Textbook Outcomes Among Patients Undergoing Retroperitoneal Sarcoma Resection

Area of Science:

• Surgical Oncology
• Health Services Research
• Oncology Quality Metrics

Background:

• Textbook Outcome (TO) is a novel benchmark for assessing quality across multiple domains.
• Defining and evaluating TO for retroperitoneal sarcoma (RPS) is crucial for understanding care quality.

Purpose of the Study:

• To define Textbook Outcome (TO) for retroperitoneal sarcoma (RPS) resection.
• To assess the relationship between hospital volume and TO achievement in RPS.
• To evaluate the association of TO with overall survival in RPS patients.

Main Methods:

• Analysis of 11,032 patients who underwent RPS resection from the National Cancer Database (2004-2015).
• Textbook Outcome (TO) defined by length of stay, 90-day survival, 30-day readmission, and negative margins.
• Comparison of TO rates and survival based on hospital volume.

Main Results:

• 54.0% of patients achieved a Textbook Outcome (TO).
• High-volume hospitals were associated with a higher probability of achieving TO (p=0.009).
• Achieving TO was significantly associated with longer overall survival (p<0.001).

Conclusions:

• Textbook Outcome (TO) is a valuable metric for evaluating hospital performance in retroperitoneal sarcoma (RPS) care.
• The findings suggest TO can identify variations in care quality for RPS patients.
• High-volume centers appear to improve the likelihood of achieving optimal outcomes.