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Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study

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收录情况： ◇ SCIE

作者：
Wu Yi[1] * ; Peng Bing[2] * ; Liu Jianhua[3] * ; Yin Xinmin[4] * ; Tan Zhijian[5] * ; Liu Rong[6] * ; Hong Defei[7] * ; Zhao Wenxing[8] * ; Wu Heshui[9] * ; Chen Rufu[10] * ; Li Dewei[11] * ; Huang Heguang[12] * ; Miao Yi[13,14] * ; Liu Yahui[15] * ; Liang Tingbo[16] * ; Wang Wei[17] ; Yuan Jingxiong[1] ; Li Shizhen[1] ; Zhang Hang[1,*1] * ; Wang Min[1,*1] * ; Qin Renyi[1,*1] * ; on behalf of the Minimally Invasive Treatment Group in the Pancreatic Disease Branch of China’s International Exchange and Promotion Association for Medicine and Healthcare (MITG-P-CPAM)[MITG-P-CPAM] ;
机构： [1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital. [2]Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan. [3]Department of Hepato-Pancreato-Biliary Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei. [4]Department of Hepatobiliary Surgery, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, Hunan. [5]Department of Hepatobiliary and Pancreatic Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong. [6]The Second Department of Hepato-Pancreato-Biliary Surgery, Chinese PLA General Hospital, Beijing. [7]Division of General Surgery, Sir Run Run Shaw Hospital (SRRSH), Affiliated with the Zhejiang University School of Medicine. [8]Department of General Surgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu. [9]Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei. [10]Department of Pancreaticobiliary Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou. [11]Department of Hepatobiliary Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing. [12]Department of General Surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian. [13]Pancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing. [14]Pancreas Center, Nanjing Medical University, Nanjing. [15]Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, Jilin. [16]Department of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang. [17]Department of Biliopancreatic Surgery, Huadong Hospital, Fudan University, Shanghai, China.
出处：
DOI： 10.1097/JS9.0000000000000303
ISSN：

关键词： composite outcome measure hospital variation laparoscopic pancreaticoduodenectomy textbook outcome

摘要：
Textbook outcome (TO) is a composite outcome measure for surgical quality assessment. The aim of this study was to assess TO following laparoscopic pancreaticoduodenectomy (LPD), identify factors independently associated with achieving TO, and analyze hospital variations regarding the TO after case-mix adjustment.This multicenter cohort study retrospectively analyzed 1029 consecutive patients undergoing LPD at 16 high-volume pancreatic centers in China from January 2010 to August 2016. The percentage of patients achieving TO was calculated. Preoperative and intraoperative variables were compared between the TO and non-TO groups. Multivariate logistic regression was performed to identify factors independently associated with achieving TO. Hospital variations regarding the TO were analyzed by the observed/expected TO ratio after case-mix adjustment. Differences in expected TO rates between different types of hospitals were analyzed using the one-way analysis of variance test.TO was achieved in 68.9% (n=709) of 1029 patients undergoing LPD, ranging from 46.4 to 85.0% between different hospitals. Dilated pancreatic duct (>3 mm) was associated with the increased probability of achieving TO [odds ratio (OR): 1.564; P=0.001], whereas advanced age (≥75 years) and concomitant cardiovascular disease were associated with a lower likelihood of achieving TO (OR: 0.545; P=0.037 and OR: 0.614; P=0.006, respectively). The observed/expected TO ratio varied from 0.62 to 1.22 after case-mix adjustment between different hospitals, but no significant hospital variations were observed. Hospital volume, the surgeon's experience with open pancreaticoduodenectomy and minimally invasive surgery, and surpassing the LPD learning curve were significantly correlated with expected TO rates.TO was achieved by less than 70% of patients following LPD. Dilated pancreatic ducts, advanced age, and concomitant cardiovascular disease were independently associated with achieving TO. No significant hospital variations were observed after case-mix adjustment.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

基金：
National Natural Science Foundation of China (82273442, 82073249 and 81874205 to RQ; 81773160 to MW), Tongji Hospital Clinical Research Flagship Program (2019CR203 to RQ), Hubei Natural Science Foundation (WJ2017Z010 to RQ; 2017CFB467 to MW), National Key Research and Development Program of China (2019TFC1315905 to RQ), and Tongji Hospital Science Fund for Distinguished Young Scholars (2017).
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外文
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中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 2 区 外科
最新[2025]版：
大类 | 2 区 医学
小类 | 2 区 外科
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出版当年[2021]版：
Q1 SURGERY
最新[2023]版：
Q1 SURGERY

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital.
共同第一作者：
通讯作者：
通讯机构： [1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital. [*1]Department of Biliary-Pancreatic Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,No. 1095 Jiefang Avenue, Wuhan 430030, Hubei Province, China
推荐引用方式(GB/T 7714)：
Wu Yi,Peng Bing,Liu Jianhua,et al.Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study[J].INTERNATIONAL JOURNAL OF SURGERY.2023,109(3):374-382.doi:10.1097/JS9.0000000000000303.
APA：
Wu Yi,Peng Bing,Liu Jianhua,Yin Xinmin,Tan Zhijian...&on behalf of the Minimally Invasive Treatment Group in the Pancreatic Disease Branch of China’s International Exchange and Promotion Association for Medicine and Healthcare (MITG-P-CPAM).(2023).Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study.INTERNATIONAL JOURNAL OF SURGERY,109,(3)
MLA：
Wu Yi,et al."Textbook outcome as a composite outcome measure in laparoscopic pancreaticoduodenectomy: a multicenter retrospective cohort study".INTERNATIONAL JOURNAL OF SURGERY 109..3(2023):374-382

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