Volume- or outcome-based referral to improve quality of care for esophageal cancer surgery in The Netherlands

2009 ◽  
Vol 99 (8) ◽  
pp. 481-487 ◽  
Author(s):  
M.W.J.M. Wouters ◽  
P. Krijnen ◽  
S. Le Cessie ◽  
G.A. Gooiker ◽  
O.R. Guicherit ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Quality Of Care ◽  
The Netherlands ◽  
Cancer Surgery ◽  
Improve Quality ◽  
Esophageal Cancer Surgery

scholarly journals The Influence of Comorbidity on Health-Related Quality of Life After Esophageal Cancer Surgery

2020 ◽  
Vol 27 (8) ◽  
pp. 2637-2645
Author(s):  
Lovisa Backemar ◽  
Asif Johar ◽  
Anna Wikman ◽  
Janine Zylstra ◽  
James Gossage ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Esophageal Cancer ◽  
Cancer Surgery ◽  
Health Related Quality ◽  
Esophageal Cancer Surgery ◽  
Related Quality ◽  
Health Related

Influence of Major Postoperative Complications on Health-Related Quality of Life Among Long-Term Survivors of Esophageal Cancer Surgery

2012 ◽  
Vol 30 (14) ◽  
pp. 1615-1619 ◽  
Author(s):  
Maryam Derogar ◽  
Nicola Orsini ◽  
Omid Sadr-Azodi ◽  
Pernilla Lagergren
Keyword(s):  
Quality Of Life ◽  
Esophageal Cancer ◽  
Postoperative Complications ◽  
Cancer Surgery ◽  
Health Related Quality ◽  
Esophageal Cancer Surgery ◽  
Related Quality ◽  
Health Related

Purpose To evaluate the effect of major postoperative complications on health-related quality of life (HRQL) in 5-year survivors of esophageal cancer surgery. Patients and Methods This study was based on the Swedish Esophageal and Cardia Cancer register with almost complete nationwide coverage and data on esophageal cancer surgery collected prospectively between 2001 and 2005. Patients who were alive 5 years after surgery were eligible. HRQL was assessed longitudinally until 5 years after surgery by using the validated European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire C30 and OES18. Linear mixed models were used to assess the mean score difference (MD) with 95% CIs of each aspect of HRQL in patients with or without major postoperative complications. Adjustment was made for several potential confounders. Results Of 153 patients who survived 5 years, 141 patients (92%) answered the 5-year HRQL questionnaires. Of these individuals, 46 patients (33%) sustained a major postoperative complication. Dyspnea (MD, 15; 95% CI, 6 to 23), fatigue (MD, 13; 95% CI, 5 to 20), and eating restrictions (MD, 10; 95% CI, 2 to 17) were clinically and statistically significantly deteriorated throughout the follow-up in patients with major postoperative complications compared with patients without major complications. Although problems with choking declined to levels comparable with patients without major postoperative complications, sleep difficulties and gastroesophageal reflux progressively worsened during follow-up. Conclusion The occurrence of postoperative complications exerts a long-lasting negative effect on HRQL in patients who survive 5 years after esophagectomy for cancer.

scholarly journals Development of a Framework for Redesigning a Terminology Maintenance Process – Case Study in the Netherlands

2021 ◽  
Author(s):  
Eva S. Klappe ◽  
Nicolette F. de Keizer ◽  
Ronald Cornet
Keyword(s):  
Quality Of Care ◽  
The Netherlands ◽  
Medical Knowledge ◽  
Improve Quality ◽  
Theoretical Frameworks ◽  
Specific Domain ◽  
Medical Concepts ◽  
Maintenance Process

Structuring clinical data in electronic health records supports reuse of data to improve quality of care, reduce costs and perform research. This requires terminologies to assign terms from language used in a specific domain to medical concepts. Given the developing character of medical knowledge, these terminologies need continuous maintenance. Nonetheless, little is known about terminology maintenance processes. To specify the (re)design of a terminology maintenance process, we first merged and adapted two static theoretical frameworks that consisted of criteria relating to using a terminology, divided among relevant stakeholders. Following, we applied the framework to the healthcare terminology maintenance process in the Netherlands. We held interviews with relevant stakeholders and used the framework as checklist to identify missing criteria and bottlenecks. Saturation in interviews and fulfilment of the criteria indicated that all bottlenecks were discovered, therefore the framework was considered useful for redesigning a terminology maintenance process. Other countries could benefit from this framework as well to discover and resolve any unfulfilled maintenance criteria.

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