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Published in: Trials 1/2017

Open Access 01-12-2017 | Research

The pancreatic surgery registry (StuDoQ|Pancreas) of the German Society for General and Visceral Surgery (DGAV) – presentation and systematic quality evaluation

Authors: Ulrich F. Wellner, Carsten Klinger, Kai Lehmann, Heinz Buhr, Edmund Neugebauer, Tobias Keck

Published in: Trials | Issue 1/2017

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Abstract

Background

Pancreatic resections are among the most complex procedures in visceral surgery. While mortality has decreased substantially over the past decades, morbidity remains high. The volume-outcome correlation in pancreatic surgery is among the strongest in the field of surgery. The German Society for General and Visceral Surgery (DGAV) established a national registry for quality control, risk assessment and outcomes research in pancreatic surgery in Germany (DGAV SuDoQ|Pancreas).

Methods

Here, we present the aims and scope of the DGAV StuDoQ|Pancreas Registry. A systematic assessment of registry quality is performed based on the recommendations of the German network for outcomes research (DNVF).

Results

The registry quality was assessed by consensus criteria of the DNVF in regard to the domains Systematics and Appropriateness, Standardization, Validity of the sampling procedure, Validity of data collection, Validity of statistical analysis and reports, and General demands for registry quality. In summary, DGAV StuDoQ|Pancreas meets most of the criteria of a high-quality clinical registry.

Conclusion

The DGAV StuDoQ|Pancreas provides a valuable platform for quality assessment, outcomes research as well as randomized registry trials in pancreatic surgery.
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Literature
1.
go back to reference Abdelgadir Adam M, Choudhury K, Dinan MA, Reed SD, Scheri RP, Blazer DG, et al. Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg. 2015;262:372–7.CrossRef Abdelgadir Adam M, Choudhury K, Dinan MA, Reed SD, Scheri RP, Blazer DG, et al. Minimally invasive versus open pancreaticoduodenectomy for cancer: practice patterns and short-term outcomes among 7061 patients. Ann Surg. 2015;262:372–7.CrossRef
2.
go back to reference Cameron JL, He J. Two thousand consecutive pancreaticoduodenectomies. J Am Coll Surg. 2015;220(4):530–6.CrossRefPubMed Cameron JL, He J. Two thousand consecutive pancreaticoduodenectomies. J Am Coll Surg. 2015;220(4):530–6.CrossRefPubMed
3.
go back to reference Castillo CF, Morales-Oyarvide V, McGrath D, Wargo JA, Ferrone CR, Thayer SP, et al. Evolution of the Whipple procedure at the Massachusetts General Hospital. Surgery. 2012;152:S56–63.CrossRefPubMedCentral Castillo CF, Morales-Oyarvide V, McGrath D, Wargo JA, Ferrone CR, Thayer SP, et al. Evolution of the Whipple procedure at the Massachusetts General Hospital. Surgery. 2012;152:S56–63.CrossRefPubMedCentral
4.
go back to reference Dokmak S, Ftériche FS, Aussilhou B, Bensafta Y, Lévy P, Ruszniewski P, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. J Am Coll Surg. 2015;220:831–8.CrossRefPubMed Dokmak S, Ftériche FS, Aussilhou B, Bensafta Y, Lévy P, Ruszniewski P, et al. Laparoscopic pancreaticoduodenectomy should not be routine for resection of periampullary tumors. J Am Coll Surg. 2015;220:831–8.CrossRefPubMed
5.
go back to reference Tran TB, Dua MM, Worhunsky DJ, Poultsides GA, Norton JA, Visser BC. The first decade of laparoscopic pancreaticoduodenectomy in the United States: costs and outcomes using the Nationwide Inpatient Sample. Surg Endosc. 2016;30(5):1778-83. Tran TB, Dua MM, Worhunsky DJ, Poultsides GA, Norton JA, Visser BC. The first decade of laparoscopic pancreaticoduodenectomy in the United States: costs and outcomes using the Nationwide Inpatient Sample. Surg Endosc. 2016;30(5):1778-83.
6.
go back to reference Birkmeyer JD, Warshaw AL, Finlayson SR, Grove MR, Tosteson AN. Relationship between hospital volume and late survival after pancreaticoduodenectomy. Surgery. 1999;126:178–83.CrossRefPubMed Birkmeyer JD, Warshaw AL, Finlayson SR, Grove MR, Tosteson AN. Relationship between hospital volume and late survival after pancreaticoduodenectomy. Surgery. 1999;126:178–83.CrossRefPubMed
7.
go back to reference Gooiker GA, Lemmens VEPP, Besselink MG, Busch OR, Bonsing BA, Molenaar IQ, et al. Impact of centralization of pancreatic cancer surgery on resection rates and survival. Br J Surg. 2014;101:1000–5.CrossRefPubMed Gooiker GA, Lemmens VEPP, Besselink MG, Busch OR, Bonsing BA, Molenaar IQ, et al. Impact of centralization of pancreatic cancer surgery on resection rates and survival. Br J Surg. 2014;101:1000–5.CrossRefPubMed
8.
go back to reference Gooiker GA, van der Geest LGM, Wouters MWJM, Vonk M, Karsten TM, Tollenaar RAEM, et al. Quality improvement of pancreatic surgery by centralization in the western part of the Netherlands. Ann Surg Oncol. 2011;18:1821–9.CrossRefPubMedPubMedCentral Gooiker GA, van der Geest LGM, Wouters MWJM, Vonk M, Karsten TM, Tollenaar RAEM, et al. Quality improvement of pancreatic surgery by centralization in the western part of the Netherlands. Ann Surg Oncol. 2011;18:1821–9.CrossRefPubMedPubMedCentral
9.
go back to reference Gooiker GA, van Gijn W, Wouters MWJM, Post PN, van de Velde CJH, Tollenaar RAEM. Systematic review and meta-analysis of the volume-outcome relationship in pancreatic surgery. Br J Surg. 2011;98:485–94.CrossRefPubMed Gooiker GA, van Gijn W, Wouters MWJM, Post PN, van de Velde CJH, Tollenaar RAEM. Systematic review and meta-analysis of the volume-outcome relationship in pancreatic surgery. Br J Surg. 2011;98:485–94.CrossRefPubMed
11.
