Table 2.
Publications reporting specific QPIs for the surgical management of oesophageal cancer
| Type | Quality of care indicator | References |
|---|---|---|
| Structural | Multidisciplinary team care/conferences | [10] |
| Process | RO resection | [1, 9, 16, 18] |
| Lymphadenectomy ≥ 15 nodes | [1, 9, 14, 15, 30, 39, 43] | |
|
Administration of Induction Chemoradiation Therapy |
[1, 2, 9, 27] | |
|
Staging investigations CT neck/thorax/abdomen PET Staging laparoscopy |
[2, 10, 43] | |
| Proportion of patients with OC beyond the mucosa (T2–4 NAny M0-1a) who received neoadjuvant treatment | [43] | |
| Proportion of patients diagnosed with cT1a OC undergoing endoscopic mucosal resection who had an en bloc resection | [43] | |
| Two or three-phase oesophagectomy | [43] | |
| Proportion of patients deceased with metastatic OC who received palliative support | [43] | |
| Accurate pathology reporting | [43] | |
| Proportion of patients diagnosed with recurrent OC discussed at the multidisciplinary team meeting prior to any treatment | [43] | |
| Pre-operative nutritional support | [43] | |
| Surgeon training | [41] | |
| Multidisciplinary esophagectomy care pathway | [11, 31] | |
| Outcome | 30-day mortality/90-day mortality | [2, 21, 24–26, 41] |
| 30-day/90-day comprehensive complication index | [26] | |
| In-hospital mortality | [16] | |
| Intraoperative blood loss | [41] | |
| Anastomotic leakage (all ECCG grades) | [16] | |
| No surgically related unplanned readmission within 30 days | [19] | |
| No reintervention | [30] | |
| No readmission related to surgical procedure | [16] | |
| Length of stay < 21 days | [30] | |
| No intraoperative complication | [30] | |
| Failure to rescue | [19] | |
| Pulmonary complications | [26] | |
| Severe post-operative complications (CD3 A and above) | [22] | |
| ICU readmission | [16] |
Summary of reported and/or evaluated QPIs for surgical management of OC