BACKGROUND: Quality assurance is acknowledged as a crucial factor in the assessment of oncological surgical care. The aim of this study was to develop a composite measure of multiple outcome parameters defined as 'textbook outcome', to assess quality of care for @entity1 undergoing @entity5 surgery. METHODS: @entity1 with @entity5 , operated on with the intent of curative resection between 2011 and 2014, were identified from a national database (Dutch Upper @entity1820 Audit). Textbook outcome was defined as the percentage of @entity1 who underwent a complete @entity5 resection with at least 15 lymph nodes in the resected specimen and an uneventful postoperative course, without hospital readmission. Hospital variation in textbook outcome was analysed after adjustment for case-mix factors. RESULTS: In total, 2748 @entity1 with @entity5 and 1772 with @entity356 were included in this study. A textbook outcome was achieved in 29  7 per cent of @entity1 with @entity5 and 32  1 per cent of those with @entity356 . Adjusted textbook outcome rates varied from 8  5 to 52  4 per cent between hospitals. The outcome parameter 'at least 15 lymph nodes examined' had the greatest negative impact on a textbook outcome both for @entity1 with @entity5 and for those with @entity356 . CONCLUSION: Most @entity1 did not achieve a textbook outcome and there was wide variation between hospitals.

Textbook outcome as a composite measure in XXXX surgery.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer'] @entity1820 :: ('MESH:D005770', 'Disease') :: ['Gastrointestinal Cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['oesophageal cancer', 'oesophagogastric cancer', 'tumour']
@entity5 :: (MESH:D009369,Disease) :: ['oesophagogastric cancer']
