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Verfasst von:Téoule, Patrick [VerfasserIn]   i
 Römling, Laura Anja [VerfasserIn]   i
 Schwarzbach, Matthias [VerfasserIn]   i
 Birgin, Emrullah [VerfasserIn]   i
 Rückert, Felix [VerfasserIn]   i
 Wilhelm, Torsten J. [VerfasserIn]   i
 Niedergethmann, Marco [VerfasserIn]   i
 Post, Stefan [VerfasserIn]   i
 Rahbari, Nuh Nabi [VerfasserIn]   i
 Reißfelder, Christoph [VerfasserIn]   i
 Ronellenfitsch, Ulrich [VerfasserIn]   i
Titel:Clinical pathways for pancreatic surgery
Titelzusatz:are they a suitable instrument for process standardization to improve process and outcome quality of patients undergoing distal and total pancreatectomy? : a retrospective cohort study
Verf.angabe:Patrick Téoule, Laura Römling, Matthias Schwarzbach, Emrullah Birgin, Felix Rückert, Torsten J. Wilhelm, Marco Niedergethmann, Stefan Post, Nuh N. Rahbari, Christoph Reißfelder, Ulrich Ronellenfitsch
E-Jahr:2019
Jahr:1 October 2019
Umfang:12 S.
Fussnoten:Gesehen am 27.01.2020
Titel Quelle:Enthalten in: Therapeutics and clinical risk management
Ort Quelle:Albany, Auckland : Dove Medical Press, 2005
Jahr Quelle:2019
Band/Heft Quelle:15(2019), Seite 1141-1152
ISSN Quelle:1178-203X
Abstract:Purpose: Pancreatic surgery demands complex multidisciplinary management, which is often cumbersome to implement. Clinical pathways (CPs) are a tool to facilitate this task, but evidence for their utility in pancreatic surgery is scarce. This study evaluated if CPs are a suitable tool for process standardization in order to improve process and outcome quality in patients undergoing distal and total pancreatectomy. Patients and methods: Data of consecutive patients who underwent distal or total pancreatectomy before (n=67) or after (n=61) CP introduction were evaluated regarding catheter management, postoperative mobilization, pancreatic enzyme substitution, resumption of diet and length of stay. Outcome quality was assessed using glycaemia management, morbidity, mortality, reoperation and readmission rates. Results: The usage of incentive spirometers for pneumonia prophylaxis increased. The median number of days with hyperglycemia decreased significantly from 2.5 to 0. For distal pancreatectomy, the incidence of postoperative diabetes dropped from 27.9% to 7.1% (p=0.012). The incidence of postoperative exocrine pancreatic insufficiency decreased from 37.2% to 11.9% (p=0.007). There was no significant difference in mortality, morbidity, reoperation and readmission rates between groups. Conclusion: Following implementation of a pancreatic surgery CP, several indicators of process and outcome quality improved, while others such as mortality and reoperation rates remained unchanged. CPs are a promising tool to improve quality of care in pancreatic surgery.
DOI:doi:10.2147/TCRM.S215373
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.2147/TCRM.S215373
 Verlag: https://www.dovepress.com/clinical-pathways-for-pancreatic-surgery-are-they-a-suitable-instrumen-peer-reviewed-article-T ...
 DOI: https://doi.org/10.2147/TCRM.S215373
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1688549471
Verknüpfungen:→ Zeitschrift

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