Predictive factors for utilization of a low-volume center in pancreatic surgery: A nationwide study
It has been demonstrated that mortality following pancreatectomy is correlated with surgical volume. However, up until now, no French study has focused on predictive factors to undergo pancreatectomy in low-volume centers. The objective of this study is to analyze the clinical characteristics, socio...
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| Veröffentlicht in: | Journal of visceral surgery 2021-04, Vol.158 (2), p.125-132 |
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| container_title | Journal of visceral surgery |
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| creator | Marquaille, H. Clément, G. Lenne, X. Pruvot, F.-R. Truant, S. Theis, D. El Amrani, M. |
| description | It has been demonstrated that mortality following pancreatectomy is correlated with surgical volume. However, up until now, no French study has focused on predictive factors to undergo pancreatectomy in low-volume centers. The objective of this study is to analyze the clinical characteristics, socio-economic status and medical density according to surgical volume and to analyze predictive factors for undergoing pancreatectomy in low-volume centers.
All patients who underwent pancreatectomy in France from 2012 to 2015 were identified fromthe PMSI database. Hopsitals were classified as low, intermediate and high volume ( |
| doi_str_mv | 10.1016/j.jviscsurg.2020.06.004 |
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All patients who underwent pancreatectomy in France from 2012 to 2015 were identified fromthe PMSI database. Hopsitals were classified as low, intermediate and high volume (<10, 11–19, ≥20 resections/year, respectively). Clinical and socioeconomic data, travel distance and rurality were assesed to identify factors associated with undergoing pancreatectomy at low-volume hospitals.
In overall, 12,333 patients were included. Those who underwent pancreatectomy in low-volume centers were more likely older, had high Charlson comorbidity index (CCI), had low socioeconomic status, and resided in rural locations.distance traveled by patients operated on in low-volume centers was significantly shorter (23 vs. 61km, P<0.001). In multivariable analysis, older age (P=0.04), CCI≥4 (P=0.008), short travel distance (P<0.001), low socio-economic status (P<0.001) and rurality (P<0.001) were associated withundergoing pancreatectomy in low-volume centers.
Patients continue to undergo pancreatectomy at low-volume hospitals is due not only to clinical parameters, but also to socioeconomic and environmental factors. These factors should be taken into account in process of pancreatic surgery centralization.</description><identifier>ISSN: 1878-7886</identifier><identifier>EISSN: 1878-7886</identifier><identifier>DOI: 10.1016/j.jviscsurg.2020.06.004</identifier><identifier>PMID: 32595025</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Centralization ; Life Sciences ; Low-volume center ; Pancreatectomy ; PMSI</subject><ispartof>Journal of visceral surgery, 2021-04, Vol.158 (2), p.125-132</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier Masson SAS.</rights><rights>Attribution - NonCommercial</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c405t-9fc674357771af88262745a2d9085234d055ebd7c365247563530d2118498d663</citedby><cites>FETCH-LOGICAL-c405t-9fc674357771af88262745a2d9085234d055ebd7c365247563530d2118498d663</cites><orcidid>0000-0001-9744-7826</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1878788620301533$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32595025$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-lille.fr/hal-04324066$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Marquaille, H.</creatorcontrib><creatorcontrib>Clément, G.</creatorcontrib><creatorcontrib>Lenne, X.</creatorcontrib><creatorcontrib>Pruvot, F.-R.</creatorcontrib><creatorcontrib>Truant, S.</creatorcontrib><creatorcontrib>Theis, D.</creatorcontrib><creatorcontrib>El Amrani, M.</creatorcontrib><title>Predictive factors for utilization of a low-volume center in pancreatic surgery: A nationwide study</title><title>Journal of visceral surgery</title><addtitle>J Visc Surg</addtitle><description>It has been demonstrated that mortality following pancreatectomy is correlated with surgical volume. However, up until now, no French study has focused on predictive factors to undergo pancreatectomy in low-volume centers. The objective of this study is to analyze the clinical characteristics, socio-economic status and medical density according to surgical volume and to analyze predictive factors for undergoing pancreatectomy in low-volume centers.
All patients who underwent pancreatectomy in France from 2012 to 2015 were identified fromthe PMSI database. Hopsitals were classified as low, intermediate and high volume (<10, 11–19, ≥20 resections/year, respectively). Clinical and socioeconomic data, travel distance and rurality were assesed to identify factors associated with undergoing pancreatectomy at low-volume hospitals.
In overall, 12,333 patients were included. Those who underwent pancreatectomy in low-volume centers were more likely older, had high Charlson comorbidity index (CCI), had low socioeconomic status, and resided in rural locations.distance traveled by patients operated on in low-volume centers was significantly shorter (23 vs. 61km, P<0.001). In multivariable analysis, older age (P=0.04), CCI≥4 (P=0.008), short travel distance (P<0.001), low socio-economic status (P<0.001) and rurality (P<0.001) were associated withundergoing pancreatectomy in low-volume centers.
