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Outcomes of elective liver surgery worldwide: a global, prospective, multicenter, cross-sectional study

Title:	Outcomes of elective liver surgery worldwide: a global, prospective, multicenter, cross-sectional study
Authors:	Massimo Malagò; Alejandro Serrablo; Dimitri Aristotle Raptis; Christos Dervenis; Karl Jürgen Oldhafer; Marcel Autran Machado; Norihiro Kokudo; Roberto Hernandez-Alejandro; Stefan Breitenstein; Thomas van Gulik; Yaman Tokat; Ulf Peter Neumann; Aditya Borakati; Andrea Monaco; Andreas A Schnitzbauer; Arthur Elfrink; Carlijn Buis; Camila Hidalgo Salinas; Charles Imber; Daniele Ferraro; Deniz Balci; Erik Schadde; Fiammetta Soggiu; Georg Lurje; Gregor A Ioannis Passas; James Pape; Marc Bemelmans; Marieke de Boer; Omid Madadi-Sanjani; Pim Olthof; Rahul Koti; Stefen Gilg; Steven Olde Damink; Sven Lang; Theodora Pissanou; Thomas Hanna; Victoria Ardiles; Ahmed Belhadj Mostefa; Jeremias Goransky; Lucas McCormack; George Petrou; Thomas Hugh; Vincent Lam; Thomas Gruenberger; Aliaksei Shcherba; Claude Bertrand; Mathieu D'Hondt; Claudemiro Quireze Junior; Lucio Lucas Pereira; Felipe José Fernández Coimbra; Daniel Kostov; Nikola Vladov; Nikolay Belev; Gonzalo Sapisochin; Camila Hidalgo; P Nicolas Jarufe; An'an Gong; Chao Liu; Dachen Zhou; Yiming Chen; Fei Zhang; Zhang Wen; Mario Kopljar; Athanasios Petrou; Vladislav Treska; Ahmed Sherif; Mahmoud El-Meteini; David Fuks; Olivia Sgarbura; Bettina M Buchholz; Jun Li; Stefan Heinrich; George Tzimas; Georgios Tsoulfas; Ioannis Passas; Panagiotis Petras; Soumil Vyas; Budi Irwan; Rsup H Adam Malik; Erik Prabowo; Tom Gallagher; Riad Haddad; Adelmo Antonucci; Elio Jovine; Francesca Ratti; Marcello Maestri; Arturs Ozolins; Mohamad Khalife; Muhammed Elhadi; Audrius Dulskas; Marius Paskonis; Tomas Vanagas; Peng Soon Koh; Shahi Ghani; Alejandro Ramirez Del Val; Alejandro Eduardo Padilla Rosciano; Carlos Florez Zorrilla; Javier Melchor-Ruan; Jonathan Koea; Bose Ojo-Williams; Sheraz Yaqub; Eduardo Anchante Castillo; Victor Hugo Torres Cuevs; Catherine Teh; Andrzej Komorowski; Krzysztof Jeziorski; Krzysztof Zieniewicz; Oskar Kornasiewicz; Vitor Nunes; Hatem Khalaf; Anamaria Schipor; Ionut Negoi; Matei Bratu; Octav Ginghina; Arkady Bedzhanyan; Ivan Kozyrin; Nikita Chardarov; Nikolay Bagmet; Vladimir Zagainov; Ahmed Zidan; Aleksandar Karamarkovic; Daniel Galun; Mladjan Protic; Alexander Ferko; Blaž Trotovšek; Peter Pipan; Benedetto Ielpo; Irene Ortega; J M Asencio; Miguel-Angel Suarez-Muñoz; Virgen de la Victoria; Roberto Brusadin; Vicenç Artigas; Bulathsinhalage Bulathsinhala; Rohan Siriwardana; Ernesto Sparrelid; Per Sandström; Andrea Peloso; Ahmet Coker; Ender Dulundu; Mustafa Kerem; Francis Robertson; Moh'd Abu Hilal; Rajiv Lahiri; Reena Ravikumar; Robert Hutchins; Satheesh Iype; Stephanos Pericleous; Vm Bobby Dasari; Alan Koffron; Emmanouil Giorgakis; Hrishikesh Samant; Steven Curley; Yuri Genyk; Daniel Czarnevicz; Gabriela Delvalle; Matias Balmer; Diego Ramich; Nicolas Resio; Dario Abaca; Julio Lazarte; Lawrence Yuen; Tony Pang; Nazim Bhimani; Andreas Hauer; Klaus Kirbes; Reinhold Klug; Eva Braunwarth; Florian Primavesi; Stefan