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Sökning: WFRF:(Giani Alessandro) > (2022) > Benchmarking of min...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00006803naa a2200829 4500
001oai:DiVA.org:liu-187384
003SwePub
008220822s2022 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1873842 URI
0247 a https://doi.org/10.1093/bjs/znac2042 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Giani, Alessandrou ASST Grande Osped Metropolitano Niguarda, Italy; Ist Osped Fdn Poliambulanza, Italy4 aut
2451 0a Benchmarking of minimally invasive distal pancreatectomy with splenectomy: European multicentre study
264 c 2022-07-14
264 1b OXFORD UNIV PRESS,c 2022
338 a print2 rdacarrier
520 a 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.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
7001 a van Ramshorst, Tessu Ist Osped Fdn Poliambulanza, Italy; Univ Amsterdam, Netherlands4 aut
7001 a Mazzola, Micheleu ASST Grande Osped Metropolitano Niguarda, Italy4 aut
7001 a Bassi, Claudiou Verona Univ Hosp, Italy4 aut
7001 a Esposito, Alessandrou Verona Univ Hosp, Italy4 aut
7001 a de Pastena, Matteou Verona Univ Hosp, Italy4 aut
7001 a Edwin, Bjornu Univ Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway4 aut
7001 a Sahakyan, Musheghu Univ Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway4 aut
7001 a Kleive, Dyreu Univ Oslo, Norway; Univ Oslo, Norway; Univ Oslo, Norway4 aut
7001 a Jah, Asifu Cambridge Univ Hosp NHS Fdn Trust, England4 aut
7001 a van Laarhoven, Stijnu Cambridge Univ Hosp NHS Fdn Trust, England4 aut
7001 a Boggi, Ugou Univ Hosp Pisa, Italy4 aut
7001 a Kauffman, Emanuele Federicou Univ Hosp Pisa, Italy4 aut
7001 a Casadei, Riccardou St Orsola Malpighi Hosp, Italy4 aut
7001 a Ricci, Claudiou St Orsola Malpighi Hosp, Italy4 aut
7001 a Dokmak, Safiu Beaujon Hosp, France4 aut
7001 a Fteriche, Fadhel Samiru Beaujon Hosp, France4 aut
7001 a White, Steven A.u Freeman Hosp Newcastle upon Tyne, England4 aut
7001 a Kamarajah, Sivesh K.u Freeman Hosp Newcastle upon Tyne, England4 aut
7001 a Butturini, Giovanniu Pederzoli Hosp, Italy4 aut
7001 a Frigerio, Isabellau Pederzoli Hosp, Italy4 aut
7001 a Zerbi, Alessandrou Humanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy4 aut
7001 a Capretti, Giovanniu Humanitas Univ, Italy; IRCCS Humanitas Res Hosp, Italy4 aut
7001 a Pando, Elizabethu Vall dHebron Univ Hosp, Spain4 aut
7001 a Sutcliffe, Robert P.u Univ Hosp Birmingham NHS Fdn Trust, England4 aut
7001 a Marudanayagam, Raviu Univ Hosp Birmingham NHS Fdn Trust, England4 aut
7001 a Fusai, Giuseppe Kitou Royal Free London, England4 aut
7001 a Fabre, Jean Michelu St Eloi Hosp, France4 aut
7001 a Björnsson, Bergthor,d 1975-u Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US4 aut0 (Swepub:liu)berbj34
7001 a Timmermann, Leau Charite, Germany4 aut
7001 a Soonawalla, Zahiru Oxford Univ Hosp, England4 aut
7001 a Burdio, Fernandou Univ Hosp del Mar, Spain4 aut
7001 a Keck, Tobiasu Univ Med Ctr Schleswig Holstein, Germany4 aut
7001 a Hackert, Thilou Heidelberg Univ Hosp, Germany4 aut
7001 a Koerkamp, Bas Grootu Erasmus MC, Netherlands4 aut
7001 a DHondt, Mathieuu Groeninge Hosp, Belgium4 aut
7001 a Coratti, Andreau Careggi Univ Hosp, Italy4 aut
7001 a Pessaux, Patricku Inst Hosp Univ Strasbourg, France4 aut
7001 a Pietrabissa, Andreau Fdn IRCCS Policlin San Matteo, Italy4 aut
7001 a Al-Sarireh, Bilalu Morriston Hosp, Wales4 aut
7001 a Marino, Marco Vu Osped Riuniti Villa Sofia Cervello, Italy; Ist Villa Salus, Italy4 aut
7001 a Molenaar, Quintusu Univ Med Ctr Utrecht, Netherlands4 aut
7001 a Yip, Vincentu Barts Hlth NHS Trust, England4 aut
7001 a Besselink, Marcu Univ Amsterdam, Netherlands4 aut
7001 a Ferrari, Giovanniu ASST Grande Osped Metropolitano Niguarda, Italy4 aut
7001 a Abu Hilal, Mohammadu Ist Osped Fdn Poliambulanza, Italy4 aut
7102 a ASST Grande Osped Metropolitano Niguarda, Italy; Ist Osped Fdn Poliambulanza, Italyb Ist Osped Fdn Poliambulanza, Italy; Univ Amsterdam, Netherlands4 org
7730 t British Journal of Surgeryd : OXFORD UNIV PRESSg 109:11, s. 1124-1130q 109:11<1124-1130x 0007-1323x 1365-2168
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-187384
8564 8u https://doi.org/10.1093/bjs/znac204

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