Patients continue to undergo pancreatectomy at low-volume hospitals is due not only to clinical parameters, but also to socioeconomic and environmental factors. These factors should be taken into account in process of pancreatic surgery centralization.</description><subject>Centralization</subject><subject>Life Sciences</subject><subject>Low-volume center</subject><subject>Pancreatectomy</subject><subject>PMSI</subject><issn>1878-7886</issn><issn>1878-7886</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNqFkU9vEzEQxVcIRKvSrwA-wmGX8X-HW1QBrRQJDnC2XHsWHG3Wwd7dKnx6nKZE3PBlrNHvzYzea5o3FDoKVL3fdtslFl_m_KNjwKAD1QGIZ80lNdq02hj1_J__RXNdyhbq4xzArF42F5zJlQQmLxv_NWOIfooLkt75KeVC-pTJPMUh_nZTTCNJPXFkSA_tkoZ5h8TjOGEmcSR7N_qMlfLkeA3mwweyJuOj7CEGJGWaw-FV86J3Q8Hrp3rVfP_08dvNbbv58vnuZr1pvQA5taveKy241FpT1xvDFNNCOhZWYCTjIoCUeB-050oyoaXikkNglBqxMkEpftW8O8396Qa7z3Hn8sEmF-3temOPPRCcCVBqoZV9e2L3Of2asUx2Vy3FYXAjprlYJqp_nAquK6pPqM-plIz9eTYFewzEbu05EHsMxIKyNZCqfP20ZL7fYTjr_tpfgfUJwGrLEjHb4iOOvkaS0U82pPjfJX8AV5-fGQ</recordid><startdate>20210401</startdate><enddate>20210401</enddate><creator>Marquaille, H.</creator><creator>Clément, G.</creator><creator>Lenne, X.</creator><creator>Pruvot, F.-R.</creator><creator>Truant, S.</creator><creator>Theis, D.</creator><creator>El Amrani, M.</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0001-9744-7826</orcidid></search><sort><creationdate>20210401</creationdate><title>Predictive factors for utilization of a low-volume center in pancreatic surgery: A nationwide study</title><author>Marquaille, H. ; Clément, G. ; Lenne, X. ; Pruvot, F.-R. ; Truant, S. ; Theis, D. ; El Amrani, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c405t-9fc674357771af88262745a2d9085234d055ebd7c365247563530d2118498d663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Centralization</topic><topic>Life Sciences</topic><topic>Low-volume center</topic><topic>Pancreatectomy</topic><topic>PMSI</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marquaille, H.</creatorcontrib><creatorcontrib>Clément, G.</creatorcontrib><creatorcontrib>Lenne, X.</creatorcontrib><creatorcontrib>Pruvot, F.-R.</creatorcontrib><creatorcontrib>Truant, S.</creatorcontrib><creatorcontrib>Theis, D.</creatorcontrib><creatorcontrib>El Amrani, M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>Journal of visceral surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marquaille, H.</au><au>Clément, G.</au><au>Lenne, X.</au><au>Pruvot, F.-R.</au><au>Truant, S.</au><au>Theis, D.</au><au>El Amrani, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictive factors for utilization of a low-volume center in pancreatic surgery: A nationwide study</atitle><jtitle>Journal of visceral surgery</jtitle><addtitle>J Visc Surg</addtitle><date>2021-04-01</date><risdate>2021</risdate><volume>158</volume><issue>2</issue><spage>125</spage><epage>132</epage><pages>125-132</pages><issn>1878-7886</issn><eissn>1878-7886</eissn><abstract>It has been demonstrated that mortality following pancreatectomy is correlated with surgical volume. However, up until now, no French study has focused on predictive factors to undergo pancreatectomy in low-volume centers. The objective of this study is to analyze the clinical characteristics, socio-economic status and medical density according to surgical volume and to analyze predictive factors for undergoing pancreatectomy in low-volume centers.
All patients who underwent pancreatectomy in France from 2012 to 2015 were identified fromthe PMSI database. Hopsitals were classified as low, intermediate and high volume (<10, 11–19, ≥20 resections/year, respectively). Clinical and socioeconomic data, travel distance and rurality were assesed to identify factors associated with undergoing pancreatectomy at low-volume hospitals.
In overall, 12,333 patients were included. Those who underwent pancreatectomy in low-volume centers were more likely older, had high Charlson comorbidity index (CCI), had low socioeconomic status, and resided in rural locations.distance traveled by patients operated on in low-volume centers was significantly shorter (23 vs. 61km, P<0.001). In multivariable analysis, older age (P=0.04), CCI≥4 (P=0.008), short travel distance (P<0.001), low socio-economic status (P<0.001) and rurality (P<0.001) were associated withundergoing pancreatectomy in low-volume centers.
Patients continue to undergo pancreatectomy at low-volume hospitals is due not only to clinical parameters, but also to socioeconomic and environmental factors. These factors should be taken into account in process of pancreatic surgery centralization.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>32595025</pmid><doi>10.1016/j.jviscsurg.2020.06.004</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9744-7826</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals |
| subjects | Centralization Life Sciences Low-volume center Pancreatectomy PMSI |
| title | Predictive factors for utilization of a low-volume center in pancreatic surgery: A nationwide study |
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