Stättner; Dmitry Fedaruk; Sergey Korotkov; Sébastien Strypstein; Bart Smet; Mehrdad Biglari; Alexandra Dili; Aude Vanlander; Betsy Van Loo; Luís Filipe Abreu de Carvalho; Bart Hendrikx; Federico Tomassini; Xavier Rogiers; Celine De Meyere; Franky Vansteenkiste; Fernanda Oliveira Barreto Garcia; Rafael José Romero Garcia; Diego Kleinubing; Marcelo Moura Linhares; Leandro Dias Cezar; Daniel Kitayama Shiraiwa; Rachel Riera; Tsonka Lukanova; Vasil Kostov; Panche Krastev; Radoslav Penkov; Martin Dib; Carlo Marino; Jiong Gu; Bin Zhang; Lei-Bo Xu; Rui Zhang; Yunbo Tan; Ziting Su; Banghao Xu; Jilong Wang; Ke Miao; Xuhang Luo; Haimin Chen; Jiafeng Zhao; Mario Zovak; Jakub Fichtl; Hany Dabbous; Mohamed Bahaa; Islam Ayoub; Maher Osman; Margus Kivisild; Olav Tammik; Stéphanie Truant; Emmanuel Boleslawski; Renato M Lupinacci; Frédérique S Peschaud; Ela Ekmekçigil; Ioannis Triantafyllidis; Georgios Makridis; Alexandros Kantas; Tim Reese; Nadja Lehwald-Tywuschik; Paulina Shabes; Wolfram Knoefel; Magdalena Menzel; Dimitrios Kardassis; Christian Stöß; Daniel Hartmann; Alexander Novotny; Helmut Friess; Arianeb Mehrabi; Hauke Lang; Verena Tripke; Hans Jürgen Schlitt; Jens M Werner; Monika Diehl-Bein; Stefan M Brunner; Isabella Lurje; Zoltan Czigany; Konstantinos Bramis; Manousos Konstadoulakis; Nikolaos Alexakis; Dimitrios Giakoustidis; Vasileios Papadopoulos; Anna Paspala; Emmanuel Pikoulis; Nikolaos Arkadopoulos; Panagiotis Kokoropoulos; Paul Patapis; Theodoros Sidiropoulos; Nikolaos Machairas; Paraskevas Stamopoulos; Spiridon Pangratis; Apostolos Kambaroudis; Thomas Kanteres; Dimitrios Dimitroulis; Georgios Sotiropoulos; Michail Vailas; Zoe Garoufalia; Alexandros Papalampros; John Griniatsos; Emmanuil Zacharakis; Theo Tsirlis; Ioannis Sideris; Athanasios Syllaios; Dimitrios Schizas; Konstantinos Toutouzas; Natasha Hasemaki; Apollon Zygomalas; Dionissios Karavias; Nikolaos Katsiakis; Dimitrios Balalis; Dimitrios Korkolis; Dimitrios Manatakis; Ioannis Kyrochristos; Georgios Glantzounis; Alexandros Diamantis; Konstantinos Perivoliotis; Konstantinos Tepetes; Evangelos Felekouras; Dimitrios Moris; Biju Chandran; Christi Varghese; Surendran Sudhindran; Arun Kumar; Murali Appukuttan; Vinitha Nair; Anand Ramamurthy; Bhavin Vasavada; Hardik Patel; Irwan Rachman; Michael Tendean; Aidan O'Dowling; Emir Hoti; Patrick Kambakamba; Moneer Swaed; Eran Sadot; Hanoch Kashtan; Offir Ben-Ishay; Safi Khouri; Luca Bortolasi; Carolina Rubicondo; Mara Giovanelli; Ausl Bologna; Matteo Zanello; Michele Masetti; Raffaele Lombardi; Marcello Spampinato; Stefano Garritano; Edoardo Saladino; Giuseppe Cuticone; Nino Gullà; Alfonso Recordare; Fabrizio Cimino; Alessandro Germini; Vincenzo Mazzaferro; Claudia Piscitelli; Tommaso Dominioni; Alfredo Guglielmi; Andrea Ruzzenente; Tommaso Campagnaro; Chiara Parrino; Gian Luca Grazi; Valerio De Peppo; Marco Paci; Lucio Mandalà; Pietro Mezzatesta; Alessandro Ferrero; Fabio Forchino; Nadia Russolillo; Andrea Belli; Vincenza Granata; Francesco Izzo; Antonio Frena; Stefan Patauner; Giovanni Scotton; Francesca Notte; Andrea Massobrio; Davide Pertile; Franco De Cian; Stefano Di Domenico; Stefano Scabini; Marco Mattioli; Ana