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  • Giani, AlessandroASST Grande Osped Metropolitano Niguarda, Italy; Ist Osped Fdn Poliambulanza, Italy (author)

Benchmarking of minimally invasive distal pancreatectomy with splenectomy: European multicentre study

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • 2022-07-14
  • OXFORD UNIV PRESS,2022
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-187384
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-187384URI
  • https://doi.org/10.1093/bjs/znac204DOI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

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

Notes

  • This study aimed to assess best achievable outcomes in minimally invasive distal pancreatectomy with splenectomy, applying the Achievable Benchmark of Care method. This method of assessing outcomes should positively encourage comparisons, allowing single surgeons or entire units to anonymously and individually recognize what works well and where there might be room for improvement. Background Benchmarking is the process to used assess the best achievable results and compare outcomes with that standard. This study aimed to assess best achievable outcomes in minimally invasive distal pancreatectomy with splenectomy (MIDPS). Methods This retrospective study included consecutive patients undergoing MIDPS for any indication, between 2003 and 2019, in 31 European centres. Benchmarks of the main clinical outcomes were calculated according to the Achievable Benchmark of Care (ABC (TM)) method. After identifying independent risk factors for severe morbidity and conversion, risk-adjusted ABCs were calculated for each subgroup of patients at risk. Results A total of 1595 patients were included. The ABC was 2.5 per cent for conversion and 8.4 per cent for severe morbidity. ABC values were 160 min for duration of operation time, 8.3 per cent for POPF, 1.8 per cent for reoperation, and 0 per cent for mortality. Multivariable analysis showed that conversion was associated with male sex (OR 1.48), BMI exceeding 30 kg/m(2) (OR 2.42), multivisceral resection (OR 3.04), and laparoscopy (OR 2.24). Increased risk of severe morbidity was associated with ASA fitness grade above II (OR 1.60), multivisceral resection (OR 1.88), and robotic approach (OR 1.87). Conclusion The benchmark values obtained using the ABC method represent optimal outcomes from best achievable care, including low complication rates and zero mortality. These benchmarks should be used to set standards to improve patient outcomes.

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  • van Ramshorst, TessIst Osped Fdn Poliambulanza, Italy; Univ Amsterdam, Netherlands (author)
  • Mazzola, MicheleASST Grande Osped Metropolitano Niguarda, Italy (author)
  • Bassi, ClaudioVerona Univ Hosp, Italy (author)
  • Esposito, AlessandroVerona Univ Hosp, Italy (author)
  • de Pastena, MatteoVerona Univ Hosp, Italy (author)
  • Edwin, BjornUniv Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway (author)
  • Sahakyan, MusheghUniv Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway (author)
  • Kleive, DyreUniv Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway (author)
  • Jah, AsifCambridge Univ Hosp NHS Fdn Trust, England (author)
  • van Laarhoven, StijnCambridge Univ Hosp NHS Fdn Trust, England (author)
  • Boggi, UgoUniv Hosp Pisa, Italy (author)
  • Kauffman, Emanuele FedericoUniv Hosp Pisa, Italy (author)
  • Casadei, RiccardoSt Orsola Malpighi Hosp, Italy (author)
  • Ricci, ClaudioSt Orsola Malpighi Hosp, Italy (author)
  • Dokmak, SafiBeaujon Hosp, France (author)
  • Fteriche, Fadhel SamirBeaujon Hosp, France (author)
  • White, Steven A.Freeman Hosp Newcastle upon Tyne, England (author)
  • Kamarajah, Sivesh K.Freeman Hosp Newcastle upon Tyne, England (author)
  • Butturini, GiovanniPederzoli Hosp, Italy (author)
  • Frigerio, IsabellaPederzoli Hosp, Italy (author)
  • Zerbi, AlessandroHumanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy (author)
  • Capretti, GiovanniHumanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy (author)
  • Pando, ElizabethVall dHebron Univ Hosp, Spain (author)
  • Sutcliffe, Robert P.Univ Hosp Birmingham NHS Fdn Trust, England (author)
  • Marudanayagam, RaviUniv Hosp Birmingham NHS Fdn Trust, England (author)
  • Fusai, Giuseppe KitoRoyal Free London, England (author)
  • Fabre, Jean MichelSt Eloi Hosp, France (author)
  • Björnsson, Bergthor,1975-Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US(Swepub:liu)berbj34 (author)
  • Timmermann, LeaCharite, Germany (author)
  • Soonawalla, ZahirOxford Univ Hosp, England (author)
  • Burdio, FernandoUniv Hosp del Mar, Spain (author)
  • Keck, TobiasUniv Med Ctr Schleswig Holstein, Germany (author)
  • Hackert, ThiloHeidelberg Univ Hosp, Germany (author)
  • Koerkamp, Bas GrootErasmus MC, Netherlands (author)
  • DHondt, MathieuGroeninge Hosp, Belgium (author)
  • Coratti, AndreaCareggi Univ Hosp, Italy (author)
  • Pessaux, PatrickInst Hosp Univ Strasbourg, France (author)
  • Pietrabissa, AndreaFdn IRCCS Policlin San Matteo, Italy (author)
  • Al-Sarireh, BilalMorriston Hosp, Wales (author)
  • Marino, Marco VOsped Riuniti Villa Sofia Cervello, Italy; Ist Villa Salus, Italy (author)
  • Molenaar, QuintusUniv Med Ctr Utrecht, Netherlands (author)
  • Yip, VincentBarts Hlth NHS Trust, England (author)
  • Besselink, MarcUniv Amsterdam, Netherlands (author)
  • Ferrari, GiovanniASST Grande Osped Metropolitano Niguarda, Italy (author)
  • Abu Hilal, MohammadIst Osped Fdn Poliambulanza, Italy (author)
  • ASST Grande Osped Metropolitano Niguarda, Italy; Ist Osped Fdn Poliambulanza, ItalyIst Osped Fdn Poliambulanza, Italy; Univ Amsterdam, Netherlands (creator_code:org_t)

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  • In:British Journal of Surgery: OXFORD UNIV PRESS109:11, s. 1124-11300007-13231365-2168

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