Pancreas Disease Clinical Trial
Official title:
A Nationwide Analysis of Total Pancreatectomy
The purpose of this study was to evaluate the real-world mortality rates of total pancreatectomy across Germany and to understand the impact of hospital caseload on surgical outcomes.
This retrospective observational study analyzed routine data from the nationwide German diagnosis-related group statistics, covering the years 2010 to 2020. The data included all inpatient episodes from acute care hospitals. The study focused on mortality rates associated with total pancreatectomy and examined how these rates varied with the complexity of the surgeries and the volume of procedures performed by different hospitals. The mortality rates for total pancreatectomy in Germany were found to be more than three times higher than those reported by specialized pancreatic centers. Mortality rates increased significantly with the complexity of the total pancreatectomy procedures, especially those involving arterial resections. Hospitals with lower total pancreatectomy caseloads had higher mortality rates compared to high-volume centers. Results showed that total pancreatectomies are associated with high mortality rates, particularly in hospitals with lower surgical volumes. The findings suggest that the promising outcomes from specialized centers cannot be generalized to all hospitals performing pancreatic surgeries, highlighting the need for a thorough understanding of the learning curve and specialization in pancreatic surgery to reduce mortality risks. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT04559490 -
Baby Formula and Health
|
||
| Recruiting |
NCT05155878 -
Prognostic Factors in Periampullary Tumors and Cysts
|
||
| Recruiting |
NCT03260842 -
Bio-Repository of High Risk Cohorts for the Early Detection of Pancreas Cancer
|
||
| Completed |
NCT04609137 -
Early Drain Removal Versus Standard Drain Management After Distal Pancreatectomy (Early-Dist)
|
N/A | |
| Terminated |
NCT03553394 -
Effects of Restrictive Fluid Strategy on Postoperative Oliguric Pancreatic Surgery Patients
|
N/A | |
| Completed |
NCT01918813 -
Risk of Methicillin-resistant S.Aureus (MRSA) Infections in MRSA Carrier Under Introduction of Rapid MRSA Screening
|
N/A | |
| Recruiting |
NCT05714111 -
Radiology Registry on Pancreatic Malignancies
|
||
| Completed |
NCT04514198 -
Postoperative Pancreatitis and Its Correlation With Clinically Relevant Pancreatic Fistula in Pancreaticoduodenectomy
|
||
| Recruiting |
NCT04701567 -
Diagnostic and Evaluation of Hepato-pancreatico-biliary Disease With MRI
|
||
| Withdrawn |
NCT03598283 -
Liver, Pancreas and Thyroid Function in Burn Patients
|
||
| Recruiting |
NCT05431556 -
Virtual Mind-Body Exercises for People Having Pancreatic Surgery
|
N/A | |
| Not yet recruiting |
NCT06463873 -
A Pilot Study of OmniGraft in Simultaneous Pancreas Kidney Recipients
|
||
| Not yet recruiting |
NCT04760847 -
Intermittent Fasting for Pancreatitis
|
N/A | |
| Not yet recruiting |
NCT04900012 -
Prospective Snapshot Audit of Distal Pancreatectomy in Spain
|
||
| Recruiting |
NCT04556019 -
Results of Surgical Treatment of the Hepatobiliopancreatic Surgical Unit
|
||
| Completed |
NCT05139394 -
Emergency Pancreaticoduodenectomy: a Non-trauma Center Case Series
|
||
| Completed |
NCT06135233 -
Implementation and Outcome of Minimally Invasive Pancreatoduodenectomy in Europe:
|
||
| Completed |
NCT06160154 -
Minimally Invasive Robot-assisted and Laparoscopic Distal Pancreatectomy in a Pan-European Registry
|
||
| Completed |
NCT04898517 -
Prevention of CR-POPF in PD With the Technique of Connexion the Pancreatic Duct to Jejunum Stented (CONDUCTJE-ST).
|
||
| Completed |
NCT03169998 -
Effect of Goal-directed Fluid Therapy on Postoperative Complications
|