title: Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery.
abstract: Ranking systems and comparisons of quality and performance indicators will be of increasing relevance for complex "high-risk" procedures such as esophageal cancer surgery. The identification of evidence-based standards relevant for key performance indicators in esophageal surgery is essential for establishing monitoring systems and furthermore a requirement to enhance treatment quality. In the course of this review, we analyze the key performance indicators case volume, radicality of resection, and postoperative morbidity and mortality, leading to continuous quality improvement. Ranking systems established on this basis will gain increased relevance in highly complex procedures within the national and international comparison and furthermore improve the treatment of patients with esophageal carcinoma.
authors.affiliation: Department of Visceral, Transplant, Thoracic and Vascular Surgery, University Medical Center of Leipzig, Leipzig, Germany. ines.gockel@medizin.uni-leipzig.de.|Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Mainz, Germany. ines.gockel@medizin.uni-leipzig.de.
authors.forename: Ines
authors.initials: I
authors.lastname: Gockel
authors.affiliation: Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Mainz, Germany. c.ahlbrand@klinikum-worms.de.|1st Department of Medicine, Medical Center of Worms, Worms, Germany. c.ahlbrand@klinikum-worms.de.
authors.forename: Constantin Johannes
authors.initials: CJ
authors.lastname: Ahlbrand
authors.affiliation: Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Mainz, Germany. michael.arras@gmx.net.
authors.forename: Michael
authors.initials: M
authors.lastname: Arras
authors.affiliation: Institute of Quality Management, University Medical Center of Mainz, Mainz, Germany. elke.schreiber@unimedizin-mainz.de.
authors.forename: Elke Maria
authors.initials: EM
authors.lastname: Schreiber
authors.affiliation: Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Mainz, Germany. hauke.lang@unimedizin-mainz.de.
authors.forename: Hauke
authors.initials: H
authors.lastname: Lang
mesh_terms: D013505:Digestive System Surgical Procedures / Q000009:adverse effects* / Q000592:standards*; D004938:Esophageal Neoplasms / Q000601:surgery*; D006801:Humans; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000592:standards*
keywords: Key performance indicators; Oncologic esophageal surgery; Quality management; Ranking systems