Erschienen in:
01.01.2012 | Editorial
Predicted morbidity and mortality in major gastroenterological surgery
verfasst von:
Asgaut Viste
Erschienen in:
Gastric Cancer
|
Ausgabe 1/2012
Einloggen, um Zugang zu erhalten
Excerpt
Predicting outcome in GI surgery can be important for several reasons. It is an indicator of quality that can help patients and surgeons in decision-making—should the patient be advised to undergo surgery, it can aid in the selection of procedures and suggest the ranges of postoperative morbidity and mortality for these procedures. A risk-scoring system can be utilized for patient counseling and informed consent discussions, for identifying high-risk patients who would benefit from disease optimization, and for risk adjustment when comparing outcomes between institutions. Further, risk adjustment and stratification play an important role in quality assurance and clinical research. For patients, reported figures on morbidity and mortality may also be useful when choosing the hospital that they wish to treat them. Every hospital is concerned about its own reputation and ability to attract the most competent staff, and it is a generally accepted assumption that surgical audits between hospitals will drive quality improvement. Health authorities could also use these markers to help achieve the economic stimulation of specific hospitals. …
