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Textbook Outcomes in Liver Surgery: a Systematic Review
Patrick J Sweigert1, Jose M Ramia2,3,4, Celia Villodre5,6
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH, USA.
Textbook Outcome in Liver Surgery (TOLS) offers a comprehensive approach to assessing hepatectomy quality. This composite metric better reflects ideal surgical care than traditional outcomes, aiding in performance comparison.
Area of Science:
- Hepatobiliary Surgery
- Surgical Quality Assessment
- Outcomes Research
Background:
- Traditional postoperative surgical outcome metrics for hepatectomy may not fully capture the quality of care.
- A composite metric, Textbook Outcome in Liver Surgery (TOLS), may better represent ideal surgical care.
Conclusions:
- TOLS provides a single, composite metric for evaluating surgical performance in liver surgery.
- This metric is potentially more patient-centered and suitable for quantifying optimal care and inter-center comparisons.
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