitoring short-term outcome of clinical care trajectories for hospitals in the Netherlands using data obtained from hospital information systems for identifying hospital variation. STUDY DESIGN:Retrospective analysis of collected data from hospital information systems combined with clinical indicator definitions to define and compare short-term outcomes for three gastrointestinal pathways using the concept of Textbook Outcome. SETTING:62 Dutch hospitals. PARTICIPANTS:45 848 unique gastrointestinal patients discharged in 2015. MAIN OUTCOME MEASURE:A broad range of clinical outcomes including length of stay, reintervention, readmission and doctor-patient counselling. RESULTS:Patients undergoing endoscopic retrograde cholangiopancreatography (ERCP)

SUBMITTER: Salet N 

PROVIDER: S-EPMC5855341 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature