作者
Dutch Pancreatic Cancer Group de Wilde RF Besselink MGH van der Tweel I de Hingh IHJT van Eijck CHJ Dejong CHC Porte RJ Gouma DJ Busch ORC Molenaar IQ iq molenaar@ umcutrecht. nl
发表日期
2012/3
期刊
Journal of British Surgery
卷号
99
期号
3
页码范围
404-410
出版商
Oxford University Press
简介
Background
The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009.
Methods
Nationwide data on International Classification of Diseases, ninth revision (ICD-9) code 5-526 (PD, including Whipple), patient age, sex and mortality were retrieved from the independent nationwide KiwaPrismant registry. Based on established cut-off points of annually performed PDs, hospitals were categorized as very low (fewer than 5), low (5–10), medium (11–19) or high (at least 20) volume. A subgroup analysis based on a cut-off age of 70 years was also performed.
Results
Some 2155 PDs were included. The number of hospitals performing PD decreased from 48 in 2004 to 30 in …
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Dutch Pancreatic Cancer Group de Wilde RF Besselink … - Journal of British Surgery, 2012
