Editorial
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Apr 21, 2021; 27(15): 1524-1530
Published online Apr 21, 2021. doi: 10.3748/wjg.v27.i15.1524
Textbook outcomes in hepatobiliary and pancreatic surgery
Diamantis I Tsilimigras, Timothy Michael Pawlik, Dimitrios Moris
Diamantis I Tsilimigras, Timothy Michael Pawlik, Department of Surgery, Ohio State University, Columbus, OH 43210, United States
Dimitrios Moris, Department of Surgery, Duke University Medical Center, Duke University, Durham, NC 27710, United States
Author contributions: Tsilimigras DI and Moris D designed the work; Tsilimigras DI conducted analysis and interpretation of working data; Pawlik TM and Moris D drafted the work, and strictly revised the important knowledge content; all authors made the final approval of this version.
Conflict-of-interest statement: There has nothing to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Dimitrios Moris, MD, MSc, PhD, Surgeon, Department of Surgery, Duke University Medical Center, Duke University, 2310 Erwin Road, Durham, NC 27710, United States. dimmoris@yahoo.com
Received: January 19, 2021
Peer-review started: January 19, 2021
First decision: February 10, 2021
Revised: February 12, 2021
Accepted: March 29, 2021
Article in press: March 29, 2021
Published online: April 21, 2021
Processing time: 85 Days and 7.5 Hours
Abstract

The concept of textbook outcome (TO) has recently gained popularity in surgical research and has been used to evaluate the quality or success of different surgical procedures, including hepatopancreatobiliary (HPB) operations. TO consists of individual outcome parameters that each reflect different domains of care including structure, process, and individual outcomes; in turn, the composite TO metric represents the optimal course after a surgical episode. TO can be used to assess patient-level outcomes, hospital performance, center designation and quality metrics. In addition to being an outcome measurement, TO may also be linked to healthcare costs. Future efforts should be directed towards establishing a universal definition of TO in HPB surgery so that surgeons and hospitals can assess and compare outcomes, identify shortcomings and improve real world patient outcomes.

Keywords: Textbook; Outcome; Hepatopancreatobiliary; Surgery

Core Tip: The concept of textbook outcome (TO) has recently gained popularity in surgical research and has been used to evaluate the quality or success of different surgical procedures, including hepatopancreatobiliary (HPB) operations. TO can be used to assess patient-level outcomes, hospital performance, center designation and quality metrics. Future efforts should be directed towards establishing a universal definition of TO in HPB surgery so that surgeons and hospitals can assess and compare outcomes, identify shortcomings and improve real world patient outcomes.