Search: onr:"swepub:oai:DiVA.org:liu-200699" > Pancreatic surgery ...
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000 | 11586naa a2201729 4500 | |
001 | oai:DiVA.org:liu-200699 | |
003 | SwePub | |
008 | 240223s2023 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-2006992 URI |
024 | 7 | a https://doi.org/10.1093/bjs/znad3302 DOI |
040 | a (SwePub)liu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Fusai, Giuseppe Kitou Royal Free Hosp, England; UCL, England4 aut |
245 | 1 0 | a Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries |
264 | c 2023 | |
264 | 1 | b OXFORD UNIV PRESS,c 2023 |
338 | a print2 rdacarrier | |
500 | a Funding Agencies|Fiorina Royal Free Charity, London, UK; Swiss Pancreas Foundation, Berne, Switzerland | |
520 | a Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide. Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters. Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries. Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761). | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
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700 | 1 | a Besselink, Marcu Univ Amsterdam, Netherlands4 aut |
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700 | 1 | a Davidson, Brianu UCL, England4 aut |
700 | 1 | a Del Chiaro, Marcou Univ Colorado, CO USA4 aut |
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700 | 1 | a Shrikhande, Shailesh Vu Tata Mem Hosp, India4 aut |
700 | 1 | a Siriwardena, Ajithu Univ Manchester, England4 aut |
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700 | 1 | a Devaud, Nicolasu Fdn Arturo Lopez Perez FALP, Chile4 aut |
700 | 1 | a Wei, Kongyuanu Heidelberg Univ Hosp, Germany; Chinese Peoples Liberat Army Gen Hosp, Peoples R China4 aut |
700 | 1 | a Hendi, Maheru Zhejiang Univ, Peoples R China4 aut |
700 | 1 | a Mikulic, Dankou Univ Hosp Merkur Zagreb, Croatia4 aut |
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700 | 1 | a Huhta, Heikkiu Oulu Univ Hosp, Finland4 aut |
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700 | 1 | a Felekouras, Evangelosu Natl & Kapodistrian Univ Athens, Greece4 aut |
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700 | 1 | a Satoi, Soheiu Kansai Med Univ Hirakata, Japan4 aut |
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700 | 1 | a Khalife, Mohamadu Amer Univ Beirut, Lebanon4 aut |
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700 | 1 | a Eduardo Padilla, Alejandrou Rosciano Natl Canc Inst, Mexico4 aut |
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700 | 1 | a Erdene, Sarnaiu Mongolian Natl Univ Med Sci, Mongolia4 aut |
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700 | 1 | a Nashidengo, Pueyau Univ Namibia, Namibia4 aut |
700 | 1 | a Koea, Jonathanu North Shore Hosp, New Zealand4 aut |
700 | 1 | a Adeyeye, Ademolau Univ Ado Ekiti ABUAD, Nigeria4 aut |
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700 | 1 | a Ullah, Samiu Serv Hosp Lahore, Pakistan4 aut |
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700 | 1 | a Omoshoro-Jones, Jonesu Univ Witwatersrand, South Africa4 aut |
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700 | 1 | a Cristaudi, Alessandrau Osped Reg Lugano, Switzerland4 aut |
700 | 1 | a Gloor, Beatu Univ Bern, Switzerland4 aut |
700 | 1 | a Kuemmerli, Christophu St Clara Hosp, Switzerland; Univ Hosp Basel, Switzerland4 aut |
700 | 1 | a Tishreen, Alaa Hamdanu Univ Hosp Lattakia, Syria4 aut |
700 | 1 | a Chaaban, Mohammad Karamu Al Mouwasat Univ Hosp, Syria4 aut |
700 | 1 | a Wu, Chien Huiu Natl Taiwan Univ Hosp, Taiwan4 aut |
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700 | 1 | a Baraket, Oussamau Univ Tunis El Labar Bizerte, Tunisia4 aut |
700 | 1 | a Coker, Ahmetu Ege Univ, Turkiye4 aut |
700 | 1 | a Taylor, Marku Belfast Hlth & Social Care Trust, North Ireland4 aut |
700 | 1 | a Jamieson, Nigelu Univ Glasgow, Scotland4 aut |
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710 | 2 | a Royal Free Hosp, England; UCL, Englandb Cedars Sinai Med Ctr, CA 90048 USA4 org |
773 | 0 | t British Journal of Surgeryd : OXFORD UNIV PRESSx 0007-1323x 1365-2168 |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-200699 |
856 | 4 8 | u https://doi.org/10.1093/bjs/znad330 |
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