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Ideal Outcome after Left Pancreatectomy in North America, Germany, the Netherlands, and Sweden

Title: Ideal Outcome after Left Pancreatectomy in North America, Germany, the Netherlands, and Sweden
Authors: Hendriks, Tessa E; Augustinus, Simone; Andersson, Bodil; Williamson, Caroline; Beane, Joal D.; Davis, Catherine; Ghadimi, Michael; Werner, Jens; Uhl, Waldermar; Wellner, Ulrich F.; Tingstedt, Bobby; for Global Audits on Pancreatic Surgery Group (GAPASURG)
Contributors: Hendriks, Tessa E; Augustinus, Simone; Andersson, Bodil; Williamson, Caroline; Beane, Joal D.; Davis, Catherine; Ghadimi, Michael; Werner, Jens; Uhl, Waldermar; Wellner, Ulrich F.; Tingstedt, Bobby; for Global Audits on Pancreatic Surgery Group (GAPASURG)
Publication Year: 2025
Collection: Georg-August-Universität Göttingen: GoeScholar
Description: Background: Composite outcome measures aim to provide a more holistic view when determining the effectiveness and safety of surgical interventions. Recently, ‘Ideal Outcome’ (IO) harmonized the European and American composite outcome of pancreatic surgery. The rate of IO after pancreatoduodenectomy was 54% but is unknown after left pancreatectomy(LP). Methods: This transatlantic analysis included patients after LP from the audits in North America (NSQIP), Germany (StuDoQ), the Netherlands (DPCA), and Sweden (SNPPCR) (2014 – 2020). IO is obtained in the absence of (1)in-hospital mortality, (2)severe complications (Clavien-Dindo≥3), (3)postoperative pancreatic fistula (ISGPS grade B/C), (4)reoperation, (5)hospital stay exceeding the 75 th -percentile, and (6)readmission. Clinical predictors of IO were identified using a multivariable logistic regression. Results: Overall, 20,126 patients after LP were included (37.8% minimally invasive). The rate of IO after LP was 59.1%. The rate of IO varied among the four audits: North America 58.5%, Germany 53.4%, the Netherlands 56.9%, and Sweden 61.7% ( P
Document Type: article in journal/newspaper
Language: English
DOI: 10.1097/SLA.0000000000006678
Availability: https://resolver.sub.uni-goettingen.de/purl?gro-2/148046; https://doi.org/10.1097/SLA.0000000000006678
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.E9E9389B
Database: BASE