TY  - JOUR
A1  - Matthes, Niels
A1  - Diers, Johannes
A1  - Schlegel, Nicolas
A1  - Hankir, Mohammed
A1  - Haubitz, Imme
A1  - Germer, Christoph-Thomas
A1  - Wiegering, Armin
T1  - Validation of MTL30 as a quality indicator for colorectal surgery
JF  - PLoS One
N2  - Background 
Valid indicators are required to measure surgical quality. These ideally should be sensitive and selective while being easy to understand and adjust. We propose here the MTL30 quality indicator which takes into account 30-day mortality, transfer within 30 days, and a length of stay of 30 days as composite markers of an uneventful operative/postoperative course. 

Methods 
Patients documented in the StuDoQ|Colon and StuDoQ|Rectal carcinoma register of the German Society for General and Visceral Surgery (DGAV) were analyzed with regard to the effects of patient and tumor-related risk factors as well as postoperative complications on the MTL30. 

Results 
In univariate analysis, the MTL30 correlated significantly with patient and tumor-related risk factors such as ASA score (p<0.001), age (p<0.001), or UICC stage (p<0.001). There was a high sensitivity for the postoperative occurrence of complications such as re-operations (p<0.001) or subsequent bleeding (p<0.001), as well as a significant correlation with the CDC classification (p<0.001). In multivariate analysis, patient-related risk factors and postoperative complications significantly increased the odds ratio for a positive MTL30. A negative MTL30 showed a high specify for an uneventful operative and postoperative course. 

Conclusion 
The MTL30 is a valid indicator of colorectal surgical quality.
KW  - surgical care
KW  - discharge definition
KW  - definition
KW  - mortality
KW  - pancreatectomy
KW  - complications
KW  - superior
KW  - capture
Y1  - 2020
U6  - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-230530
VL  - 15
IS  - 8
ER  -