Quality assessment in head and neck oncologic surgery in a Brazilian cancer center compared with MD Anderson Cancer Center benchmarks

Background Quality assessment is a major tool for evaluation of health care delivery. In head and neck surgery, the University of Texas MD Anderson Cancer Center (MD Anderson) has defined quality standards by publishing benchmarks. Methods We conducted an analysis of 360 head and neck surgeries perf...

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Published in:Head & neck 2016-07, Vol.38 (7), p.1002-1007
Main Authors: Lira, Renan Bezerra, de Carvalho, André Ywata, de Carvalho, Genival Barbosa, Lewis, Carol M., Weber, Randal S., Kowalski, Luiz Paulo
Format: Article
Language:English
Subjects:
Academic Medical Centers
Brazil
Cancer Care Facilities - organization & administration
Female
Head and Neck Neoplasms - mortality
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
head and neck surgery
Health Care Surveys
Humans
Male
Patient Readmission - statistics & numerical data
Postoperative Complications - epidemiology
Postoperative Complications - physiopathology
quality
Quality Assurance, Health Care
Quality Indicators, Health Care
quality of care
Risk Assessment
surgery
Surgical Wound Infection - epidemiology
Surgical Wound Infection - physiopathology
Texas
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Summary:Background Quality assessment is a major tool for evaluation of health care delivery. In head and neck surgery, the University of Texas MD Anderson Cancer Center (MD Anderson) has defined quality standards by publishing benchmarks. Methods We conducted an analysis of 360 head and neck surgeries performed at the AC Camargo Cancer Center (AC Camargo). The procedures were stratified into low‐acuity procedures (LAPs) or high‐acuity procedures (HAPs) and outcome indicators where compared to MD Anderson benchmarks. Results In the 360 cases, there were 332 LAPs (92.2%) and 28 HAPs (7.8%). Patients with any comorbid condition had a higher incidence of negative outcome indicators (p = .005). In the LAPs, we achieved the MD Anderson benchmarks in all outcome indicators. In HAPs, the rate of surgical site infection and length of hospital stay were higher than what is established by the benchmarks. Conclusion Quality assessment of head and neck surgery is possible and should be disseminated, improving effectiveness in health care delivery. © 2015 Wiley Periodicals, Inc. Head Neck 38: 1002–1007, 2016
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.24304