NCT01059097

Effect of Surgeon Volume on Outcome of Pancreaticoduodenectomy

Effect of Surgeon Volume on Outcome of Pancreaticoduodenectomy in a High Volume Hospital.

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 610 (actual)
• Sponsor: Università Vita-Salute San Raffaele · Academic / Other
• Sex: All
• Age: 18 Years – 90 Years
• Healthy volunteers: Not accepted

Summary

The independent impact of surgeon volume on outcome of patients undergoing pancreaticoduodenectomy in a high-volume Institution was assessed. A significant reduction of pancreatic fistula rate was found in the high-volume surgeon group in comparison with low-volume surgeon group. However, no difference between groups was found in mortality, major complications, and hospital stay.

Detailed description

Objectives: To define the independent impact of surgeon volume on outcome after pancreaticoduodenectomy (PD) in a single high-volume institution. Summary Background Data: The impact of surgeon volume on PD outcome is still controversial. So far, data available are from retrospective multi-institutional reviews, considering in-hospital mortality as the only outcome variable. Methods: Prospectively collected data on 610 patients who underwent PD from August 2001 to August 2009 were analyzed. Cut-off value to categorize high and low-volume surgeons (HVS and LVS, respectively) was 18 PD/year. Primary endpoint was operative mortality (death within 30-day post-discharge). Secondary endpoints were morbidity, pancreatic fistula (PF) and length of stay. Demographic, clinical, and surgical variables were recorded.

Conditions

• Pancreatic Cancer
• Pancreatic Surgery

Interventions

Type	Name	Description
PROCEDURE	Pancreaticoduodenectomy

Timeline

• Start date: 2001-08-01
• Primary completion: 2009-08-01
• Completion: 2010-01-01
• First posted: 2010-01-29
• Last updated: 2010-01-29

Locations

1 site across 1 country: Italy