Variations in risk-adjusted outcomes following 4318 laparoscopic liver resections.

ABSTRACT:

Background/purpose

Quality measures in surgery are important to establish appropriate levels of care and to develop improvement strategies. The purpose of this study was to provide risk-adjusted outcome measures after laparoscopic liver resection (LLR).

Methods

Data from a prospective, multicenter database involving 4318 patients submitted to LLRs in 41 hospitals from an intention-to-treat approach (2014-2020) were used to analyze heterogeneity (I² ) among centers and to develop a risk-adjustment model on outcome measures through multivariable mixed-effect models to account for confounding due to case-mix.

Results

Involved hospitals operated on very different patients: the largest heterogeneity was observed for operating in the presence of previous abdomina

SUBMITTER: Cucchetti A 

PROVIDER: S-EPMC9324820 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature