Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

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Fältnamn	Indikatorer	Metadata
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
700	1	a Ferrone, Cristinau Cedars Sinai Med Ctr, CA 90048 USA4 aut
700	1	a Raptis, Dimitri Aristotleu King Faisal Specialist Hosp & Res Ctr, Saudi Arabia4 aut
700	1	a Abu Hilal, Mohamedu Univ Hosp Southampton, England4 aut
700	1	a Bassi, Claudiou Univ Hosp Verona, Italy4 aut
700	1	a Besselink, Marcu Univ Amsterdam, Netherlands4 aut
700	1	a Conlon, Kevinu Trinity Coll Dublin, Ireland4 aut
700	1	a Davidson, Brianu UCL, England4 aut
700	1	a Del Chiaro, Marcou Univ Colorado, CO USA4 aut
700	1	a Dervenis, Christosu Metropolitan Hosp Athens, Greece4 aut
700	1	a Frigerio, Isabellau Pederzoli Clin, Italy4 aut
700	1	a Falconi, Massimou Osped San Raffaele, Italy4 aut
700	1	a Hackert, Thilou Heidelberg Univ, Germany4 aut
700	1	a Harrison, Ewen M.u Univ Edinburgh, Scotland4 aut
700	1	a Shrikhande, Shailesh Vu Tata Mem Hosp, India4 aut
700	1	a Siriwardena, Ajithu Univ Manchester, England4 aut
700	1	a Smith, Martinu Univ Witwatersrand, South Africa4 aut
700	1	a Wolfgang, Christopheru Johns Hopkins Univ Hosp, MD 21287 USA4 aut
700	1	a Borakati, Adityau Royal Free Hosp, England4 aut
700	1	a Balci, Denizu Ankara Univ Hosp, Turkiye4 aut
700	1	a Elhadi, Muhammedu Univ Tripoli, Libya; Univ Tripoli, Libya4 aut
700	1	a Salinas, Camila Hidalgou Royal Free Hosp, England4 aut
700	1	a Machairas, Nikolaosu Royal Free Hosp, England4 aut
700	1	a Marchegiani, Giovanniu Univ Hosp Verona, Italy4 aut
700	1	a Oba, Atsushiu Univ Colorado, CO USA4 aut
700	1	a Oberkofler, Christianu Univ Hosp Zurich, Switzerland4 aut
700	1	a Passas, Ioannisu Metropolitan Hosp Athens, Greece4 aut
700	1	a Ravikumar, Reenau Royal Infirm Edinburgh NHS Trust, Scotland4 aut
700	1	a Sanchez Velazquez, Patriciau Univ Hosp del Mar, Spain4 aut
700	1	a de Santibanes, Martinu Italian Hosp Buenos Aires, Argentina4 aut
700	1	a Schnitzbauer, Andreas Antonu Univ Hosp Frankfurt, Germany4 aut
700	1	a Soggiu, Fiammettau Royal Free Hosp, England4 aut
700	1	a Tamburrino, Domenicou Osped San Raffaele, Italy4 aut
700	1	a Tinguely, Pascaleu Royal Free Hosp, England4 aut
700	1	a Wei, Aliceu Mem Sloan Kettering Canc, NY USA4 aut
700	1	a Zachiotis, Marinosu Univ Patras, Greece4 aut
700	1	a Bentabak, Kamelu Pierre & Marie Curie Canc Ctr, Algeria4 aut
700	1	a Kacimi, Salah Eddineu Univ Tlemcen, Algeria4 aut
700	1	a Nikfarjam, Mehrdadu Univ Melbourne, Australia4 aut
700	1	a Shcherba, Aliakseiu Minsk Med Ctr Surg, BELARUS4 aut
700	1	a Sergeant, Gregoryu Jessa Ziekenhuis Hasselt, Belgium4 aut
700	1	a Coelho, Gustavou Fed Univ Ceara Fortaleza, Brazil4 aut
700	1	a Torres, Orlandou Maranhao Fed Univ Sao Luis, Brazil4 aut
700	1	a Belev, Nikolayu MU Plovdiv, Bulgaria4 aut
700	1	a Fabrice, Burundiu Muhezagiro Univ Burundi, Burundi4 aut
700	1	a Tang, Ephraimu Western Univ London, Canada4 aut
700	1	a Martin, Janetu Western Univ London, Canada4 aut
700	1	a Diaz, Christianu Hosp Dr Sotero del Rio, Chile4 aut
