Relationship between volume of services and quality of treatment outcome for liver transplantations (including living partial liver donations) extract
CONCLUSION: For the investigation of a correlation between volume of services and quality of treatment outcome in liver transplantation (including living partial liver donations), a total of 6 observational studies were eligible for inclusion. No specific results were found on living partial liver d...
| Corporate Author: | |
|---|---|
| Format: | eBook |
| Language: | English |
| Published: |
Köln, Germany
Institute for Quality and Efficiency in Health Care
2019, 2019
|
| Edition: | Version 1.0 |
| Subjects: | |
| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | CONCLUSION: For the investigation of a correlation between volume of services and quality of treatment outcome in liver transplantation (including living partial liver donations), a total of 6 observational studies were eligible for inclusion. No specific results were found on living partial liver donations. For all-cause mortality, the results were of low informative value, but a positive correlation between volume of services and quality of treatment outcome was found in favour of hospitals with a higher volume of services. No data were available on intraoperative or perioperative mortality. For the outcome of graft failure, the results were of low informative value, but a non-linear correlation between volume of services and quality of treatment outcome on the hospital level was derived. However, the nature of the correlation for this outcome does not support the use of threshold values (e.g. minimum volumes). No further outcomes on morbidity were reported. For the outcomes of adverse effects of therapy, health-related quality of life, and hospital length of stay, it was not possible to derive a correlation on the hospital level due to a lack of usable data. Since none of the included studies took into account the volume of services by providers (physician, nurse, etc.), it was not possible to draw a conclusion on the correlation between the volume of services and quality of treatment outcomes on the provider level. No relevant interventional studies were found for investigating the effects of specific minimum volumes implemented in practice on the quality of treatment outcomes RESEARCH QUESTION: The aim of this investigation is to present and assess the correlation between the volume of services and the quality of treatment outcome in liver transplantation (including living partial liver donations) (research question 1) and 1. present and assess studies which investigate the effects of a minimum number of cases specifically introduced into the healthcare system for liver transplantation (including living partial liver donations) on the quality of treatment outcomes (research question 2).To the extent that this investigation identifies data on a correlation between volume of services and quality of treatment outcome in partial hepatectomy due to hepatic malignancies, such data will be presented as supplementary information. |
|---|---|
| Item Description: | Translation of Chapters 1 to 8 of the rapid report V18-04 Zusammenhang zwischen Leistungsmenge und Qualität des Behandlungsergebnisses bei Lebertransplantation (inklusive Teilleber-Lebendspende) (Version 1.0; Status: 4 September 2019 [German original], 10 December 2019 [English translation]) |
| Physical Description: | 1 PDF file (viii, 50 pages) |