Gonta; Sciannamea Ivano; Matteo Serenari; Enrico Pinotti; Mauro Montuori; Mauro Zago; Federica Cipriani; Luca Aldrighetti; Margherita Binetti; Maurizio Cervellera; Valeria Tonini; Federico Mocchegiani; Grazia Conte; Marco Vivarelli; Alessandro Giani; Fabrizio Romano; Simone Famularo; Alberto Porcu; Claudio F Feo; Giuseppe Cherchi; Walid Faraj; Bushray Almiqlash; Hazem Ahmed; Ahmad Alzedam; Eugenijus Stratilatovas; Rimantas Bausys; Kestutis Strupas; Rokas Rackauskas; Giedrius Barauskas; Romualdas Riauka; Boon Koon Yoong; Jun Kit Koong; Horacio Lopez Basave; Alan Contreras Saldívar; Ismael Dominguez Rosado; Mario Vilatobá Chapa; Miguel Mercado; Eric Belt; Gijs Musters; Joost Van der Hoeven; Arjen Rijken; Wijsman Jan; Paul Gobardhan; Joris Erdmann; Marc Besselink; Rutger-Jan Swijnenburg; Koert Kuhlmann; Niels Kok; Theo Ruers; A Talsma; Hans Torrenga; Stijn Vanlaarhoven; Dirk Grünhagen; C Verhoef; Michiel Rothbarth; Peter van Duijvendijk; Elisabeth de Wijkerslooth; Maarten Vermaas; Pascal Doornebosch; Isala Klinieken; Gijs Patijn; V Nieuwenhuis; Marcel den Dulk; Kees Dejong; Marielle Coolsen; Gerrit Slooter; Wouter Leclerq; Julie Sijmons; Christiaan Hoff; Eric Manusama; Hasan Eker; Daan Lips; Jorieke Nijhuis; Mike Liem; Fadi Rassam; Hendrik Marsman; Michael Gerhards; Peter van den Boezem; Johannes de Wilt; Martijn Stommel; Jeroen Hagendoorn; Wouter Te Riele; Ronald Vuylsteke; Steven Oosterling; Frederik Hoogwater; Floris Poelmann; H Torrenga; K Talsma; Michael Rodgers; Universe Leung; Peter Johnston; John McCall; Fraser Welch; Saxon Connor; Todd Hore; Andrew Audeau; Lilian Rebecs Mantilla Silva; Amornetta Jordan-Casupang; Bartosz Cieslak; Bartosz Maczkowski; Dariusz Wasiak; Maciej Kosieradzki; Maciej Krasnodębski; Marcin Kotulski; Michał Grąt; Piotr Kalinowski; Piotr Malkowski; Piotr Smoter; Rafał Paluszkiewicz; Waclaw Hołówko; Waldemar Patkowski; Renato de Melo; Antonio Gomes; Rui Marinho; Ahmed Elaffandi; Walid El-Moghazy; Boram Lee; Jai Young Cho; Ho-Seong Han; Herve Fagot; Johanna Zemour; Bogdan Diaconescu; Bogdan Stoica; Mircea Beuran; Valentina Madalina Negoita; Cezar Ciubotaru; Andrada Spanu; Mara Mardare; Garnik Shatverian; Konstantin Petrenko; Lilia Polishchuk; Gleb Gorochov; Nikolay Bobrov; Mark Sturdevant; Jovan Juloski; Ljiljana Milic; Vladica Ćuk; Aleksandar Bogdanovic; Marko Zivanovic; Ludovit Laca; Martin Vojtko; Miha Petrič; Mihajlo Djokić; Maria Teresa Albiol; Ernest Castro; Santiago López-Ben; Maria Del Mar Rico; Miguel Vargas; Orlando Porcel; Francesc Xavier Molina Romero; José Miguel Morón Canis; Natalia Pujol Cano; Alberto Miyar de León; Carmen García Bernardo; Lorena Solar-García; Adela Rojas Holguín; Diego López Guerra; Gerardo Blanco Fernández; Ángel Pallares; Antonio Martín Malagón; Liliana Pezzetta Hernández; Alba Manuel; Jose Ramia; Raquel Latorre; Enrique Esteban Agustí; Maria Gutiérrez Samaniego; Miguel-Angel Hernández Bartolomé; Darío Martinez-Baena; José Lorente-Herce; Pablo Parra-Memrbives; Ángel Uriarte; Santiago Ayora; José López Fernández; Gabriel Garcia Plaza; Javier Alcalá Serrano; Maria Jesús Castro Santiago; Ángel Cuadrado; Rocío Fernández; Jose Castell; Nuria Boñar; Rula Sabbagh; Mario