Browsing by Author "Kortbeek, John"

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    Impact of trauma system structure on injury outcomes: a systematic review protocol
    (2017-01-21) Moore, Lynne; Champion, Howard; O’Reilly, Gerard; Leppaniemi, Ari; Cameron, Peter; Palmer, Cameron; Abu-Zidan, Fikri M; Gabbe, Belinda; Gaarder, Christine; Yanchar, Natalie; Stelfox, Henry T; Coimbra, Raul; Kortbeek, John; Noonan, Vanessa; Gunning, Amy; Leenan, Luke; Gordon, Malcolm; Khajanchi, Monty; Shemilt, Michèle; Porgo, Valérie; Turgeon, Alexis F
    Abstract Background Injury represents one of the greatest public health challenges of our time with over 5 million deaths and 100 million people temporarily or permanently disabled every year worldwide. The effectiveness of trauma systems in decreasing injury mortality and morbidity has been well demonstrated. However, the organisation of trauma care varies significantly across trauma systems and we know little about which components of trauma systems contribute to their effectiveness. The objective of the study described in this protocol is to systematically review evidence of the impact of trauma system components on clinically significant outcomes including mortality, function and disability, quality of life, and resource utilization. Methods We will perform a systematic review of studies evaluating the association between at least one trauma system component (e.g. accreditation by a central agency, interfacility transfer agreements) and at least one injury outcome (e.g. mortality, disability, resource use). We will search MEDLINE, EMBASE, COCHRANE central, and BIOSIS/Web of Knowledge databases, thesis holdings, key injury organisation websites and conference proceedings for eligible studies. Pairs of independent reviewers will evaluate studies for eligibility and extract data from included articles. Methodological quality will be evaluated using elements of the ROBINS-I tool and the Cochrane risk of bias tool for non-randomized and randomized studies, respectively. Strength of evidence will be evaluated using the GRADE tool. Discussion We expect to advance knowledge on the components of trauma systems that contribute to their effectiveness. This may lead to recommendations on trauma system structure that will help policy-makers make informed decisions as to where resources should be focused. The review may also lead to specific recommendations for future research efforts. Systematic review registration This protocol was registered with the International Prospective Register of Systematic Reviews (PROSPERO) on 28-06-2016. PROSPERO 2016:CRD42016041336 Available from http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42016041336 .
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    National Surgical Quality Improvement Program: A Scoping Review of the Literature and Real-World Application Among Radical Cystectomy Patients
    (2022-05-09) Mardinger, Cynthia; Kortbeek, John; Hyndman, Eric; Brindle, Mary; Yergens, Dean; Hee Lee, Chel; Fraulin, Frankie; Austen, Lea
    Introduction: The National Surgical Quality Improvement Program (NSQIP) is a validated database designed to measure risk-adjusted 30-day surgical outcomes for national and international benchmarking. De-identified, anonymized datasets can be abstracted from submitting NSQIP hospitals. The purpose of this scoping review is to describe the breadth of studies in the NSQIP literature. Methods: A comprehensive electronic literature search was performed using PubMed, MEDLINE, Web of Knowledge and Scopus to capture all NSQIP articles published between January 1, 2000 and December 31, 2020. Two reviewers independently reviewed articles to determine their relevance using predefined inclusion criteria. Articles were included if they were about NSQIP or used NSQIP data. References were imported into a literature review application, Synthesis®, to semi-automate data management. Extracted data included the domain of surgery, study type, and year of publication. Results: Of the 4,661 NSQIP articles included, 77.9% were published within the last 5 years. Outcomes (46.7%) and Association (41.7%) were the most common types of NSQIP-related articles. The most common surgical domains of NSQIP articles were general surgery and orthopedic surgery, representing 35.7% and 24.0% of the articles, respectively. Overall, 52 (1.1%) articles could not be categorized. Conclusion: This scoping review provides an overview of the diversity of articles in the NSQIP literature. Mapping the NSQIP database identified areas where systematic reviews might be feasible or relevant and identified opportunities for future research.
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    Short form version of the Quality of Trauma Care Patient-Reported Experience Measure (SF QTAC-PREM)
    (2017-12-06) Bobrovitz, Niklas; Santana, Maria J; Boyd, Jamie; Kline, Theresa; Kortbeek, John; Widder, Sandy; Martin, Kevin; Stelfox, Henry T
    Abstract Objective To enable the valid and reliable measurement of patient experiences we previously published a multicenter multi-center validation of the Quality of Trauma Care Patient-Reported Experience Measure (QTAC-PREM). The purpose of this study was to derive a simplified, short form version of the QTAC-PREM to further enhance the feasibility of measuring patient experiences in injury care. To identify candidate items for the short form we reviewed the results of the original multi-center long form validation cohort study, which included 400 injury care patients and their family members recruited from three trauma centers. We only included the best performing items on the revised short form. Results The acute care component of the measure was shortened by 30% and the post-acute care component was shortened by 42%. We identified two subscales on the acute measure (information and communication; clinical and ancillary care) and one subscale on the post-acute measure (post-discharge information and communication). The measurement properties of the short form measure were similar to that of the validated long form. This short form assessment of patient injury care experiences offers a useful, practical, and easy tool for trauma centers to implement for service evaluation, quality improvement, and injury care research.