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01-11-2010 | 2010 SSAT Plenary Presentation

Comparing Complications of Esophagectomy and Pancreaticoduodenectomy and Potential Impact on Hospital Systems Utilizing the Accordion Severity Grading System

Authors: Donald E. Low, MadhanKumar Kuppusamy, Yasushi Hashimoto, L. William Traverso

Published in: Journal of Gastrointestinal Surgery | Issue 11/2010

Excerpt

The formalized assessment of surgical outcomes can be a straightforward process when assessing certain parameters such as operative time, length of hospital stay, and mortality. Although complications are typically reported, the opportunity to specifically compare morbidity between centers and individual operations is impaired by the lack of standardized criteria defining complications associated with surgical procedures.1‐3 Various assessments have demonstrated that surgical complications will have measureable impact on mortality,4 length of stay (LOS),4,5 survival,4,6 and costs.7 However, the lack of a standardized system or “gold standard” for assessing the incidence and impact of complications1‐3 remains a significant problem in interpreting the surgical literature.8,9 …

Bruce J, Russell EM, Mollison J, Krukowski ZH. The measurement and monitoring of surgical adverse events. Health Technol Assess 2001;5:1–194.PubMed

Martin RC, Brennan MF, Jaques DP. Quality of complication reporting in the surgical literature. Ann Surg 2002;235:803–813.CrossRefPubMed

Dindo D, Clavien PA. What is a surgical complication? World J Surg 2008;32:939–941.CrossRefPubMed

Rizk NP, Bach PB, Schrag D, Bains MS, Turnbull AD, Karpeh M, Brennan MF, Rusch VW. The impact of complications on outcomes after resection for esophageal and gastroesophageal junction carcinoma. J Am Coll Surg 2004;198:42–50.CrossRefPubMed

McAleese P, Odling-Smee W. The effect of complications on length of stay. Ann Surg 1994;220:740–744.CrossRefPubMed

Khuri SF, Henderson WG, DePalma RG, Mosca C, Healey NA, Kumbhani DJ. Determinants of long-term survival after major surgery and the adverse effect of postoperative complications. Ann Surg 2005;242:326–341.PubMed

Ferraris VA, Ferraris SP, Singh A. Operative outcome and hospital cost. J Thorac Cardiovasc Surg 1998;115:593–602.CrossRefPubMed

Strasberg SM, Linehan DC, Hawkins WG. The accordion severity grading system of surgical complications. Ann Surg 2009;250:177–186.CrossRefPubMed

Jaques DP. Measuring morbidity. Ann Surg 2004;240:214–215.CrossRefPubMed

10.

Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE. Hospital volume and surgical mortality in the United States. N Engl J Med 2002;346:1128–1137.CrossRefPubMed

11.

Ghaferi AA, Birkmeyer JD, Dimick JB. Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. Ann Surg 2009;250:1029–1034.CrossRefPubMed

12.

Porembka MR, Hall BL, Hirbe M, Strasberg SM. Quantitative weighting of postoperative complications based on the accordion severity grading system: demonstration of potential impact using the American College of Surgeons’ national surgical quality improvement program. J Am Coll Surg 2010;210:286–298.CrossRefPubMed

13.

Clavien PA, Sanabria JR, Strasberg SM. Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery 1992;111:518–526.PubMed

14.

Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205–213.CrossRefPubMed

15.

Traverso LW, Shinchi H, Low DE. Useful benchmarks to evaluate outcomes after esophagectomy and pancreaticoduodenectomy. Am J Surg 2004;187:604–608.CrossRefPubMed

16.

Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M, International Study Group on Pancreatic Fistula Definition (2005) Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery 138:8–13CrossRefPubMed

17.

Hashimoto Y, Traverso LW. Incidence of pancreatic anastomotic failure and delayed gastric emptying after pancreatoduodenectomy in 507 consecutive patients: use of a web-based calculator to improve homogeneity of definition. Surgery 2010;147:503–515.CrossRefPubMed

18.

Veen EJ, Steenbruggen J, Roukema JA. Classifying surgical complications: a critical appraisal. Arch Surg 2005;140:1078–1083.CrossRefPubMed

19.

Bruce J, Krukowski ZH, Al-Khairy G, Russell EM, Park KG. Systematic review of the definition and measurement of anastomotic leak after gastrointestinal surgery. Br J Surg 2001;88:1157–1168.CrossRefPubMed

20.

Lang M, Niskanen M, Miettinen P, Alhava E, Takala J. Outcome and resource utilization in gastroenterological surgery. Br J Surg 2001;88:1006–1014.CrossRefPubMed

Title: Comparing Complications of Esophagectomy and Pancreaticoduodenectomy and Potential Impact on Hospital Systems Utilizing the Accordion Severity Grading System
Authors: Donald E. Low
MadhanKumar Kuppusamy
Yasushi Hashimoto
L. William Traverso
Publication date: 01-11-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 11/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-010-1325-5

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Comparing Complications of Esophagectomy and Pancreaticoduodenectomy and Potential Impact on Hospital Systems Utilizing the Accordion Severity Grading System

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