Ignite Creation Date:
2024-07-17 @ 12:02 PM
Last Modification Date:
2024-10-26 @ 3:32 PM
Study NCT ID:
NCT06466928
Status:
COMPLETED
Last Update Posted:
2024-06-20
First Post:
2024-06-14
Brief Title:
Total Pancreatectomies in Germany - Epidemiology Trends
Sponsor:
Medizinische Hochschule Brandenburg Theodor Fontane
Organization:
Medizinische Hochschule Brandenburg Theodor Fontane
Study Overview
Official Title:
A Nationwide Analysis of Total Pancreatectomy
Status:
COMPLETED
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
ToPaGe
Brief Summary:
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
Detailed Description:
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
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
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None