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Expert-center referral after pancreatectomy does not improve outcomes


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Journal
Annals of Surgery
Reuters Health - 25/09/2020 - Transfer of patients to expert centers after pancreatectomy does not appear to improve outcomes, according to a database study. Interhospital transfer (IHT) has been shown to benefit trauma and cardiology patients, but no data are available on the outcomes and characteristics of patients transferred to tertiary centers after such complex procedures as pancreatectomy. Dr. Mehdi El Amrani and colleagues of the University of Lille and Lille University Hospital, in France, used data from a comprehensive nationwide French database (PMSI) to analyze the outcomes of IHT patients after pancreatectomy. Of the nearly 20,000 patients who underwent pancreatectomy from 2012 through 2018, 5.8% were transferred. More than half of those (58.2%) had been operated on in hospitals performing fewer than 26 pancreatectomies annually. The rate of major complications for transfer patients (75.9%) was significantly higher than that for nontransfe...


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