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Related Concept Videos

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From Morbidity & Mortality To Textbook Outcomes - The Evolution Of Quality Assessment In Liver Surgery: Perspective

Saleema Begum1, Muhammad Rizwan Khan1

  • 1Aga Khan University, Hospital, Karachi, Pakistan.

JPMA. the Journal of the Pakistan Medical Association
|June 27, 2026
PubMed
Summary

Textbook outcomes offer a comprehensive measure for liver surgery quality, surpassing traditional metrics. This novel approach ensures better patient care and safety by evaluating multiple perioperative factors for hepatectomy-specific complications.

Keywords:
Liver surgery, Textbook outcomes, Patients safety.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Quality Assessment
  • Patient Safety

Background:

  • Traditional liver surgery quality assessment relies on individual outcomes like morbidity and mortality.
  • Existing tools may not adequately address hepatectomy-specific complications in liver surgery.
  • A holistic approach is needed for comprehensive quality assurance in liver surgery.

Purpose of the Study:

  • To evaluate the concept of "textbook outcome" in liver surgery.
  • To discuss the application of textbook outcome as a quality assessment tool.
  • To highlight the importance of multifaceted outcome measures in hepatectomy.

Main Methods:

  • The "textbook outcome" for liver surgery was developed using a modified Delphi method.
  • The development process occurred between July 2020 and October 2021.
  • This review evaluates the concept and its application in Pakistan.

Main Results:

  • "Textbook outcome" is a novel composite measure for desirable surgical outcomes in liver surgery.
  • It incorporates multiple perioperative parameters for a holistic patient care perspective.
  • This established tool provides procedure-specific information for quality assurance.

Conclusions:

  • "Textbook outcome" offers a superior, comprehensive quality indicator for liver surgery compared to traditional methods.
  • Its application is crucial for enhancing patient safety and ensuring quality in hepatectomy.
  • The review discusses the relevance and implementation of this tool in the context of Pakistan.