Serradilla; Sandra Paterna; Teresa Gimenez-Maurel; Fernando Burdío; Patricia Sánchez-Velázquez; Manuel Rodriguez Blanco; Eva Montalvá; Rafael López-Andújar; Jorge Roldan de la Rua; Luis Hinojosa-Arco; Elena Martin-Perez; Marcello Di Martino; Ángela de la Hoz Rodríguez; Antonio F Compañ Rosique; Rumyana Rumenova Smilevska; Francisco Javier Padillo Ruiz; Miguel-Angel Gomez Bravo; Pablo Beltran Miranda; Ricardo Robles Campos; Víctor López-López; Mihai Calin Pavel; Laia Estalella; Robert Memba; Rosa Jorba; Nattashi Ranaweera; Nisansala Harshani; Bergthor Bjornsson; Linda Lundgren; Oskar Hemmingsson; Nicola Colucci; Christian Toso; Antonia Loosen; Fariba Abbassi; Thomas Steffen; Franziska Heid; Emmanuel Melloul; Ismail Labgaa; Nicolas Demartines; Alessandra Cristaudi; Raffaello Roesel; Pietro Majno; Po-Chih Yang; Elvan Kirimker; Kaan Karayalcin; Alper Uguz; Omer Unalp; Ertan Emek; Pinar Yazici; Ali Yalcinkaya; Hasan Bostanci; Kursat Dikmen; Oleksandr Kvasivka; Kostiantyn Kopchak; Valeriya Sumarokova; Dmitry Cheverdiuk; Oleg Vasilev; Sergei Sikachov; Christina Boumpoureka; Diana Bogatu; Dimitra Intzepogazoglou; Parthi Srinivasan; Ajith K Siriwardena; Eirini Liova; Urszula Donigiewicz; Lisa Woodrow; Andrea Schlegel; Buddhika Dassanayake; Ambareen Kausar; Andrea Tufo; Adam Framptonl; Alejandro Ramirez Del Var; Dimitri A Raptis; Brian R Davidson; David Nasralla; Danielle Ferraro; Dinesh Sharma; Giuseppe Kito Fusai; Helen Tzerbinis; Ioannis D Kostakis; Joao Mestre de Costa; Joerg-Matthias Pollok; Nikolaos Dimitrokallis; Pascale Tinguely; Timothy Owen; Theodora Pissanous; Ewen Harrison; John Primrose; Thomas Armstrong; Christoph Kuemmerli; Christoph Tschuor; Raed Aljarrah; Peter Lodge; Philipp Kron; Daniel Akhtar; Tania Policastro; Ricky H Bhogal; Dionisios Vrochides; John Martinie; J J Klein; Martin Hertl; Xavier Keutgen; Jennifer Kalil; Lyle Burdine; Katie Helbig; Gustavo Andreoli; Santiago Cubas
Contributors:	Malagò, Massimo; Serrablo, Alejandro; Aristotle Raptis, Dimitri; Dervenis, Christo; Jürgen Oldhafer, Karl; Autran Machado, Marcel; Kokudo, Norihiro; Hernandez-Alejandro, Roberto; Breitenstein, Stefan; van Gulik, Thoma; Tokat, Yaman; Peter Neumann, Ulf; Borakati, Aditya; Monaco, Andrea; A Schnitzbauer, Andrea; Elfrink, Arthur; Buis, Carlijn; Hidalgo Salinas, Camila; Imber, Charle; Ferraro, Daniele; Balci, Deniz; Schadde, Erik; Soggiu, Fiammetta; Lurje, Georg; A Ioannis Passas, Gregor; Pape, Jame; Bemelmans, Marc; de Boer, Marieke; Madadi-Sanjani, Omid; Olthof, Pim; Koti, Rahul; Gilg, Stefen; Olde Damink, Steven; Lang, Sven; Pissanou, Theodora; Hanna, Thoma; Ardiles, Victoria; Belhadj Mostefa, Ahmed; Goransky, Jeremia; Mccormack, Luca; Petrou, George; Hugh, Thoma; Lam, Vincent; Gruenberger, Thoma; Shcherba, Aliaksei; Bertrand, Claude; D'Hondt, Mathieu; Quireze Junior, Claudemiro; Lucas Pereira, Lucio; José Fernández Coimbra, Felipe; Kostov, Daniel; Vladov, Nikola; Belev, Nikolay; Sapisochin, Gonzalo; Hidalgo, Camila; Nicolas Jarufe, P; Gong, An'An; Liu, Chao; Zhou, Dachen; Chen, Yiming; Zhang, Fei; Wen, Zhang; Kopljar, Mario; Petrou, Athanasio; Treska, Vladislav; Sherif, Ahmed; El-Meteini, Mahmoud; Fuks, David; Sgarbura, Olivia; M