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Surgical Endoscopy

Erschienen in:

15.11.2021

Development of consensus-derived quality indicators for laparoscopic sleeve gastrectomy operative reports

verfasst von: Ashley Vergis, Garrett G. R. J. Johnson, Krista Hardy, Jeffrey Gu, Alistair Sharples, Shannon Stogryn

Erschienen in: Surgical Endoscopy | Ausgabe 7/2022

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Abstract

Background

Synoptic operative reporting has been used as a solution to the poor quality of narrative reports. The aim of this study was to develop operative report quality indicators for the laparoscopic sleeve gastrectomy and to generate parameters by which these reports can be evaluated and improved.

Methods

A Delphi protocol was used to determine quality indicators for LSG. Bariatric surgeons across Canada were recruited along with key physician stakeholders to participate via a secure web-based platform. Transferrable consensus items for LSG from previously developed Roux-en-Y gastric bypass operative indictors were put forward for consideration. Participants also initially submitted potential QIs. These were grouped by theme. Items were rated on 5-point Likert scales in subsequent rounds. Scores of 70% or higher were used for inclusion and 30% or less denoted exclusion. Elements scoring 30% to 70% agreement were recirculated by runoff in subsequent rounds to generate the final list of quality indicators.

Results

Seven bariatric surgeons, representing all regions preforming LSG in Canada, were invited to participate in the Delphi group. Multidisciplinary invitees included one academic minimally invasive/acute care surgeon, one tertiary abdominal radiologist, and one academic gastroenterologist with bariatric expertise. Two rounds were required to achieve consensus. Both rounds achieved a 100% response (10/10). In round 1, forty items reached consensus. In Round 2, an additional 28 items reached consensus, with three items excluded, bringing the total number of quality indicators to 65.

Conclusion

This study establishes consensus-derived multidisciplinary quality indicators for LSG operative reports. Application of these findings aims to advance the quality and completeness of operative reporting in LSG in order to improve communication of important surgical details and quality measures to the multidisciplinary team involved in bariatric surgery care.

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Titel: Development of consensus-derived quality indicators for laparoscopic sleeve gastrectomy operative reports
verfasst von: Ashley Vergis
Garrett G. R. J. Johnson
Krista Hardy
Jeffrey Gu
Alistair Sharples
Shannon Stogryn
Publikationsdatum: 15.11.2021
Verlag: Springer US
Erschienen in: Surgical Endoscopy / Ausgabe 7/2022
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-021-08853-9

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Development of consensus-derived quality indicators for laparoscopic sleeve gastrectomy operative reports

Abstract

Background

Methods

Results

Conclusion

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