A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery

Braden Woodhouse; Savio G. Barreto; Kjetil Soreide; Gregor A. Stavrou; Catherine Teh; Henry Pitt; Marcello Di Martino; Paulo Herman; Victor Lopez-Lopez; Frederik Berrevoet; Mark Talamonti; Mikhail Mikhnevich; Igor Khatkov; Laurence Webber; Ayrat Kaldarov; John Windsor; Omero P. Costa Filho; Jonathan Koea; The IHPBA QPI Working Party Membership; Hepatectomy Working Group; Pancreatectomy Working Group; Complex Biliary Surgery Working Group; Cholecystectomy Working Group

doi:10.1016/j.hpb.2023.04.009

A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery

Braden Woodhouse, Savio G. Barreto, Kjetil Soreide, Gregor A. Stavrou, Catherine Teh, Henry Pitt, Marcello Di Martino, Paulo Herman, Victor Lopez-Lopez, Frederik Berrevoet, Mark Talamonti, Mikhail Mikhnevich, Igor Khatkov, Laurence Webber, Ayrat Kaldarov, John Windsor, Omero P. Costa Filho, Jonathan Koea, The IHPBA QPI Working Party Membership, Hepatectomy Working GroupPancreatectomy Working Group, Complex Biliary Surgery Working Group, Cholecystectomy Working Group

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	924-932
Number of pages	9
Journal	HPB: The Official Journal of The IHPBA, EHPBA and AHPBA
Volume	25
Issue number	8
Early online date	26 Apr 2023
DOIs	https://doi.org/10.1016/j.hpb.2023.04.009
Publication status	Published - Aug 2023

Keywords

quality performance indicators (QPI)
hepatectomy
pancreatectomy
complex biliary (HPB) surgery
cholecystectomy

Access to Document

10.1016/j.hpb.2023.04.009Licence: In Copyright

Cite this

Woodhouse, B., Barreto, S. G., Soreide, K., Stavrou, G. A., Teh, C., Pitt, H., Di Martino, M., Herman, P., Lopez-Lopez, V., Berrevoet, F., Talamonti, M., Mikhnevich, M., Khatkov, I., Webber, L., Kaldarov, A., Windsor, J., Costa Filho, O. P., Koea, J., The IHPBA QPI Working Party Membership, ... Cholecystectomy Working Group (2023). A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery. HPB: The Official Journal of The IHPBA, EHPBA and AHPBA, 25(8), 924-932. https://doi.org/10.1016/j.hpb.2023.04.009

@article{e7f5e642bb374fc5b89cf8c5bcaf14b4,

title = "A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery",

abstract = "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.",

keywords = "quality performance indicators (QPI), hepatectomy, pancreatectomy, complex biliary (HPB) surgery, cholecystectomy",

author = "Braden Woodhouse and Barreto, {Savio G.} and Kjetil Soreide and Stavrou, {Gregor A.} and Catherine Teh and Henry Pitt and {Di Martino}, Marcello and Paulo Herman and Victor Lopez-Lopez and Frederik Berrevoet and Mark Talamonti and Mikhail Mikhnevich and Igor Khatkov and Laurence Webber and Ayrat Kaldarov and John Windsor and {Costa Filho}, {Omero P.} and Jonathan Koea and {The IHPBA QPI Working Party Membership} and {Hepatectomy Working Group} and {Pancreatectomy Working Group} and {Complex Biliary Surgery Working Group} and {Cholecystectomy Working Group}",

year = "2023",

month = aug,

doi = "10.1016/j.hpb.2023.04.009",

language = "English",

volume = "25",

pages = "924--932",

journal = "HPB: The Official Journal of The IHPBA, EHPBA and AHPBA",

issn = "1365-182X",

publisher = "Taylor & Francis",

number = "8",

}

Woodhouse, B, Barreto, SG, Soreide, K, Stavrou, GA, Teh, C, Pitt, H, Di Martino, M, Herman, P, Lopez-Lopez, V, Berrevoet, F, Talamonti, M, Mikhnevich, M, Khatkov, I, Webber, L, Kaldarov, A, Windsor, J, Costa Filho, OP, Koea, J, The IHPBA QPI Working Party Membership, Hepatectomy Working Group, Pancreatectomy Working Group, Complex Biliary Surgery Working Group & Cholecystectomy Working Group 2023, 'A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery', HPB: The Official Journal of The IHPBA, EHPBA and AHPBA, vol. 25, no. 8, pp. 924-932. https://doi.org/10.1016/j.hpb.2023.04.009

A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery. / Woodhouse, Braden; Barreto, Savio G.; Soreide, Kjetil et al.
In: HPB: The Official Journal of The IHPBA, EHPBA and AHPBA, Vol. 25, No. 8, 08.2023, p. 924-932.

Research output: Contribution to journal › Article › peer-review

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 -

A core set of quality performance indicators for HPB procedures: a global consensus for hepatectomy, pancreatectomy, and complex biliary surgery

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this