Buchholz, Bettina; Li, Jun; Heinrich, Stefan; Tzimas, George; Tsoulfas, Georgio; Passas, Ioanni; Petras, Panagioti; Vyas, Soumil; Irwan, Budi; H Adam Malik, Rsup; Prabowo, Erik; Gallagher, Tom; Haddad, Riad; Antonucci, Adelmo; Jovine, Elio; Ratti, Francesca; Maestri, Marcello; Ozolins, Artur; Khalife, Mohamad; Elhadi, Muhammed; Dulskas, Audriu; Paskonis, Mariu; Vanagas, Toma; Soon Koh, Peng; Ghani, Shahi; Ramirez Del Val, Alejandro; Eduardo Padilla Rosciano, Alejandro; Florez Zorrilla, Carlo; Melchor-Ruan, Javier
Publication Year:	2023
Collection:	Sapienza Università di Roma: CINECA IRIS
Subject Terms:	failure to rescue; global surgery; human development index; liver surgery; morbidity; mortality; outcomes
Description:	Background: The outcomes of liver surgery worldwide remain unknown. The true population-based outcomes are likely different to those vastly reported that reflect the activity of highly specialized academic centers. The aim of this study was to measure the true worldwide practice of liver surgery and associated outcomes by recruiting from centers across the globe. The geographic distribution of liver surgery activity and complexity was also evaluated to further understand variations in outcomes. Methods: LiverGroup.org was an international, prospective, multicenter, cross-sectional study following the Global Surgery Collaborative Snapshot Research approach with a 3-month prospective, consecutive patient enrollment within January-December 2019. Each patient was followed up for 90 days postoperatively. All patients undergoing liver surgery at their respective centers were eligible for study inclusion. Basic demographics, patient and operation characteristics were collected. Morbidity was recorded according to the Clavien-Dindo Classification of Surgical Complications. Country-based and hospital-based data were collected, including the Human Development Index (HDI). (NCT03768141). Results: A total of 2159 patients were included from six continents. Surgery was performed for cancer in 1785 (83%) patients. Of all patients, 912 (42%) experienced a postoperative complication of any severity, while the major complication rate was 16% (341/2159). The overall 90-day mortality rate after liver surgery was 3.8% (82/2,159). The overall failure to rescue rate was 11% (82/ 722) ranging from 5 to 35% among the higher and lower HDI groups, respectively. Conclusions: This is the first to our knowledge global surgery study specifically designed and conducted for specialized liver surgery. The authors identified failure to rescue as a significant potentially modifiable factor for mortality after liver surgery, mostly related to lower Human Development Index countries. Members of the LiverGroup.org network could now work together to ...
Document Type:	article in journal/newspaper
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/38258997; volume:109; issue:12; journal:INTERNATIONAL JOURNAL OF SURGERY; https://hdl.handle.net/11573/1738947
DOI:	10.1097/JS9.0000000000000711
Availability:	https://hdl.handle.net/11573/1738947; https://doi.org/10.1097/JS9.0000000000000711
Accession Number:	edsbas.A844CA8F
Database:	BASE