Evaluating Textbook Outcome as a Robust Quality Metric for Hospital Benchmarking in Adult Cardiac Surgery

MedXY Editorial Team•Aug 23, 2026•Cardiology

Textbook outcome (TO) integrates multiple perioperative parameters to define an optimal surgical result in adult cardiac surgery.
Among nearly one million elective adult cardiac surgery patients, 86% achieved TO, predominantly limited by prolonged hospitalization.
Achieving TO was associated with a 63% reduction in 180-day mortality and 34% reduction in nonelective readmissions.
Hospital-level TO rates varied substantially, correlating with operative volume and teaching status, supporting TO’s role in benchmarking surgical quality.

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MedXY Editorial Team•Aug 23, 2026•Cardiology

Textbook outcome (TO) integrates multiple perioperative parameters to define an optimal surgical result in adult cardiac surgery.
Among nearly one million elective adult cardiac surgery patients, 86% achieved TO, predominantly limited by prolonged hospitalization.
Achieving TO was associated with a 63% reduction in 180-day mortality and 34% reduction in nonelective readmissions.
Hospital-level TO rates varied substantially, correlating with operative volume and teaching status, supporting TO’s role in benchmarking surgical quality.

MedXY registered readers

Create or use your MedXY account to unlock the complete article.

This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

Open language-specific specialty feeds and department pages.

Loading comments...