Abstract
The objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman. This is a retrospective chart review of patients who had hysterectomies at Sultan Qaboos University Hospital (SQUH), a tertiary care university hospital. Profiles were reviewed for all patients who had hysterectomies at SQUH in the period 2003-2009. The cumulative frequencies for all types of hysterectomies were tallied and the year-specific TI was calculated. Overall, we enumerated a total of 258 hysterectomies, of which 6 (2.3%) were laparoscopic assisted hysterectomies, 42 (16.3%) vaginal hysterectomies, and 208 (80.6%) total abdominal hysterectomies. The average TI was 19% (48/258), and it ranged from 11% to 24%. The trend of change fluctuated over the years starting with 16% (2003) and increasing gradually during 2004-2006, but then declining again during 2007-2008 (trend P value 0.02). This low and fluctuating trend was mainly attributed to the inconsistency in the availability of trained surgeons and laparoscopic equipment. TI at our institution can be improved by increasing the number of minimally invasive hysterectomies through providing more trained surgeons and laparoscopic equipment.
Highlights
The objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman
One such indicator is the Technicity Index (TI) which is a relatively new quality metric in gynaecology. It was initially proposed for hysterectomies and is defined as the percentage of minimally invasive hysterectomies which includes vaginal hysterectomies (VH), laparoscopic assisted hysterectomies (LAH), laparoscopic assisted vaginal hysterectomies (LAVH), total laparoscopic hysterectomies (TLH), and supracervical hysterectomies (LSH) over the total number of hysterectomies (total abdominal hysterectomies (TAH), VH and LAH), performed in a single hospital in one Department of 1Obstetrics & Gynaecology and 2Family Medicine & Public Health, Sultan Qaboos University Hospital, Muscat, Oman. *Corresponding Author e-mail: m.khaduri@gmail.com year
We enumerated a total of 258 hysterectomies, of which 6 (2.3%) were LAH, 42 (16.3%) VH, and 208 (80.6%) TAH
Summary
Abstract: Objectives: The objective of this study was to calculate the technicity index (TI) for hysterectomies at a tertiary care university hospital in Oman. With the advancement of minimally invasive surgery (MIS) in gynaecology, new quality and performance indicators are required to evaluate the use of procedures which benefit patients and may be more cost effective as a result of a reduced hospital stay.[3,4] One such indicator is the Technicity Index (TI) which is a relatively new quality metric in gynaecology It was initially proposed for hysterectomies and is defined as the percentage of minimally invasive hysterectomies which includes vaginal hysterectomies (VH), laparoscopic assisted hysterectomies (LAH), laparoscopic assisted vaginal hysterectomies (LAVH), total laparoscopic hysterectomies (TLH), and supracervical hysterectomies (LSH) over the total number of hysterectomies (total abdominal hysterectomies (TAH), VH and LAH), performed in a single hospital in one year. The objective of this study was to calculate TI as a quality indicator of excellence at our hospital
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
