Control chart methods for monitoring surgical performance: A case study from gastro-oesophageal surgery

被引：23

作者：

Collins, G. S. ^{[1
]}

Jibawi, A. ^{[2
]}

McCulloch, P. ^{[3
]}

机构：

[1] Univ Oxford, Wolfson Coll Annexe, Ctr Stat Med, Oxford 0X2 6UD, England

[2] Brighton Univ Hosp, Brighton, E Sussex, England

[3] Univ Oxford, Dept Surg, Oxford, England

来源：

EJSO | 2011年 / 37卷 / 06期

关键词：

Surgical performance; Monitoring; CUSUM; Control charts; Gastro-oesophageal cancer; STATISTICAL PROCESS-CONTROL; RISK-ADJUSTED CUSUM; LONG-TERM SURVIVAL; FUNNEL PLOTS; LEARNING-CURVES; CANCER-SURGERY; MORTALITY; VALIDATION; OUTCOMES; ESOPHAGEAL;

D O I：

10.1016/j.ejso.2010.10.008

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Graphical methods are becoming increasingly used to monitor adverse outcomes from surgical interventions. However, uptake of such methods has largely been in the area of cardiothoracic surgery or in transplants with relatively little impact made in surgical oncology. A number of the more commonly used graphical methods including the Cumulative Mortality plot, Variable Life-Adjusted Display, Cumulative Sum (CUSUM) and funnel plots will be described. Accounting for heterogeneity in case-mix will be discussed and how ignoring case-mix can have considerable consequences. All methods will be illustrated using data from the Scottish Audit of Gastro-Oesophageal Cancer services (SAGOCS) data set. (C) 2010 Elsevier Ltd. All rights reserved.

引用

页码：473 / 480

页数：8

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