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  • Latenstein, Anouk E. J.Univ Amsterdam, Netherlands (author)

Clinical Outcomes After Total Pancreatectomy A Prospective Multicenter Pan-European Snapshot Study

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • LIPPINCOTT WILLIAMS & WILKINS,2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-189448
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-189448URI
  • https://doi.org/10.1097/SLA.0000000000004551DOI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objective: To assess outcomes among patients undergoing total pancreatectomy (TP) including predictors for complications and in-hospital mortality. Background: Current studies on TP mostly originate from high-volume centers and span long time periods and therefore may not reflect daily practice. Methods: This prospective pan-European snapshot study included patients who underwent elective (primary or completion) TP in 43 centers in 16 European countries (June 2018-June 2019). Subgroup analysis included cutoff values for annual volume of pancreatoduodenectomies (<60 vs >= 60). Predictors for major complications and in-hospital mortality were assessed in multivariable logistic regression. Results: In total, 277 patients underwent TP, mostly for malignant disease (73%). Major postoperative complications occurred in 70 patients (25%). Median hospital stay was 12 days (IQR 9-18) and 40 patients were readmitted (15%). In-hospital mortality was 5% and 90-day mortality 8%. In the subgroup analysis, in-hospital mortality was lower in patients operated in centers with >= 60 pancreatoduodenectomies compared <60 (4% vs 10%, P = 0.046). In multivariable analysis, annual volume <60 pancreatoduodenectomies (OR 3.78, 95% CI 1.18-12.16, P = 0.026), age (OR 1.07, 95% CI 1.01-1.14, P = 0.046), and estimated blood loss >= 2L (OR 11.89, 95% CI 2.64-53.61, P = 0.001) were associated with in-hospital mortality. ASA >= 3 (OR 2.87, 95% CI 1.56-5.26, P = 0.001) and estimated blood loss >= 2L (OR 3.52, 95% CI 1.25-9.90, P = 0.017) were associated with major complications. Conclusion: This pan-European prospective snapshot study found a 5% inhospital mortality after TP. The identified predictors for mortality, including low-volume centers, age, and increased blood loss, may be used to improve outcomes.

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  • Scholten, LianneUniv Amsterdam, Netherlands (author)
  • Al-Saffar, Hasan AhmadKarolinska Univ Hosp, Sweden (author)
  • Björnsson, BergthorLinköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34 (author)
  • Butturini, GiovanniPederzoli Hosp, Italy (author)
  • Capretti, GiovanniHumanitas Clin & Res Ctr IRCCS, Italy; Humanitas Univ Dept Biomed Sci, Italy (author)
  • Chatzizacharias, Nikolaos A.Univ Hosp Birmingham NHS Trust, England (author)
  • Dervenis, ChrisUniv Cyprus, Cyprus (author)
  • Frigerio, IsabellaPederzoli Hosp, Italy (author)
  • Gallagher, Tom K.St Vincents Univ Hosp, Ireland (author)
  • Gasteiger, SilviaMed Univ Innsbruck, Austria (author)
  • Halimi, AsifKarolinska Univ Hosp, Sweden (author)
  • Labori, Knut J.Oslo Univ Hosp, Norway (author)
  • Montagnini, GretaUniv & Hosp Trust Verona, Italy (author)
  • Munoz-Bellvis, LuisUniv Salamanca, Spain (author)
  • Nappo, GennaroHumanitas Clin & Res Ctr IRCCS, Italy; Humanitas Univ Dept Biomed Sci, Italy (author)
  • Nikov, AndrejCent Mil Hosp Prague, Czech Republic (author)
  • Pando, ElizabethHosp Valle De Hebron, Spain (author)
  • de Pastena, MatteoUniv & Hosp Trust Verona, Italy (author)
  • De La Pena-Moral, Jesus M.Hosp Clin Univ Virgen Arrixaca, Spain (author)
  • Radenkovic, DejanUniv Belgrade, Serbia (author)
  • Roberts, Keith J.Univ Hosp Birmingham NHS Trust, England (author)
  • Salvia, RobertoUniv & Hosp Trust Verona, Italy (author)
  • Sanchez-Bueno, FranciscoHosp Clin Univ Virgen Arrixaca, Spain (author)
  • Scandavini, ChiaraKarolinska Univ Hosp, Sweden (author)
  • Serradilla-Martin, MarioMiguel Servet Univ Hosp, Spain (author)
  • Stattner, StefanMed Univ Innsbruck, Austria; Salzkammergut Klinikum, Austria (author)
  • Tomazic, AlesUniv Med Ctr Ljubljana, Slovenia (author)
  • Varga, MartinParacelsus Med Univ, Austria (author)
  • Zavrtanik, HanaUniv Med Ctr Ljubljana, Slovenia (author)
  • Zerbi, AlessandroHumanitas Clin & Res Ctr IRCCS, Italy; Humanitas Univ Dept Biomed Sci, Italy (author)
  • Erkan, MertKoc Univ, Turkey (author)
  • Kleeff, JorgMartin Luther Univ Halle Wittenberg, Germany (author)
  • Lesurtel, MickaelUniv Lyon 1, France (author)
  • Besselink, Marc G.Univ Amsterdam, Netherlands (author)
  • Ramia-Angel, Jose M.Univ Hosp Guadalajara, Spain (author)
  • Univ Amsterdam, NetherlandsKarolinska Univ Hosp, Sweden (creator_code:org_t)

Related titles

  • In:Annals of Surgery: LIPPINCOTT WILLIAMS & WILKINS276:5, s. E536-E5430003-49321528-1140

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