Relationship between volume of services and quality of treatment outcome for kidney transplantations (including living donations) extract
RESEARCH QUESTION: The aims of this investigation are to - present and assess the relationship between volume of services (VoS) and quality of treatment outcome in kidney transplantations (KTx), including living donations (research question 1) and - present studies which investigate the extent to wh...
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| Format: | eBook |
| Language: | English |
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Köln, Germany
Institute for Quality and Efficiency in Health Care
2020, 2020
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| Edition: | Version 1.0 |
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| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | RESEARCH QUESTION: The aims of this investigation are to - present and assess the relationship between volume of services (VoS) and quality of treatment outcome in kidney transplantations (KTx), including living donations (research question 1) and - present studies which investigate the extent to which the quality of treatment outcome is impacted by minimum numbers of cases introduced in the healthcare system for KTx (including living donations) (research question 2). CONCLUSION: For the investigation of the relationship between VoS and quality of treatment outcome in KTx (including living donations), a total of 5 observational studies were eligible for inclusion. One of these 5 studies provided specific data on living donation. With regard to early all-cause mortality, a relationship was found between hospital VoS and quality of treatment outcome, based on a low informative value of results. No relevant studies were found for investigating the effects of specific minimum volumes implemented in practice for KTx (including living donations) on the quality of treatment outcomes For medium-term all-cause mortality, in contrast, it was not possible to derive any relationship between VoS and quality of treatment outcome for either deceased-donor or living-donor KTx. No data were available on intraoperative or perioperative mortality. Regarding the outcome of graft failure, based on results of low informative value, it was not possible to derive any relationship between hospital VoS and quality of treatment outcome for either type of organ donation. No further outcomes on morbidity were reported. For the outcomes of adverse effects of therapy, health-related quality of life, and hospital length of stay, it was not possible to derive a relationship on the hospital level due to a lack of usable data. Since none of the included studies took into account the VoS of treatment providers (physicians, nurses, etc.), it was not possible to draw a conclusion on the relationship between VoS and quality of treatment outcomes on the provider level. |
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| Item Description: | Translation of Chapters 1 to 7 of the rapid report V19-02 Zusammenhang zwischen Leistungsmenge und Qualität des Behandlungsergebnisses bei Nierentransplantation (inklusive Lebendspende) (Version 1.0; Status: 24 April 2020 [German original], 8 July 2020 [English translation]) |
| Physical Description: | 1 PDF file (ix, 48 pages) |