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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Benchmarking of minimally invasive distal pancreatectomy with splenectomy: European multicentre study
British Journal of Surgery, Volume 109, No. 11, Year 2022
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Description
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™) 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/m2 (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. © The Author(s) 2022.
Authors & Co-Authors
Edwin, B.
Norway, Oslo
Universitetet I Oslo
Casadei, Riccardo
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Ricci, Claudio
Italy, Bologna
Irccs Azienda Ospedaliero-universitaria Di Bologna
Dokmak, Safi
France, Clichy
Hôpital Beaujon
Ftériche, Fadhel Samir
France, Clichy
Hôpital Beaujon
White, Steven Alan W.
United Kingdom, Newcastle
Freeman Hospital
Kamarajah, Sivesh K.
United Kingdom, Newcastle
Freeman Hospital
Butturini, Giovanni
Unknown Affiliation
Frigerio, Isabella M.
Unknown Affiliation
Capretti, Giovanni Luigi
Italy, Pieve Emanuele
Humanitas University
Italy, Rozzano
Humanitas Research Hospital
Pando, Elizabeth
Spain, Barcelona
Hospital Universitari Vall D'hebron
Sutcliffe, Robert P.
United Kingdom, Birmingham
University Hospitals Birmingham Nhs Foundation Trust
Marudanayagam, Ravi
United Kingdom, Birmingham
University Hospitals Birmingham Nhs Foundation Trust
Bjornsson, Bergthór
Sweden, Linkoping
Linköpings Universitet
Hackert, Thilo H.
Germany, Heidelberg
Universitätsklinikum Heidelberg
D'Hondt, Mathieu André
Belgium, Kortrijk
Groeninge Hospital
Pessaux, Patrick
France, Strasbourg
Les Hôpitaux Universitaires de Strasbourg
Marino, Marco V.
Italy, Palermo
Azienda Ospedaliera Ospedali Riuniti Villa Sofia-cervello
Besselink, Marc Gerard H.
Netherlands, Amsterdam
Cancer Center Amsterdam
Abu Hilal, Mohammed
Italy, Brescia
Fondazione Poliambulanza Istituto Ospedaliero
Statistics
Citations: 13
Authors: 20
Affiliations: 31
Identifiers
Doi:
10.1093/bjs/znac204
ISSN:
00071323
Research Areas
Health System And Policy
Study Design
Cohort Study
Participants Gender
Male