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Revisiting Turkish Esophageal Atresia Regisrty data for quality indicators
Tutku Soyer1, Süleyman Arif Bostancı2, Çiğdem Ulukaya Durakbaşa3
1Hacettepe University, Faculty of Medicine, Department of Pediatric Surgery, Ankara, Turkiye.
Journal of Pediatric Surgery
|January 24, 2026
Summary
Quality indicators (QIs) assessed esophageal atresia (EA) care in Turkey. While most centers met QIs, improving anastomotic stricture rates is crucial for better patient outcomes.
Area of Science:
- Pediatric Surgery
- Healthcare Quality Improvement
- Gastroenterology
Background:
- Esophageal atresia (EA) requires specialized multidisciplinary care.
- The Turkish Esophageal Atresia Registry (TEAR) collects data on EA patient care.
- Evaluating care quality is essential for improving patient outcomes.
Purpose of the Study:
- To assess the quality of care for esophageal atresia (EA) patients using quality indicators (QIs).
- To evaluate performance across different treatment centers within the Turkish Esophageal Atresia Registry (TEAR).
Main Methods:
- Data from 15 high-volume centers (treating >4 EA patients/year) within the TEAR database were analyzed.
- Centers were evaluated based on predefined structural, procedural, and outcome quality indicators (QIs).
- Performance was benchmarked against mean QI achievement rates, with lower adverse outcome rates considered 'meeting' the QI.
Main Results:
- Fifteen centers and 525 EA patients were included in the analysis.
- Most centers had multidisciplinary teams (MDTs) (80%), but fewer had transition-to-adulthood programs (33%).
- Anastomotic strictures were the least met QI (40%), while MDTs and low intraoperative complications were most frequent (80%). Transition-to-adulthood programs correlated with reduced intraoperative complications (p=0.008).
Conclusions:
- Quality indicators (QIs) provide valuable insights for centers to benchmark and improve esophageal atresia (EA) care.
- While TEAR centers generally meet many QIs, national efforts are needed to reduce anastomotic stricture rates.
- Implementing transition-to-adulthood programs may positively impact intraoperative complication rates.
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