There are no available standard points of reference for quality assessment of results in pancreas surgery. With the growing complexity and costs of modern surgical practice, convincing and unbiased quality assessment becomes mandatory. Using results from high volume centers and low risk procedures offers the opportunity to define benchmark criteria for best achievable outcomes.
The purpose of this study is to conduct a multicenter cohort study to define benchmark criteria for best achievable outcomes in pancreaticoduodenectomy in order to enable quality assessment. The benchmark criteria will be derived from postoperative morbidity and mortality, as well as readmission and survival rates.
Data collection and study design are based on to the newly defined standardized reporting for benchmarking, as presented at the 2015 ASA meeting in Chicago (Rössler et al. Ann Surg 2016). More recently benchmark values were established for liver transplantation (submitted) and esophagectomy (presented at ESA 2017, Ann surg in press).
This multicenter cohort study will include at least 20 high volume centers performing over 50 pancreatic operations per year or 150 cases within 3 years from at least 3 continents over a period of 3 years (2013-2015). Every center included in the study must have a prospective database from which data can be collected as well as previous publications critically reporting on their outcome.
For more detailed information, please read the protocol of this study.