go back to reference Ryan CE, Wood TW, Ross SB, Smart AE, Sukharamwala PB, Rosemurgy AS. Pancreaticoduodenectomy in Florida: do 20-year trends document the salutary benefits of centralization of care? HPB. 2015;17(9):832–8.CrossRefPubMedPubMedCentral Ryan CE, Wood TW, Ross SB, Smart AE, Sukharamwala PB, Rosemurgy AS. Pancreaticoduodenectomy in Florida: do 20-year trends document the salutary benefits of centralization of care? HPB. 2015;17(9):832–8.CrossRefPubMedPubMedCentral
12.
go back to reference Chronic Pancreatitis German Society of Digestive and Metabolic Diseases (DGVS), Hoffmeister A, Mayerle J, Beglinger C, Büchler MW, Bufler P, et al. S3-Consensus guidelines on definition, etiology, diagnosis and medical, endoscopic and surgical management of chronic pancreatitis German Society of Digestive and Metabolic Diseases (DGVS). Z Für Gastroenterol. 2012;50:1176–224.CrossRef Chronic Pancreatitis German Society of Digestive and Metabolic Diseases (DGVS), Hoffmeister A, Mayerle J, Beglinger C, Büchler MW, Bufler P, et al. S3-Consensus guidelines on definition, etiology, diagnosis and medical, endoscopic and surgical management of chronic pancreatitis German Society of Digestive and Metabolic Diseases (DGVS). Z Für Gastroenterol. 2012;50:1176–224.CrossRef
13.
go back to reference Seufferlein T, Porzner M, Becker T, Budach V, Ceyhan G, Esposito I, et al. S3-guideline exocrine pancreatic cancer. Z Für Gastroenterol. 2013;51:1395–440.CrossRef Seufferlein T, Porzner M, Becker T, Budach V, Ceyhan G, Esposito I, et al. S3-guideline exocrine pancreatic cancer. Z Für Gastroenterol. 2013;51:1395–440.CrossRef
14.
go back to reference Tempero MA, Arnoletti JP, Behrman SW, Ben-Josef E, Benson AB, Casper ES, et al. Pancreatic adenocarcinoma, Version 2.2012. J Natl Compr Cancer Netw. 2012;10:703–13. Tempero MA, Arnoletti JP, Behrman SW, Ben-Josef E, Benson AB, Casper ES, et al. Pancreatic adenocarcinoma, Version 2.2012. J Natl Compr Cancer Netw. 2012;10:703–13.
15.
go back to reference Nimptsch U, Krautz C, Weber GF, Mansky T, Grützmann R. Nationwide in-hospital mortality following pancreatic surgery in Germany is higher than anticipated. Ann Surg. 2016;264(6):1082–90.CrossRefPubMed Nimptsch U, Krautz C, Weber GF, Mansky T, Grützmann R. Nationwide in-hospital mortality following pancreatic surgery in Germany is higher than anticipated. Ann Surg. 2016;264(6):1082–90.CrossRefPubMed
16.
go back to reference Lawson EH, Louie R, Zingmond DS, Sacks GD, Brook RH, Hall BL, et al. Using both clinical registry and administrative claims data to measure risk-adjusted surgical outcomes. Ann Surg. 2016;263:50–7.CrossRefPubMed Lawson EH, Louie R, Zingmond DS, Sacks GD, Brook RH, Hall BL, et al. Using both clinical registry and administrative claims data to measure risk-adjusted surgical outcomes. Ann Surg. 2016;263:50–7.CrossRefPubMed
17.
go back to reference Müller D, Augustin M, Banik N, Baumann W, Bestehorn K, Kieschke J, et al. Memorandum registry for health services research. Gesundheitswesen Bundesverb Ärzte Öffentl Gesundheitsdienstes Ger. 2010;72:824–39.CrossRef Müller D, Augustin M, Banik N, Baumann W, Bestehorn K, Kieschke J, et al. Memorandum registry for health services research. Gesundheitswesen Bundesverb Ärzte Öffentl Gesundheitsdienstes Ger. 2010;72:824–39.CrossRef
18.
go back to reference James S, Rao SV, Granger CB. Registry-based randomized clinical trials—a new clinical trial paradigm. Nat Rev Cardiol. 2015;12:312–6.CrossRefPubMed James S, Rao SV, Granger CB. Registry-based randomized clinical trials—a new clinical trial paradigm. Nat Rev Cardiol. 2015;12:312–6.CrossRefPubMed
19.
go back to reference Lauer MS, D’Agostino RB. The randomized registry trial—the next disruptive technology in clinical research? N Engl J Med. 2013;369:1579–81.CrossRefPubMed Lauer MS, D’Agostino RB. The randomized registry trial—the next disruptive technology in clinical research? N Engl J Med. 2013;369:1579–81.CrossRefPubMed
20.
go back to reference Fröbert O, Lagerqvist B, Olivecrona GK, Omerovic E, Gudnason T, Maeng M, et al. Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med. 2013;369:1587–97.CrossRefPubMed Fröbert O, Lagerqvist B, Olivecrona GK, Omerovic E, Gudnason T, Maeng M, et al. Thrombus aspiration during ST-segment elevation myocardial infarction. N Engl J Med. 2013;369:1587–97.CrossRefPubMed
21.
go back to reference Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13.CrossRefPubMed Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13.CrossRefPubMed
