Accès ouvert déclaré
2019
article
International Variation in Surgical Practices in Units Performing Oesophagectomy for Oesophageal Cancer: A Unit Survey from the Oesophago‐Gastric Anastomosis Audit (OGAA)
James Bundred, Sivesh K. Kamarajah, Kobby Siaw‐Acheampong, Dmitri Nepogodiev, B. Jefferies, Pritam Singh, Richard Evans, Ewen A. Griffiths, Derek Alderson, James Gossage, Siobhan McKay, Imran Mohamed, Richard van Hillegersberg, Ravinder Vohra, Kasun Wanigsooriya, Tony Whitehouse, Aleksandras Bagajevas, Abebe Bekele, Ruth Blanco‐Colino, Anna Da Roit, Jihene El Kafsi‐Mawley, Arben Gjata, Ines Gockel, Raúl Guevara Castro, Tomáš Haruštiak, Po‐Kuei Hsu, Arda Işık, Aristotelis Kechagias, Andrew Kennedy, Biniam Kidane, Hans Alexander Mahendran, Loreli Mejia, J Moreno, Ionuţ Negoi, Azagra Juan Santiago, Raza Sayyed, Paul M. Schneider, António Sampaio Soares, Mariana S. Sousa, Flávio Roberto Takeda, Stephanie Vanstraten, Bengt Wallner, Bas P. L. Wijnhoven, Michael Patrick Achiam, Tita Agustin, Ali Akbar, Ahmad Al‐Bahrani, Waleed Al‐Khyatt, Markus Albertsmeier, Essa AlGhunaim, Bilal Alkhaffaf, William Allum, Fernando Am, Nelson Adami Andreollo, Andrew Arndt, Richard Babor, José Pedro Barbosa, Romeo Bardini, Duncan Beardsmore, Grant Beban, António Bernardes, Richard Berrisford, Alessandro Bianchi, Miloš Bjelović, Alex Boddy, Ciprian Bolca, Luigi Bonavina, Gavin Bryce, Richard Byrom, Rui Casaca, David Chan, Alexandros Charalabopoulos, Edward Cheong, Franco Ciotola, Elif Çolak, Chris Collins, S Constantinoiu, Rita Costa, Marc H. Dahlke, Gail Darling, Kahled Dawas, Giovanni De Manzoni, Adel Denewer, Michael Devadas, Simon Dexter, Sarunas Dikinis, Dimitrios Theodorou, James P. Dolan, Cuong Van Duong, Jan‐Hendrik Egberts, Y Elgharably, Muhammed Elhadi, S. Elmahi, Fernando Amézquita Farias, Enver Fekaj, Jesús Fernández, Matthew Forshaw, José Paulo Freire, Daniel French, Goran Gačevski, Jochen Gaedcke, Sivakumar Gananadha, María Moreno Gijón, Jay Gokhale, Alexandra Gordon, Peter Grimminger, Ra Guevara, Ali Güner, Stefan Gutknecht, Habibollah Mahmoodzadeh, Ingvar Halldestam, Jakob Hedberg, Joos Heisterkamp, Simon Higgs, Michael W. Hii, Andrew Hindmarsh, Jens Höppner, Andres Isaza, Jakob R. Izbicki, Rod Jacobs, Prashant Jain, Jan Johansson, Brian Johnston, Jihène El Kafsi, Seyoum Kassa, C Kelty, Iftikhar Khan, David Khoo, Syed Khyatt, Daniel Willy Kjær, Dimitrios Korkolis, Nicole Kreuser, Michael Larsen, Peng Choong Lau, Júlio César Loguercio Leite, Wyn G. Lewis, Theodore Liakakos, Carlos Loureiro, Alexander Mahendran, Nicholas Maynard, R. McGregor, Stephen McNally, Heriberto Medina‐Franco, Robert A. Meguid, Rachel Melhado, Stuart Mercer, Marcello Migliore, Fernando Mingol, Stelian Ştefăniţă Mogoantă, Yasuhiko Mohri, Stefan Mönig, J. Junceda Moreno, Natalia Motaș, Thomas J. Murphy, Syed Asghar Naqi, Raj Ni, Samiullah Niazi, Stuart Oglesby, Kelechi E. Okonta, Susana Roldán Ortiz, Khwaja Pal, Francesco Palazzo, Andreas Pascher, Miguel Pascual, Giacomo Pata, Manuel Pera, Sonia Puig, Juan Camilo Ramírez, Dimitrios Raptis, Jari Räsänen, Daniel Reim, John V. Reynolds, William Robb, Kevin Robertson, G. Rosero, Camiel Rosman, Jeremy Rossaak, Juha Saarnio, Marc Schiesser, R.R. Scurtu, Dmitii Sekhniaidze, Barış Sevinç, Richard J. E. Skipworth, Jimmy Bok Yan So, Maria Soledad Trugeda, Aamir Ali Syed, A. Takahashi, Michael Talbot, Muhammad Qasim Khan Tareen, Masanori Terashima, Mario Testini, Nila Tewari, Mesut Tez, Mathew Thomas, M.B. Tirnaksiz, Valeria Tonini, Cheng‐Che Tu, Paul Turner, Tim Underwood, Uzair Ahmad, Marc Vallve‐Bernal, Michele Valmasoni, Carla Vicente, José Flávio Videira, Y K S Viswanath, Jacopo Weindelmayer, Russell E. White, Dennis A. Wigle, Paul M Wilkerson, Vanessa Wills, Emmanouil Zacharakis, Mauricio Zuluaga
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Le résumé fourni par la source
BACKGROUND: Anastomotic leaks are associated with significant risk of morbidity, mortality and treatment costs after oesophagectomy. The aim of this study was to evaluate international variation in unit-level clinical practice and resource availability for the prevention and management of anastomotic leak following oesophagectomy. METHOD: The Oesophago-Gastric Anastomosis Audit (OGAA) is an international research collaboration focussed on improving the care and outcomes of patients undergoing oesophagectomy. Any unit performing oesophagectomy worldwide can register to participate in OGAA studies. An online unit survey was developed and disseminated to lead surgeons at each unit registered to participate in OGAA. High-income country (HIC) and low/middle-income country (LMIC) were defined according to the World Bank whilst unit volume were defined as < 20 versus 20-59 versus ≥60 cases/year in the unit. RESULTS: Responses were received from 141 units, a 77% (141/182) response rate. Median annual oesophagectomy caseload was reported to be 26 (inter-quartile range 12-50). Only 48% (68/141) and 22% (31/141) of units had an Enhanced Recovery After Surgery (ERAS) program and ERAS nurse, respectively. HIC units had significantly higher rates of stapled anastomosis compared to LMIC units (66 vs 31%, p = 0.005). Routine post-operative contrast-swallow anastomotic assessment was performed in 52% (73/141) units. Stent placement and interventional radiology drainage for anastomotic leak management were more commonly available in HICs than LMICs (99 vs 59%, p < 0.001 and 99 vs 83%, p < 0.001). CONCLUSIONS: This international survey highlighted variation in surgical technique and management of anastomotic leak based on case volume and country income level. Further research is needed to understand the impact of this variation on patient outcomes.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- International Variation in Surgical Practices in Units Performing Oesophagectomy for Oesophageal Cancer: A Unit Survey from the Oesophago‐Gastric Anastomosis Audit (OGAA)
- Date Crossref
- 22/07/2019
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Les sujets associés
Esophageal Cancer Research and TreatmentEsophageal and GI PathologyGastric Cancer Management and Outcomes