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
700	1	a Gouvas, Nikolaosu Univ Cyprus, Cyprus4 aut
700	1	a Christophides, Thalisu Nicosia Gen Hosp, Cyprus4 aut
700	1	a Nikov, Andreju Univ Hosp Kralovske Vinohrady, Czech Republic4 aut
700	1	a Fathallah, Daliau Alexandria Univ, Egypt4 aut
700	1	a Saad, Mahmoudu Assiut Fac Med, Egypt4 aut
700	1	a Tammik, Olavu Univ Clin Tartu, Estonia4 aut
700	1	a Huhta, Heikkiu Oulu Univ Hosp, Finland4 aut
700	1	a Sulpice, Laurentu Univ Hosp Rennes, France4 aut
700	1	a Lupinacci, Renatou Paris Saclay Univ, France4 aut
700	1	a Demetrashvili, Zazau Tbilisi State Med Univ, Georgia4 aut
700	1	a Stavrou, Gregor A.u Klinikum Saarbrucken, Germany4 aut
700	1	a Felekouras, Evangelosu Natl & Kapodistrian Univ Athens, Greece4 aut
700	1	a Papaziogas, Vasileiosu Aristotle Univ Thessaloniki, Greece4 aut
700	1	a Misra, Sanjeevu All India Inst Med Sci Jodhpur, India4 aut
700	1	a Diponegoro, Erik Prabowou Univ Kariadi, Indonesia4 aut
700	1	a Hashim, Hashim Talibu Univ Baghdad, Iraq4 aut
700	1	a Al-Sader, Maytham Al-Juaifariu Teaching Hosp, Iraq4 aut
700	1	a Satoi, Soheiu Kansai Med Univ Hirakata, Japan4 aut
700	1	a Obeidat, Khaledu Jordan Univ Sci & Technol, Jordan4 aut
700	1	a Mohsen, Maramu Jordan Univ Hosp, Jordan4 aut
700	1	a Fakhradiyev, Ildar4 aut
700	1	a Han, Ho-Seongu Seoul Natl Univ, South Korea4 aut
700	1	a Khalife, Mohamadu Amer Univ Beirut, Lebanon4 aut
700	1	a Dulskas, Audriusu Natl Canc Inst Vilnius, Lithuania4 aut
700	1	a Bong, Jinu Sunway Med Ctr Petaling Jaya, Malaysia4 aut
700	1	a Ghani, Shahiu Tree Top Hosp, Maldives4 aut
700	1	a Eduardo Padilla, Alejandrou Rosciano Natl Canc Inst, Mexico4 aut
700	1	a Melchor-Ruan, Javieru Natl Canc Inst Mexico, Mexico4 aut
700	1	a Erdene, Sarnaiu Mongolian Natl Univ Med Sci, Mongolia4 aut
700	1	a Benkabbou, Amineu Mohammed Univ Rabat, Morocco4 aut
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
700	1	a Alatise, Olusegunu Obafemi Awolowo Univ, Nigeria4 aut
700	1	a Ullah, Samiu Serv Hosp Lahore, Pakistan4 aut
700	1	a Abu Jayyab, Mustafau Alshifaa Hosp, Palestine4 aut
700	1	a Amro, Sarahu Alia Govt Hosp, Palestine4 aut
700	1	a Alnammourah, Walaa Mohammedu Alia Govt Hosp, Palestine4 aut
700	1	a The, Catherineu Makati Med Ctr, Palestine4 aut
700	1	a Pedziwiatr, Michalu Jagiellonian Univ Med Coll, Poland4 aut
700	1	a Polkowski, Wojciechu Med Univ Lublin, Poland4 aut
700	1	a Barbu, Sorin Traianu Iuliu Hatieganu Univ Med & Pharm, Romania4 aut
700	1	a Karamarkovic, Aleksandaru Univ Clin Ctr Zvezdara, Serbia; Univ Belgrade, Serbia4 aut
700	1	a Galun, Danielu Clin Ctr Serbia, Serbia4 aut
700	1	a Goh, Brian K. P.u Singapore Gen Hosp, Singapore4 aut
700	1	a Trotovsek, Blazu Univ Med Ctr Ljubljana, Slovenia4 aut
700	1	a Omoshoro-Jones, Jonesu Univ Witwatersrand, South Africa4 aut
700	1	a Ielpo, Benedettou Hosp del Mar, Spain4 aut
700	1	a Abdelmageed, Abdelfatahu Omdurman Islamic Univ, Sudan4 aut
700	1	a Sandström, Per A,d 1965-u Linköpings universitet,Medicinska fakulteten,Avdelningen för kirurgi, ortopedi och onkologi,Region Östergötland, Kirurgiska kliniken US4 aut0 (Swepub:liu)persa07
