Defining benchmarks for total and distal gastrectomy: global multicentre analysis

Schneider, Marcel André; Kim, Jeesun; Berlth, Felix; Sugita, Yutaka; Grimminger, Peter P; Sano, Takeshi; Rosati, Riccardo; Baiocchi, Gian Luca; Bencivenga, Maria; De Manzoni, Giovanni; Nunobe, Souya; Yang, Han-Kwang; Gutschow, Christian Alexander; Wijnhoven, Bas P L; Overtoom, Hidde; Gockel, Ines; Thieme, René; Griffiths, Ewen A; Butterworth, William; Nienhüser, Henrik; Müller, Beat; Crnovrsanin, Nerma; Nickel, Felix; Gisbertz, Suzanne; Henegouwen, Mark van Berghe; Pucher, Philip H; Khan, Kashuf; Chaudry, Asif; Patel, Pranav H; Pera, Manuel; Cero, Mariagiulia Dal; Garcia, Carlos; Salinas, Guillermo Martinez; Kassab, Paulo; Castro, Osvaldo Antônio Prado; Norero, Enrique; Wisniowski, Paul; Putnam, Luke Randall; Lombardi, Pietro Maria; Ferrari, Giovanni; Gudaityte, Rita; Maleckas, Almantas; Prodehl, Leanne; Castaldi, Antonio; Prudhomme, Michel; Giacopuzzi, Simone; Puccetti, Francesco; D'Ugo, Domenico; Gero, Daniel; Lee, Hyuk-Joon; Piessen, Guillaume; Lerooy, Justine; van Sandick, Johanna Wilhelmina; Reynolds, John V; Morgagni, Paolo; Hölscher, Arnulf H; Hemmerich, Martin; Mönig, Stefan; Chevallay, Mickael; Kołodziejczyk, Piotr; Hartgrink, Henk; da Costa, Paulo Matos; Borges, Filipe Castro; Davies, Andrew; Baker, Cara; Allum, William; Kumar, Sacheen; Polkowski, Wojciech; Rawicz-Pruszyński, Karol; Romario, Uberto Fumagalli; De Pascale, Stefano; Tarasconi, Antonio; Reim, Daniel; Pergolini, Ilaria; Santos, Lucio Lara; Martins, Pedro Carvalho; Biondi, Alberto; Degiuli, Maurizio; Reddavid, Rossella; Kielan, Wojciech; Schneider, Paul Magnus; Murphy, Thomas; ,; ,

doi:10.1093/bjs/znad379

British Journal of Surgery

2024

DOI: 10.1093/bjs/znad379

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Defining benchmarks for total and distal gastrectomy: global multicentre analysis

Marcel André Schneider,

Jeesun Kim,

Felix Berlth

et al.

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Cited by 7 publications

References 40 publications

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How to measure quality of surgery as a component of multimodality treatment of gastric cancer

Polkowski,

Gęca,

Skórzewska

2024

Annals of Gastroent Surgery

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Gastric cancer (GC) is one of the most frequent reasons for cancer‐related death worldwide. The multimodal therapeutic strategies are now pragmatically tailored to each patient, especially in advanced GC. A radical but safe gastrectomy remains the cornerstone of the GC treatment. Moreover, the quality‐of‐life (QoL) outcome measures are now routinely utilized in order to select optimal type of gastrectomy, as well as reconstruction method. Postoperative complications are frequent, and effective diagnosis and treatment of complications is crucial to lower the mortality rates. The postoperative complications prolong hospital stay and may result in poor QoL, thus eliminating the completion of perioperative adjuvant therapy. Therefore, avoiding morbidity is not only relevant for the immediate postoperative course, but can also affect long‐term oncological outcome. Measuring outcome enables surgeons to: monitor their own results; compare quality of treatment between centres; facilitate improvement both for surgery alone and combined treatment; select optimal procedure for an individual patient. Textbook oncological outcome is a composite quality measure representing the ideal hospitalization for gastrectomy, as well as stage‐appropriate (perioperative) adjuvant chemotherapy. Standardized system for recording complications and adherence to multimodality treatment guidelines are crucial for achieving the ultimate goal of surgical quality‐improvement that can benefit patients QoL and long‐term outcomes after fast and uneventful hospitalization for gastrectomy.

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How to measure quality of surgery as a component of multimodality treatment of gastric cancer

Polkowski,

Gęca,

Skórzewska

2024

Annals of Gastroent Surgery

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Textbook outcome for evaluating the surgical quality of gastrectomy

Ramos,

Gusmão,

Pereira

et al. 2024

Journal of Surgical Oncology

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BackgroundThe textbook outcome (TO) is an indicator to evaluate surgical quality based on clinical, pathological, and surgical outcomes.ObjectiveTo analyze the frequency, factors associated with achievement, and the prognostic impact of TO in gastric cancer treatment.MethodsRetrospective analysis of patients with gastric cancer operated with curative intent from 2009 to 2022 in a reference Cancer Center.ResultsDuring the period, 681 patients were included and 444 (65.2%) achieved TO. Major surgical complications were the most common not‐achieved outcome (16.4%) and intraoperative complications were the most achieved (96.2%). Most of the patients have failed in only 1 outcome (n = 105, 44.3%). Failure to achieve TO was associated with Charlson‐Deyo comorbidity index ≥1 (46.4% vs 34.7%, p = 0.003), American Society of Anesthesiologists classification III/IV (40.1% vs 24.1%, p < 0.001), higher mean neutrophil‐to‐lymphocyte ratio (2.7 vs 3.3, p = 0.024), D1 lymphadenectomy (26.2% vs 15.8%, p = 0.001), and elective postoperative Intensive Care Unit admission (46.4% vs 38.5%, p = 0.046). Disease‐free and overall survival (both p < 0.001) were higher in the TO group even after the exclusion of cases with surgical mortality (p = 0.013 and p = 0.024, respectively).ConclusionsTO was achieved in most of the cases and its failure was associated with poor clinical performance and it impacts both early surgical results as well as long‐term survival.

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Anastomoseninsuffizienzen nach Eingriffen am oberen Gastrointestinaltrakt

Berlth,

Wichmann,

Fusco

et al. 2024

Chirurgie

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Defining benchmarks for total and distal gastrectomy: global multicentre analysis

Cited by 7 publications

References 40 publications

How to measure quality of surgery as a component of multimodality treatment of gastric cancer

How to measure quality of surgery as a component of multimodality treatment of gastric cancer

Textbook outcome for evaluating the surgical quality of gastrectomy

Anastomoseninsuffizienzen nach Eingriffen am oberen Gastrointestinaltrakt

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