Implementation and first results of a mandatory, nationwide audit on liver surgery

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Implementation and first results of a mandatory, nationwide audit on liver surgery
 
Dutch Hepato Biliary Audit Group
(2019) HPB, volume 21, issue 10, pp. 1400 - 1410
(Article)
Abstract
Background: The Dutch Hepato Biliary Audit (DHBA) was initiated in 2013 to assess the national quality of liver surgery. This study aimed to describe the initiation and implementation of this audit along with an overview of the results and future perspectives. Methods: Registry of patients undergoing liver surgery for all ... read more
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Keywords: Hepatology, Gastroenterology
DOI: https://doi.org/10.1016/j.hpb.2019.02.021
ISSN: 1365-182X
Publisher: John Wiley & Sons Inc.
Note: Funding Information: The DHBA was initiated by the Liver Surgery working group in collaboration with the Dutch Institute for Clinical Auditing (DICA). DICA, founded in 2009, aims to enhance clinical auditing initiatives in the Netherlands. 6 The Liver Surgery working group was established in 2003 and represents all Dutch liver surgeons. The DHBA was initially funded by quality improvement grants donated by the Dutch Associated Health Insurance Companies and since 2016, the audit is structurally funded by the Dutch Associated Health Insurance Company. All participating hospitals are responsible for registration of their own data. Surgeons have the responsibility for this data registration. To limit registration burden, at the start of the DHBA it was chosen to not include long-term follow-up information and 90-day morbidity, mortality and readmissions. Nationwide coverage of the audit was stimulated via the Association of Surgeons of the Netherlands (NVvH), and registration of patients has been one of the requirements of the guidelines of the Foundation of oncological cooperation (SONCOS) since 2013. 7 These guidelines include a minimum average annual volume of 20 liver resections over a period of three years per hospital, and specific requirements for the team, i.e. two surgeons with particular experience in liver surgery and 24/7 coverage of an interventional radiologist. A clinical audit board and a scientific committee were formed consisting of hepatobiliary surgeons. Publisher Copyright: © 2019 International Hepato-Pancreato-Biliary Association Inc. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.
(Peer reviewed)