Universität zu Köln

Low, Donald E. ORCID: 0000-0002-3735-0958, Kuppusamy, Madhan Kumar, Alderson, Derek, Cecconello, Ivan ORCID: 0000-0002-3535-4170, Chang, Andrew C., Darling, Gail, Davies, Andrew, D'Journo, Xavier Benoit, Gisbertz, Suzanne S., Griffin, S. Michael, Hardwick, Richard, Hoelscher, Arnulf, Hofstetter, Wayne, Jobe, Blair, Kitagawa, Yuko, Law, Simon ORCID: 0000-0002-6518-5806, Mariette, Christophe, Maynard, Nick, Morse, Christopher R., Nafteux, Philippe, Pera, Manuel ORCID: 0000-0002-9449-1810, Pramesh, C. S., Puig, Sonia, Reynolds, John V., Schroeder, Wolfgang, Smithers, Mark and Wijnhoven, B. P. L. (2019). Benchmarking Complications Associated With Esophagectomy. Ann. Surg., 269 (2). S. 291 - 299. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1528-1140

Full text not available from this repository.

Abstract

Objective: Utilizing a standardized dataset with specific definitions to prospectively collect international data to provide a benchmark for complications and outcomes associated with esophagectomy. Summary of Background Data: Outcome reporting in oncologic surgery has suffered from the lack of a standardized system for reporting operative results particularly complications. This is particularly the case for esophagectomy affecting the accuracy and relevance of international outcome assessments, clinical trial results, and quality improvement projects. Methods: The Esophageal Complications Consensus Group (ECCG) involving 24 high-volume esophageal surgical centers in 14 countries developed a standardized platform for recording complications and quality measures associated with esophagectomy. Using a secure online database (ESODA-TA.org ), ECCG centers prospectively recorded data on all resections according to the ECCG platform from these centers over a 2-year period. Results: Between January 2015 and December 2016, 2704 resections were entered into the database. All demographic and follow-up data fields were 100% complete. The majority of operations were for cancer (95.6%) and typically located in the distal esophagus (56.2%). Some 1192 patients received neoadjuvant chemoradiation (46.1%) and 763 neoadjuvant chemotherapy (29.5%). Surgical approach involved open procedures in 52.1% and minimally invasive operations in 47.9%. Chest anastomoses were done most commonly (60.7%) and RO resections were accomplished in 93.4% of patients. The overall incidence of complications was 59% with the most common individual complications being pneumonia (14.6%) and atrial dysrhythmia (14.5%). Anastomotic leak, conduit necrosis, chyle leaks, recurrent nerve injury occurred in 11.4%, 1.3%, 4.7%, and 4.2% of cases, respectively. Clavien-Dindo complications >= IIIb occurred in 17.2% of patients. Readmissions occurred in 11.2% of cases and 30- and 90-day mortality was 2.4% and 4.5%, respectively. Conclusion: Standardized methods provide contemporary international benchmarks for reporting outcomes after esophagectomy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Low, Donald E. UNSPECIFIED orcid.org/0000-0002-3735-0958 UNSPECIFIED Kuppusamy, Madhan Kumar UNSPECIFIED UNSPECIFIED UNSPECIFIED Alderson, Derek UNSPECIFIED UNSPECIFIED UNSPECIFIED Cecconello, Ivan UNSPECIFIED orcid.org/0000-0002-3535-4170 UNSPECIFIED Chang, Andrew C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Darling, Gail UNSPECIFIED UNSPECIFIED UNSPECIFIED Davies, Andrew UNSPECIFIED UNSPECIFIED UNSPECIFIED D'Journo, Xavier Benoit UNSPECIFIED UNSPECIFIED UNSPECIFIED Gisbertz, Suzanne S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Griffin, S. Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Hardwick, Richard UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoelscher, Arnulf UNSPECIFIED UNSPECIFIED UNSPECIFIED Hofstetter, Wayne UNSPECIFIED UNSPECIFIED UNSPECIFIED Jobe, Blair UNSPECIFIED UNSPECIFIED UNSPECIFIED Kitagawa, Yuko UNSPECIFIED UNSPECIFIED UNSPECIFIED Law, Simon UNSPECIFIED orcid.org/0000-0002-6518-5806 UNSPECIFIED Mariette, Christophe UNSPECIFIED UNSPECIFIED UNSPECIFIED Maynard, Nick UNSPECIFIED UNSPECIFIED UNSPECIFIED Morse, Christopher R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nafteux, Philippe UNSPECIFIED UNSPECIFIED UNSPECIFIED Pera, Manuel UNSPECIFIED orcid.org/0000-0002-9449-1810 UNSPECIFIED Pramesh, C. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Puig, Sonia UNSPECIFIED UNSPECIFIED UNSPECIFIED Reynolds, John V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schroeder, Wolfgang UNSPECIFIED UNSPECIFIED UNSPECIFIED Smithers, Mark UNSPECIFIED UNSPECIFIED UNSPECIFIED Wijnhoven, B. P. L. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-157044
DOI:	10.1097/SLA.0000000000002611
Journal or Publication Title:	Ann. Surg.
Volume:	269
Number:	2
Page Range:	S. 291 - 299
Date:	2019
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1528-1140
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LONG-TERM SURVIVAL; QUALITY-OF-LIFE; MAJOR POSTOPERATIVE COMPLICATIONS; GASTROESOPHAGEAL JUNCTION; CANCER; SURGERY; OUTCOMES; MORTALITY; IMPACT; ADENOCARCINOMA Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/15704