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
700	1	a Jen, Po-Chih Yang Fuu Catholic Univ Hosp, Taiwan4 aut
700	1	a Houssem, Ammaru Sahloul Hosp, Tunisia4 aut
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
700	1	a Iype, Satheeshu Royal Free Hosp London, England4 aut
700	1	a Giorgakis, Emmanouilu UAMS Med Ctr, AR USA4 aut
700	1	a Qadan, Motazu Massachusetts Gen Hosp, MA 02114 USA4 aut
700	1	a Ganai, Sabhau Univ North Dakota, ND USA4 aut
700	1	a Al-Naggar, Hamzau Sanaa Univ, Yemen4 aut
700	1	a Chihaka, Onesaiu Univ Zimbabwe, Zimbabwe4 aut
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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Av författaren/redakt...: Fusai, Giuseppe ...; Ferrone, Cristin ...; Raptis, Dimitri ...; Abu Hilal, Moham ...; Bassi, Claudio; Besselink, Marc; visa fler...; Conlon, Kevin; Davidson, Brian; Del Chiaro, Marc ...; Dervenis, Christ ...; Frigerio, Isabel ...; Falconi, Massimo; Hackert, Thilo; Harrison, Ewen M ...; Shrikhande, Shai ...; Siriwardena, Aji ...; Smith, Martin; Wolfgang, Christ ...; Borakati, Aditya; Balci, Deniz; Elhadi, Muhammed; Salinas, Camila ...; Machairas, Nikol ...; Marchegiani, Gio ...; Oba, Atsushi; Oberkofler, Chri ...; Passas, Ioannis; Ravikumar, Reena; Sanchez Velazque ...; de Santibanes, M ...; Schnitzbauer, An ...; Soggiu, Fiammett ...; Tamburrino, Dome ...; Tinguely, Pascal ...; Wei, Alice; Zachiotis, Marin ...; Bentabak, Kamel; Kacimi, Salah Ed ...; Nikfarjam, Mehrd ...; Shcherba, Aliaks ...; Sergeant, Gregor ...; Coelho, Gustavo; Torres, Orlando; Belev, Nikolay; Fabrice, Burundi; Tang, Ephraim; Martin, Janet; Diaz, Christian; Devaud, Nicolas; Wei, Kongyuan; Hendi, Maher; Mikulic, Danko; Gouvas, Nikolaos; Christophides, T ...; Nikov, Andrej; Fathallah, Dalia; Saad, Mahmoud; Tammik, Olav; Huhta, Heikki; Sulpice, Laurent; Lupinacci, Renat ...; Demetrashvili, Z ...; Stavrou, Gregor ...; Felekouras, Evan ...; Papaziogas, Vasi ...; Misra, Sanjeev; Diponegoro, Erik ...; Hashim, Hashim T ...; Al-Sader, Maytha ...; Satoi, Sohei; Obeidat, Khaled; Mohsen, Maram; Fakhradiyev, Ild ...; Han, Ho-Seong; Khalife, Mohamad; Dulskas, Audrius; Bong, Jin; Ghani, Shahi; Eduardo Padilla, ...; Melchor-Ruan, Ja ...; Erdene, Sarnai; Benkabbou, Amine; Nashidengo, Puey ...; Koea, Jonathan; Adeyeye, Ademola; Alatise, Olusegu ...; Ullah, Sami; Abu Jayyab, Must ...; Amro, Sarah; Alnammourah, Wal ...; The, Catherine; Pedziwiatr, Mich ...; Polkowski, Wojci ...; Barbu, Sorin Tra ...; Karamarkovic, Al ...; Galun, Daniel; Goh, Brian K. P.; Trotovsek, Blaz; Omoshoro-Jones, ...; Ielpo, Benedetto; Abdelmageed, Abd ...; Sandström, Per A ...; Cristaudi, Aless ...; Gloor, Beat; Kuemmerli, Chris ...; Tishreen, Alaa H ...; Chaaban, Mohamma ...; Wu, Chien Hui; Jen, Po-Chih Yan ...; Houssem, Ammar; Baraket, Oussama; Coker, Ahmet; Taylor, Mark; Jamieson, Nigel; Iype, Satheesh; Giorgakis, Emman ...; Qadan, Motaz; Ganai, Sabha; Al-Naggar, Hamza; Chihaka, Onesai; visa färre...

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