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Benchmarks and geographic differences in gallbladder cancer surgery: an international multicenter study

dc.contributor.authorVega, Eduardo A.
dc.contributor.authorNewhook, Timothy E.
dc.contributor.authorMellado, Sebastian
dc.contributor.authorRuzzenente, Andrea
dc.contributor.authorOkuno, Masayuki
dc.contributor.authorDe Bellis, Mario
dc.contributor.authorPanettieri, Elena
dc.contributor.authorUsman Ahmad, M.
dc.contributor.authorMerlo, Ignacio
dc.contributor.authorRojas, Jesus
dc.contributor.authorDe Rose, Agostino M.
dc.contributor.authorNishino, Hiroto
dc.contributor.authorSinnamon, Andrew J.
dc.contributor.authorDonadon, Matteo
dc.contributor.authorHauger, Marit S.
dc.contributor.authorGuevara, Oscar A.
dc.contributor.authorMunoz, César
dc.contributor.authorDenbo, Jason W.
dc.contributor.authorShin Chun, Yun
dc.contributor.authorTran Cao, Hop S.
dc.contributor.authorSanchez Claria, Rodrigo
dc.contributor.authorTzeng, Ching-Wei D.
dc.contributor.authorDe Aretxabala, Xabier
dc.contributor.authorVivanco, Marcelo
dc.contributor.authorBrudvik, Kristoffer W.
dc.contributor.authorSeo, Satoru
dc.contributor.authorPekolj, Juan
dc.contributor.authorPoultsides, George A.
dc.contributor.authorTorzilli, Guido
dc.contributor.authorGiuliante, Felice
dc.contributor.authorAnaya, Daniel A.
dc.contributor.authorGuglielmi, Alfredo
dc.contributor.authorVinuela, Eduardo
dc.contributor.authorVauthey, Jean-Nicolas
dc.date.accessioned2024-08-06T20:35:41Z
dc.date.available2024-08-06T20:35:41Z
dc.date.issued2023
dc.identifier.urihttp://repositorio.ucm.cl/handle/ucm/5564
dc.description.abstractBackground High-quality surgery plays a central role in the delivery of excellent oncologic care. Benchmark values indicate the best achievable results. We aimed to define benchmark values for gallbladder cancer (GBC) surgery across an international population. Patients and Methods This study included consecutive patients with GBC who underwent curative-intent surgery during 2000–2021 at 13 centers, across seven countries and four continents. Patients operated on at high-volume centers without the need for vascular and/or bile duct reconstruction and without significant comorbidities were chosen as the benchmark group. Results Of 906 patients who underwent curative-intent GBC surgery during the study period, 245 (27%) were included in the benchmark group. These were predominantly women (n = 174, 71%) and had a median age of 64 years (interquartile range 57–70 years). In the benchmark group, 50 patients (20%) experienced complications within 90 days after surgery, with 20 patients (8%) developing major complications (Clavien–Dindo grade ≥ IIIa). Median length of postoperative hospital stay was 6 days (interquartile range 4–8 days). Benchmark values included ≥ 4 lymph nodes retrieved, estimated intraoperative blood loss ≤ 350 mL, perioperative blood transfusion rate ≤ 13%, operative time ≤ 332 min, length of hospital stay ≤ 8 days, R1 margin rate ≤ 7%, complication rate ≤ 22%, and rate of grade ≥ IIIa complications ≤ 11%. Conclusions Surgery for GBC remains associated with significant morbidity. The availability of benchmark values may facilitate comparisons in future analyses among GBC patients, GBC surgical approaches, and centers performing GBC surgery.es_CL
dc.language.isoenes_CL
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Chile*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/*
dc.sourceAnnals of Surgical Oncology, 30(8), 4904-4911es_CL
dc.titleBenchmarks and geographic differences in gallbladder cancer surgery: an international multicenter studyes_CL
dc.typeArticlees_CL
dc.ucm.facultadFacultad de Medicinaes_CL
dc.ucm.indexacionScopuses_CL
dc.ucm.indexacionIsies_CL
dc.ucm.urispringerlink.ucm.elogim.com/article/10.1245/s10434-023-13531-2es_CL
dc.ucm.doidoi.org/10.1245/s10434-023-13531-2es_CL


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Atribución-NoComercial-SinDerivadas 3.0 Chile
Excepto si se señala otra cosa, la licencia de la publicación se describe como Atribución-NoComercial-SinDerivadas 3.0 Chile