Universität zu Köln

Low, Donald E. ORCID: 0000-0002-3735-0958, Alderson, Derek, Cecconello, Ivan ORCID: 0000-0002-3535-4170, Chang, Andrew C., Darling, Gail E., D'Journo, Xavier Benoit, Griffin, S. Michael, Hoelscher, Arnulf H., Hofstetter, Wayne L., Jobe, Blair A., Kitagawa, Yuko, Kucharczuk, John C., Law, Simon Ying Kit, Lerut, Toni E., Maynard, Nick, Pera, Manuel ORCID: 0000-0002-9449-1810, Peters, Jeffrey H., Pramesh, C. S., Reynolds, John V., Smithers, B. Mark and van Lanschot, J. Jan B. (2015). International Consensus on Standardization of Data Collection for Complications Associated With Esophagectomy Esophagectomy Complications Consensus Group (ECCG). Ann. Surg., 262 (2). S. 286 - 295. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1528-1140

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Abstract

Introduction: Perioperative complications influence long- and short-term outcomes after esophagectomy. The absence of a standardized system for defining and recording complications and quality measures after esophageal resection has meant that there is wide variation in evaluating their impact on these outcomes. Methods: The Esophageal Complications Consensus Group comprised 21 high-volume esophageal surgeons from 14 countries, supported by all the major thoracic and upper gastrointestinal professional societies. Delphi surveys and group meetings were used to achieve a consensus on standardized methods for defining complications and quality measures that could be collected in institutional databases and national audits. Results: A standardized list of complications was created to provide a template for recording individual complications associated with esophagectomy. Where possible, these were linked to preexisting international definitions. A Delphi survey facilitated production of specific definitions for anastomotic leak, conduit necrosis, chyle leak, and recurrent nerve palsy. An additional Delphi survey documented consensus regarding critical quality parameters recommended for routine inclusion in databases. These quality parameters were documentation on mortality, comorbidities, completeness of data collection, blood transfusion, grading of complication severity, changes in level of care, discharge location, and readmission rates. Conclusions: The proposed system for defining and recording perioperative complications associated with esophagectomy provides an infrastructure to standardize international data collection and facilitate future comparative studies and quality improvement projects.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Low, Donald E. UNSPECIFIED orcid.org/0000-0002-3735-0958 UNSPECIFIED Alderson, Derek UNSPECIFIED UNSPECIFIED UNSPECIFIED Cecconello, Ivan UNSPECIFIED orcid.org/0000-0002-3535-4170 UNSPECIFIED Chang, Andrew C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Darling, Gail E. UNSPECIFIED UNSPECIFIED UNSPECIFIED D'Journo, Xavier Benoit UNSPECIFIED UNSPECIFIED UNSPECIFIED Griffin, S. Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoelscher, Arnulf H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hofstetter, Wayne L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Jobe, Blair A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kitagawa, Yuko UNSPECIFIED UNSPECIFIED UNSPECIFIED Kucharczuk, John C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Law, Simon Ying Kit UNSPECIFIED UNSPECIFIED UNSPECIFIED Lerut, Toni E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Maynard, Nick UNSPECIFIED UNSPECIFIED UNSPECIFIED Pera, Manuel UNSPECIFIED orcid.org/0000-0002-9449-1810 UNSPECIFIED Peters, Jeffrey H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pramesh, C. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Reynolds, John V. UNSPECIFIED UNSPECIFIED UNSPECIFIED Smithers, B. Mark UNSPECIFIED UNSPECIFIED UNSPECIFIED van Lanschot, J. Jan B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-397938
DOI:	10.1097/SLA.0000000000001098
Journal or Publication Title:	Ann. Surg.
Volume:	262
Number:	2
Page Range:	S. 286 - 295
Date:	2015
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1528-1140
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language SEVERITY GRADING SYSTEM; QUALITY-OF-LIFE; LONG-TERM SURVIVAL; POSTOPERATIVE COMPLICATIONS; SURGICAL COMPLICATIONS; TRANSTHORACIC ESOPHAGECTOMY; GASTROESOPHAGEAL JUNCTION; AMERICAN-COLLEGE; POTENTIAL IMPACT; RISK-FACTORS Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/39793