Nationwide prospective audit of pancreatic surgery: design, accuracy, and outcomes of the Dutch Pancreatic Cancer Audit
| العنوان: | Nationwide prospective audit of pancreatic surgery: design, accuracy, and outcomes of the Dutch Pancreatic Cancer Audit |
|---|---|
| المؤلفون: | L. Bengt van Rijssen, Bas G. Koerkamp, Maurice J. Zwart, Bert A. Bonsing, Koop Bosscha, Ronald M. van Dam, Casper H. van Eijck, Michael F. Gerhards, Erwin van der Harst, Ignace H. de Hingh, Koert P. de Jong, Geert Kazemier, Joost Klaase, Cornelis J. van Laarhoven, I. Quintus Molenaar, Gijs A. Patijn, Coen G. Rupert, Hjalmar C. van Santvoort, Joris J. Scheepers, George P. van der Schelling, Olivier R. Busch, Marc G. Besselink, Thomas L. Bollen, Marco J. Bruno, Geert-Jan van Tienhoven, Arnold Norduyn, David P. Berry, Bobby Tingstedt, Jennifer F. Tseng, Christopher L. Wolfgang |
| المساهمون: | RS: NUTRIM - R2 - Liver and digestive health, MUMC+: MA Heelkunde (9), Surgery, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, CCA - Cancer Treatment and Quality of Life, CCA -Cancer Center Amsterdam, Graduate School, APH - Methodology, Other departments, Radiotherapy, CCA - Cancer Treatment and quality of life, AGEM - Re-generation and cancer of the digestive system, Groningen Institute for Organ Transplantation (GIOT), Guided Treatment in Optimal Selected Cancer Patients (GUTS), Value, Affordability and Sustainability (VALUE) |
| المصدر: | HPB, 19(10), 919-926 HPB, 19(10), 919-926. ELSEVIER SCI LTD HPB, 19(10), 919-926. John Wiley & Sons Inc. Hpb, 19, 919-926 HPB: The official journal of the International Hepato Pancreato Biliary Association, 19(10), 919-926. John Wiley and Sons Inc. HPB, 19(10), 919-926. John Wiley and Sons Inc. van Rijssen, L B, Koerkamp, B G, Zwart, M J, Bonsing, B A, Bosscha, K, van Dam, R M, van Eijck, C H, Gerhards, M F, van der Harst, E, de Hingh, I H, de Jong, K P, Kazemier, G, Klaase, J, van Laarhoven, C J, Molenaar, I Q, Patijn, G A, Rupert, C G, van Santvoort, H C, Scheepers, J J, van der Schelling, G P, Busch, O R, Besselink, M G, Bollen, T L, Bruno, M J, van Tienhoven, G J, Norduyn, A, Berry, D P, Tingstedt, B, Tseng, J F, Wolfgang, C L & Dutch Pancreatic Cancer Group 2017, ' Nationwide prospective audit of pancreatic surgery : design, accuracy, and outcomes of the Dutch Pancreatic Cancer Audit ', HPB, vol. 19, no. 10, pp. 919-926 . https://doi.org/10.1016/j.hpb.2017.06.010Test Hpb, 19, 10, pp. 919-926 Hpb, 19(10), 919-926. ELSEVIER SCI LTD |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, Research design, Time Factors, Databases, Factual, INTERNATIONAL STUDY-GROUP, 030230 surgery, law.invention, Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14], Postoperative Complications, 0302 clinical medicine, Randomized controlled trial, Risk Factors, law, Health care, HOSPITAL MORTALITY, Prospective Studies, Registries, Prospective cohort study, QUALITY IMPROVEMENT PROGRAM, Netherlands, Medical Audit, Process Assessment, Health Care, Gastroenterology, Middle Aged, ACS-NSQIP, CONTROLLED MULTICENTER TRIAL, Treatment Outcome, Research Design, ISGPS DEFINITION, 030220 oncology & carcinogenesis, Female, medicine.medical_specialty, MEDLINE, Audit, Patient Readmission, Pancreaticoduodenectomy, 03 medical and health sciences, Pancreatectomy, SDG 3 - Good Health and Well-being, Pancreatic cancer, medicine, Humans, Aged, Quality Indicators, Health Care, Hepatology, business.industry, PROSPECTIVE-RANDOMIZED-TRIAL, LENGTH-OF-STAY, RISK CALCULATOR, Length of Stay, medicine.disease, Cancer registry, Emergency medicine, business, SURGICAL QUALITY |
| الوصف: | Item does not contain fulltext BACKGROUND: Auditing is an important tool to identify practice variation and 'best practices'. The Dutch Pancreatic Cancer Audit is mandatory in all 18 Dutch centers for pancreatic surgery. METHODS: Performance indicators and case-mix factors were identified by a PubMed search for randomized controlled trials (RCT's) and large series in pancreatic surgery. In addition, data dictionaries of two national audits, three institutional databases, and the Dutch national cancer registry were evaluated. Morbidity, mortality, and length of stay were analyzed of all pancreatic resections registered during the first two audit years. Case ascertainment was cross-checked with the Dutch healthcare inspectorate and key-variables validated in all centers. RESULTS: Sixteen RCT's and three large series were found. Sixteen indicators and 20 case-mix factors were included in the audit. During 2014-2015, 1785 pancreatic resections were registered including 1345 pancreatoduodenectomies. Overall in-hospital mortality was 3.6%. Following pancreatoduodenectomy, mortality was 4.1%, Clavien-Dindo grade >/= III morbidity was 29.9%, median (IQR) length of stay 12 (9-18) days, and readmission rate 16.0%. In total 97.2% of >40,000 variables validated were consistent with the medical charts. CONCLUSIONS: The Dutch Pancreatic Cancer Audit, with high quality data, reports good outcomes of pancreatic surgery on a national level. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1365-182X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e74c80d89bdb8e89d1cfce180e01c048Test http://hdl.handle.net/1887/95336Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e74c80d89bdb8e89d1cfce180e01c048 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1365182X |
|---|