TY - JOUR
T1 - A core set of quality performance indicators for HPB procedures
T2 - a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery
AU - Woodhouse, Braden
AU - Barreto, Savio G.
AU - Soreide, Kjetil
AU - Stavrou, Gregor A.
AU - Teh, Catherine
AU - Pitt, Henry
AU - Di Martino, Marcello
AU - Herman, Paulo
AU - Lopez-Lopez, Victor
AU - Berrevoet, Frederik
AU - Talamonti, Mark
AU - Mikhnevich, Mikhail
AU - Khatkov, Igor
AU - Webber, Laurence
AU - Kaldarov, Ayrat
AU - Windsor, John
AU - Costa Filho, Omero P.
AU - Koea, Jonathan
AU - The IHPBA QPI Working Party Membership
AU - Hepatectomy Working Group
AU - Pancreatectomy Working Group
AU - Complex Biliary Surgery Working Group
AU - Cholecystectomy Working Group
PY - 2023/8
Y1 - 2023/8
N2 - Background: Surgery for hepatopancreaticobiliary (HPB) conditions is performed worldwide. This investigation aimed to develop a set of globally accepted procedural quality performance indicators (QPI) for HPB surgical procedures. Methods: A systematic literature review generated a dataset of published QPI for hepatectomy, pancreatectomy, complex biliary surgery and cholecystectomy. Using a modified Delphi process, three rounds were conducted with working groups composed of self-nominating members of the International Hepatopancreaticobiliary Association (IHPBA). The final set of QPI was circulated to the full membership of the IHPBA for review. Results: Seven “core” indicators were agreed for hepatectomy, pancreatectomy, and complex biliary surgery (availability of specific services on site, a specialised surgical team with at least two certified HPB surgeons, a satisfactory institutional case volume, synoptic pathology reporting, undertaking of unplanned reintervention procedures within 90 days, the incidence of post-procedure bile leak and Clavien-Dindo grade ≥III complications and 90-day post-procedural mortality). Three further procedure specific QPI were proposed for pancreatectomy, six for hepatectomy and complex biliary surgery. Nine procedure-specific QPIs were proposed for cholecystectomy. The final set of proposed indicators were reviewed and approved by 102 IHPBA members from 34 countries. Conclusions: This work presents a core set of internationally agreed QPI for HPB surgery.
AB - Background: Surgery for hepatopancreaticobiliary (HPB) conditions is performed worldwide. This investigation aimed to develop a set of globally accepted procedural quality performance indicators (QPI) for HPB surgical procedures. Methods: A systematic literature review generated a dataset of published QPI for hepatectomy, pancreatectomy, complex biliary surgery and cholecystectomy. Using a modified Delphi process, three rounds were conducted with working groups composed of self-nominating members of the International Hepatopancreaticobiliary Association (IHPBA). The final set of QPI was circulated to the full membership of the IHPBA for review. Results: Seven “core” indicators were agreed for hepatectomy, pancreatectomy, and complex biliary surgery (availability of specific services on site, a specialised surgical team with at least two certified HPB surgeons, a satisfactory institutional case volume, synoptic pathology reporting, undertaking of unplanned reintervention procedures within 90 days, the incidence of post-procedure bile leak and Clavien-Dindo grade ≥III complications and 90-day post-procedural mortality). Three further procedure specific QPI were proposed for pancreatectomy, six for hepatectomy and complex biliary surgery. Nine procedure-specific QPIs were proposed for cholecystectomy. The final set of proposed indicators were reviewed and approved by 102 IHPBA members from 34 countries. Conclusions: This work presents a core set of internationally agreed QPI for HPB surgery.
KW - quality performance indicators (QPI)
KW - hepatectomy
KW - pancreatectomy
KW - complex biliary (HPB) surgery
KW - cholecystectomy
UR - http://www.scopus.com/inward/record.url?scp=85159262163&partnerID=8YFLogxK
U2 - 10.1016/j.hpb.2023.04.009
DO - 10.1016/j.hpb.2023.04.009
M3 - Article
SN - 1365-182X
VL - 25
SP - 924
EP - 932
JO - HPB: The Official Journal of The IHPBA, EHPBA and AHPBA
JF - HPB: The Official Journal of The IHPBA, EHPBA and AHPBA
IS - 8
ER -