22.
go back to reference Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery. 2007;142:761–8.CrossRefPubMed Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS). Surgery. 2007;142:761–8.CrossRefPubMed
23.
go back to reference Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007;142:20–5.CrossRefPubMed Wente MN, Veit JA, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, et al. Postpancreatectomy hemorrhage (PPH): an International Study Group of Pancreatic Surgery (ISGPS) definition. Surgery. 2007;142:20–5.CrossRefPubMed
24.
go back to reference Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:250–78. quiz 279–280.CrossRefPubMed Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20:250–78. quiz 279–280.CrossRefPubMed
26.
go back to reference Nimptsch U, Peschke D, Mansky T. Impact of quality measurement, transparency and peer review on in-hospital mortality—retrospective before-after study with 63 hospitals. Z Evidenz Fortbild Qual Im Gesundheitswesen. 2016;115–116:10–23.CrossRef Nimptsch U, Peschke D, Mansky T. Impact of quality measurement, transparency and peer review on in-hospital mortality—retrospective before-after study with 63 hospitals. Z Evidenz Fortbild Qual Im Gesundheitswesen. 2016;115–116:10–23.CrossRef
27.
go back to reference Grützmann R, Pilarsky C, Staub E, Schmitt AO, Foerder M, Specht T, et al. Systematic isolation of genes differentially expressed in normal and cancerous tissue of the pancreas. Pancreatol Off J Int Assoc Pancreatol IAP Al. 2003;3:169–78.CrossRef Grützmann R, Pilarsky C, Staub E, Schmitt AO, Foerder M, Specht T, et al. Systematic isolation of genes differentially expressed in normal and cancerous tissue of the pancreas. Pancreatol Off J Int Assoc Pancreatol IAP Al. 2003;3:169–78.CrossRef
28.
go back to reference Agency for Healthcare Research and Quality Rockville MD. HCUP National Inpatient Sample (NIS). Healthcare Cost and Utilization Project (HCUP). [Internet]. HCUP Natl. Inpatient Sample NIS Healthc Cost Util Proj. HCUP. 2012. Available from: www.hcup-us.ahrq.gov/nisoverview.jsp. Accessed 15 Mar 2017. Agency for Healthcare Research and Quality Rockville MD. HCUP National Inpatient Sample (NIS). Healthcare Cost and Utilization Project (HCUP). [Internet]. HCUP Natl. Inpatient Sample NIS Healthc Cost Util Proj. HCUP. 2012. Available from: www.​hcup-us.​ahrq.​gov/​nisoverview.​jsp. Accessed 15 Mar 2017.
29.
go back to reference Nelson-Williams H, Gani F, Kilic A, Spolverato G, Kim Y, Wagner D, et al. Factors associated with interhospital variability in inpatient costs of liver and pancreatic resections. JAMA Surg. 2016;151:155–63.CrossRefPubMed Nelson-Williams H, Gani F, Kilic A, Spolverato G, Kim Y, Wagner D, et al. Factors associated with interhospital variability in inpatient costs of liver and pancreatic resections. JAMA Surg. 2016;151:155–63.CrossRefPubMed
30.
go back to reference Nimptsch U, Peschke D, Mansky T. Minimum caseload requirements and in-hospital mortality: observational study using nationwide hospital discharge data from 2006 to 2013. Gesundheitswesen Bundesverb. Arzte Offentlichen Gesundheitsdienstes Ger. 2016. Nimptsch U, Peschke D, Mansky T. Minimum caseload requirements and in-hospital mortality: observational study using nationwide hospital discharge data from 2006 to 2013. Gesundheitswesen Bundesverb. Arzte Offentlichen Gesundheitsdienstes Ger. 2016.
33.
go back to reference Ho D, Imai K, King G, Stuart E. Matching as nonparametric preprocessing for reducing model dependence in parametric causal inference. Polit Anal. 2007;15:199–236.CrossRef Ho D, Imai K, King G, Stuart E. Matching as nonparametric preprocessing for reducing model dependence in parametric causal inference. Polit Anal. 2007;15:199–236.CrossRef
34.
Metadata
Title
The pancreatic surgery registry (StuDoQ|Pancreas) of the German Society for General and Visceral Surgery (DGAV) – presentation and systematic quality evaluation
Authors
Ulrich F. Wellner
Carsten Klinger
Kai Lehmann
Heinz Buhr
Edmund Neugebauer
Tobias Keck
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Trials / Issue 1/2017
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-017-1911-x

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