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Open Access 25-04-2024 | Pancreatic Cancer | Original Article

Toward a new paradigm of care: a surgical leaders’ Delphi consensus on the organizational factors of the new pancreas units (E-AHPBA PUECOF study)

Authors: Lorenzo Cobianchi, Francesca Dal Mas, Mohammad Abu Hilal, Mustapha Adham, Sergio Alfieri, Gianpaolo Balzano, Giedrius Barauskas, Claudio Bassi, Marc G. Besselink, Maximilian Bockhorn, Ugo Boggi, Kevin C. Conlon, Roberto Coppola, Christos Dervenis, Safi Dokmak, Massimo Falconi, Giuseppe Kito Fusai, Andrew A. Gumbs, Arpad Ivanecz, Riccardo Memeo, Dejan Radenković, Jose M. Ramia, Elena Rangelova, Roberto Salvia, Alain Sauvanet, Alejandro Serrablo, Ajith K. Siriwardena, Stefan Stättner, Oliver Strobel, Alessandro Zerbi, Giuseppe Malleo, Giovanni Butturini, Isabella Frigerio

Published in: Updates in Surgery

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Abstract

Pancreas units represent new organizational models of care that are now at the center of the European debate. The PUECOF study, endorsed by the European–African Hepato-Pancreato-Biliary Association (E-AHPBA), aims to reach an expert consensus by enquiring surgical leaders about the Pancreas Units’ most relevant organizational factors, with 30 surgical leaders from 14 countries participating in the Delphi survey. Results underline that surgeons believe in the need to organize multidisciplinary meetings, nurture team leadership, and create metrics. Clinical professionals and patients are considered the most relevant stakeholders, while the debate is open when considering different subjects like industry leaders and patient associations. Non-technical skills such as ethics, teamwork, professionalism, and leadership are highly considered, with mentoring, clinical cases, and training as the most appreciated facilitating factors. Surgeons show trust in functional leaders, key performance indicators, and the facilitating role played by nurse navigators and case managers. Pancreas units have a high potential to improve patients' outcomes. While the pancreas unit model of care will not change the technical content of pancreatic surgery, it may bring surgeons several benefits, including more cases, professional development, easier coordination, less stress, and opportunities to create fruitful connections with research institutions and industry leaders.
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Metadata
Title
Toward a new paradigm of care: a surgical leaders’ Delphi consensus on the organizational factors of the new pancreas units (E-AHPBA PUECOF study)
Authors
Lorenzo Cobianchi
Francesca Dal Mas
Mohammad Abu Hilal
Mustapha Adham
Sergio Alfieri
Gianpaolo Balzano
Giedrius Barauskas
Claudio Bassi
Marc G. Besselink
Maximilian Bockhorn
Ugo Boggi
Kevin C. Conlon
Roberto Coppola
Christos Dervenis
Safi Dokmak
Massimo Falconi
Giuseppe Kito Fusai
Andrew A. Gumbs
Arpad Ivanecz
Riccardo Memeo
Dejan Radenković
Jose M. Ramia
Elena Rangelova
Roberto Salvia
Alain Sauvanet
Alejandro Serrablo
Ajith K. Siriwardena
Stefan Stättner
Oliver Strobel
Alessandro Zerbi
Giuseppe Malleo
Giovanni Butturini
Isabella Frigerio
Publication date
25-04-2024
Publisher
Springer International Publishing
Published in
Updates in Surgery
Print ISSN: 2038-131X
Electronic ISSN: 2038-3312
DOI
https://doi.org/10.1007/s13304-024-01839-x
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