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A novel study, textbook outcome in adrenalectomy: retrospective observational study in an endocrine surgical unit

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Abstract

Textbook outcome is a multidimensional quality management tool that uses a set of traditional surgical measures to reflect an "ideal" surgical result for a particular pathology. Retrospective study of all patients undergoing scheduled for adrenal tumors surgery at an endocrine surgery unit from January 2010-December 2022. The definition of Textbook Outcome were: R0 resection, no Clavien–Dindo ≥ IIIa complications, no prolonged stay (< P75), no readmissions, and no mortality in the first 30 days. The main objective was to analyze the rate of Textbook Outcome obtained. One hundred and five patients were included in the study. Textbook Outcome was achieved in 71.4%. Surgical approach (p < 0.001), Charlson scale (p = 0.031), American Society of Anesthesiologists Classification (p = 0.047) and surgical time (p < 0.001) were all significantly associated with the achievement of Textbook Outcome. The laparoscopic approach was associated as an independent factor with obtaining Textbook Outcome (OR:5.394; p = 0.016), as was surgical time (OR:0.986; p = 0.004). Textbook Outcome is a novel, useful, easy-to-interpret tool for measuring results in adrenal surgery. The laparoscopic approach is associated with a higher rate of "ideal" surgical results. The study was registered in the public accessible database clinicaltrials.gov with the ClinicalTrials.gov ID: NCT05888753.

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Abbreviations

TO:

Textbook Outcome

ASA:

American Society of Anesthesiologists Classification

CCI:

Charlson Comorbidity Index

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Funding

The authors did not receive funding for this study.

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Authors and Affiliations

  1. Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario de Alicante, Alicante, Spain

    J. J. Rubio-García, M. Franco Campello, R. Costa Navarro, A. Gomis Martín, C. Villodre Tudela, C. Zaragoza Zaragoza, A. Carrión Tomás & J. M. Ramia-Ángel

  2. Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL), Alicante, Spain

    J. J. Rubio-García, M. Franco Campello, R. Costa Navarro, A. Gomis Martín, C. Villodre Tudela, C. Zaragoza Zaragoza, A. Carrión Tomás & J. M. Ramia-Ángel

  3. Universidad Miguel Hernández, Alicante, Spain

    R. Gil Navarro, C. Villodre Tudela, C. Zaragoza Zaragoza, A. Carrión Tomás & J. M. Ramia-Ángel

Authors
  1. J. J. Rubio-García
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  2. R. Gil Navarro
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  3. M. Franco Campello
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  4. R. Costa Navarro
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  5. A. Gomis Martín
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  6. C. Villodre Tudela
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  7. C. Zaragoza Zaragoza
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  8. A. Carrión Tomás
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  9. J. M. Ramia-Ángel
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Contributions

Individual contribution of each author: JJR-G: Conceptualization, data curation, formal analysis, investigation, methodology, writing original draft, writing-review and editing. RGN: Conceptualization, Data curation, Formal analysis, investigation, writing original draft, writing-review and editing. MFC: Conceptualization, data curation, formal analysis, methodology, supervision, writing-review and editing. RCN: Formal analysis, methodology, investigation, resources, validation. AGM: Formal analysis, methodology, investigation, resources, validation. CVT: Conceptualization, data curation, formal analysis, methodology, supervision, writing-review and editing. CZZ: Conceptualization, data curation, formal analysis, methodology, supervision, writing-review and editing. ACT: Conceptualization, data curation, formal analysis, methodology, supervision, writing-review and editing. JMR-A: Conceptualization, Methodology, Project administration, Supervision, Validation, project administration Writing-review & editing.

Corresponding author

Correspondence to J. J. Rubio-García.

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The authors have no conflict of interest to declare.

Ethical approval

The study was authorized by the Ethics Committee (CEIM) of the public Hospital General Universitario de Alicante (HGUA: nº 2023-010, ISABIAL 2022-0531). The authors declare that they have no conflict of interest. The requirement of informed consent was waived due to the retrospective nature of the study and the absence of any risk. The study was conducted in accordance with the Declaration of Helsinki Ethical Principles.

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Rubio-García, J.J., Gil Navarro, R., Franco Campello, M. et al. A novel study, textbook outcome in adrenalectomy: retrospective observational study in an endocrine surgical unit. Updates Surg 76, 565–571 (2024). https://doi.org/10.1007/s13304-024-01756-z

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  • DOI: https://doi.org/10.1007/s13304-024-01756-z

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