Relationship between volume of services and quality of treatment outcome for heart transplantations in adults : iQWiG reports - commission no. V19-05 / Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen.

Format:

Book

Author/Creator:

Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen, author, issuing body.

Language:

English

Subjects (All):

Heart--Transplantation.

Heart.

Adult.

Physical Description:

1 online resource (ix 41 pages) : illustrations

Edition:

Version 1.0.

Other Title:

Relationship between volume of services and quality of treatment outcome for heart transplantations in adults

Place of Publication:

Köln : Institute for Quality and Efficiency in Health Care, 2020.

Summary:

For heart transplantations in adults, the aims of this investigation are to - present and assess the relationship between the volume of services (VoS) and the quality of treatment outcome (research question 1) and - present studies examining the effects of specific minimum case volumes introduced into the health care system on the quality of treatment outcome (research question 2). This is supplemented by a detailed description of the surgical services included and excluded in the studies classified as relevant. CONCLUSION: In total, 3 observational studies were included for the investigation of the relationship between the VoS and the quality of treatment outcome for heart transplantations in adults (research question 1). All 3 studies showed a low informative value of results. In all 3 studies, the VoS was analysed exclusively at the hospital level. With regard to the outcome category of mortality, a correlation between the VoS and the quality of treatment outcome could be derived for the outcomes of all-cause mortality and intraoperative or perioperative mortality, in each case on the basis of 2 studies. In contrast, for the outcome of adverse effects of therapy in the outcome category of morbidity, no correlation could be identified on the basis of one study. Further outcomes could not be considered due to alack of data. For heart transplantations in adults, no meaningful studies were identified examining the effects of specific minimum case volumes introduced into the health care system on the quality of treatment outcome (research question 2).

Notes:

Description based on publisher supplied metadata and other sources.