Patients' perceptions of the definition of a textbook outcome following liver transplantation.
HPB (Oxford)
; 25(12): 1523-1530, 2023 Dec.
Article
em En
| MEDLINE
| ID: mdl-37563034
ABSTRACT
BACKGROUND:
A textbook outcome (TO) describes the results of a successful liver transplantation (LT) in which all aspects of the LT and posttransplant courses were uneventful. We compared patient perceived experience of a TO with clinically defined TO.METHODS:
This was a single-institution cohort study with retrospective chart review including patients who underwent LT from 2019 to 2021. Patients were asked to complete the survey at a scheduled posttransplant visit. The survey was designed to assess their viewpoints on the definition of a TO. A clinically defined TO was defined as no mortality, no severe complications, no need for reintervention, no prolonged hospital and intensive care unit stays, and no readmission.RESULTS:
Of the 182 patients who were contacted, 132 (72.5%) completed the survey. Overall, 98 patients (74%) considered that they had experienced a TO. The clinically defined TO rate was 22.0%. Multivariate analysis showed that patients who did not experience severe complications were more likely to consider that they had a TO (P = 0.01; odds ratio 3.2; 95% confidence interval 1.3-7.9).CONCLUSIONS:
From patients' perspectives, survival and avoidance of complications were the major characteristics of a TO.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transplante de Fígado
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
HPB (Oxford)
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
França