Outcome of Pancreatic Surgery During the First Six Years of a Mandatory Audit within the Dutch Pancreatic Cancer Group
| العنوان: | Outcome of Pancreatic Surgery During the First Six Years of a Mandatory Audit within the Dutch Pancreatic Cancer Group |
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| المؤلفون: | J Annelie, Suurmeijer, Anne Claire, Henry, Bert A, Bonsing, Koop, Bosscha, Ronald M, van Dam, Casper H, van Eijck, Michael F, Gerhards, Erwin, van der Harst, Ignace H, de Hingh, Martijn P, Intven, Geert, Kazemier, Johanna W, Wilmink, Daan J, Lips, Fennie, Wit, Vincent E, de Meijer, I Quintus, Molenaar, Gijs A, Patijn, George P, van der Schelling, Martijn W J, Stommel, Olivier R, Busch, Bas Groot, Koerkamp, Hjalmar C, van Santvoort, Marc G, Besselink |
| المساهمون: | Surgery, MUMC+: MA Heelkunde (9), RS: NUTRIM - R2 - Liver and digestive health, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Epidemiologie |
| المصدر: | Annals of Surgery. Lippincott Williams & Wilkins Annals of Surgery. LIPPINCOTT WILLIAMS & WILKINS |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | SDG 3 - Good Health and Well-being |
| الوصف: | OBJECTIVE: To describe outcome after pancreatic surgery in the first six years of a mandatory nationwide audit. BACKGROUND: Within the Dutch Pancreatic Cancer Group, efforts have been made to improve outcome after pancreatic surgery. These include collaborative projects, clinical auditing, and implementation of an algorithm for early recognition and management of postoperative complications. However, nationwide changes in outcome over time have not yet been described. METHODS: This nationwide cohort study included consecutive patients after pancreatoduodenectomy and distal pancreatectomy from the mandatory Dutch Pancreatic Cancer Audit (January 2014-December 2019). Patient, tumor, and treatment characteristics were compared between three time periods (2014-2015, 2016-2017, and 2018-2019). Short-term surgical outcome was investigated using multilevel multivariable logistic regression analyses. Primary endpoints were failure to rescue and in-hospital mortality. RESULTS: Overall, 5345 patients were included, of whom 4227 after pancreatoduodenectomy and 1118 after distal pancreatectomy. After pancreatoduodenectomy, failure to rescue improved from 13% to 7.4% (OR 0.64, 95%CI 0.50-0.80, P75 years (18% to 22%, P=0.006), ASA score ≥3 (19% to 31%, P |
| اللغة: | English |
| تدمد: | 0003-4932 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::b859b7fef3ce49ae8fbc07f5f62a80e1 https://pure.eur.nl/en/publications/86eb5a5e-ce28-4a3a-a29c-533e0e704b1c |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.pmid.dedup....b859b7fef3ce49ae8fbc07f5f62a80e1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 00034932 |
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