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1. Association of modified textbook outcome and overall survival after surgery for colorectal liver metastases: A nationwide analysis

Author

Manusama, Hans Torrenga E., van Heek, Tjarda N., Oosterling, S.J., Voigt, Kelly R., de Graaff, Michelle R., Verhoef, Cornelis, Kazemier, Geert, Swijneburg, Rutger J., Mieog, J.Sven D., Derksen, Wouter J.M., Buis, Carlijn I., Gobardhan, Paul D., Dulk, Marcel den, van Dam, Ronald M., Liem, Mike S.L., Leclercq, Wouter K.G., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Kok, Niels F.M., Patijn, Gijs A., Marsman, H.M., van den Boezem, Peter B., Klaase, Joost M., and Grünhagen, Dirk J.

Published
2024
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2. Prolonged hypothermic machine perfusion enables daytime liver transplantation – an IDEAL stage 2 prospective clinical trial

Author

de Meijer, Vincent E., Brüggenwirth, Isabel M.A., Lantinga, Veerle A., Moers, Cyril, Monbaliu, Diethard, Hofker, Sijbrand H., Bottema, Jan, Franke, Hildegaard S., de Boer, Marieke T., van den Boom, Anne Loes, Buis, Carlijn I., Fouraschen, Suomi M.G., Hoogwater, Frederik J.H., Klaase, Joost M., de Kleine, Ruben H.J., Meerdink, Mark, Nijkamp, Maarten W., Porte, Robert J., Rayar, A. Michel, van den Berg, Aad P., Blokzijl, Hans, Cuperus, Frans J.C., van der Heide, Frans, van Vilsteren, Frederike G.I., Abbasova, Ilhama F., Fernhout, Meine H., Meyer, Peter, Muskiet, Ernesto R.R., Reyntjens, Koen M.E.M., Vos, Jaap J., Zeillemaker, Miriam, Haring, Martijn P.D., Lascaris, Bianca, Pamplona, Carol C., Thorne, Adam M., Veenma, Vivianne, van Leeuwen, Otto B., Bodewes, Silke B., Lisman, Ton, Adelmeijer, Jelle, Wiersema-Buist, Janneke, van den Heuvel, Marius, and de Kleine, Ruben H.

Published
2024
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3. Trends and overall survival after combined liver resection and thermal ablation of colorectal liver metastases: a nationwide population-based propensity score-matched study

Author

Buis, Carlijn I., Hagendoorn, Jeroen, Torrenga, Hans, van Heek, N. Tjarda, Braat, Andries E., Hoogwater, Frederik J.H., Consten, Esther C.J., van der Leij, Christiaan, Patijn, Gijs, de Graaff, Michelle R., Klaase, Joost M., den Dulk, Marcel, Coolsen, Marielle M.E., Kuhlmann, Koert F.D., Verhoef, Cees, Hartgrink, Henk H., Derksen, Wouter J.M., van den Boezem, Peter, Rijken, Arjen M., Gobardhan, Paul, Liem, Mike S.L., Leclercq, Wouter K.G., Marsman, Hendrik A., van Duijvendijk, Peter, Bosscha, Koop, Elfrink, Arthur K.E., Manusama, Eric R., Belt, Eric J. Th., Doornebosch, Pascal G., Oosterling, Steven J., Ruiter, Simeon J.S., Grünhagen, Dirk J., Burgmans, Mark, Meijerink, Martijn, Kok, Niels F.M., and Swijnenburg, Rutger-Jan

Published
2024
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4. Survival of patients with colorectal liver metastases treated with and without preoperative chemotherapy: Nationwide propensity score-matched study

Author

Buis, Carlijn I., Hagendoorn, Jeroen, Derksen, Wouter J.M., Torrenga, Hans, Manusama, Eric, Tjarda van Heek, N., Oosterling, Steven J., Bosscha, Koop, Braat, Andries E., Hoogwater, Frederik J.H., Consten, Esther C.J., van der Leij, Christiaan, Burgmans, Mark C., Liem, Mike S.L., Belt, Eric J.Th, Patijn, Gijs A., de Graaff, Michelle.R., Klaase, Joost M., van Dam, Ronald M., Kuhlmann, Koert F.D., Kazemier, Geert, Swijnenburg, Rutger-Jan, Elfrink, Arthur K.E., Verhoef, Cees, Mieog, J.Sven, van den Boezem, Peter B., Gobardhan, Paul, Rijken, Arjen M., Lips, Daan J., Leclercq, Wouter G.K., Marsman, Hendrik A., van Duijvendijk, Peter, van der Hoeven, Joost A.B., Vermaas, Maarten, Dulk, Marcel den, Grünhagen, Dirk J., and Kok, Niels F.M.

Published
2023
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5. Long-term follow-up of a randomized trial of biliary drainage in perihilar cholangiocarcinoma

Author

Nooijen, Lynn E., Franssen, Stijn, Buis, Carlijn I., Dejong, Cornelis H.C., den Dulk, Marcel, van Delden, Otto M., Ijzermans, Jan N., Groot Koerkamp, Bas, Kazemier, Geert, van Lienden, Krijn, Klümpen, Heinz-Josef, Kuipers, Hendrien, Olij, Bram, Porte, Robert J., Rauws, Erik A., Voermans, Rogier P., van Gulik, Thomas M., Erdmann, Joris I., Roos, E., and Coelen, R.J.

Published
2023
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6. Defining Textbook Outcome in liver surgery and assessment of hospital variation: A nationwide population-based study

Author

Manusama, Eric. R, van Belt, Eric J.T., Bosscha, Koop, Vermaas, Maarten, Oosterling, Steven J., Besselink, Marc G.H., de Boer, Marieke T., Braat, Andries E., Hagendoorn, Jeroen, Patijn, Gijs A., Hoogwater, Frederik J.H., Tjarda van Heek, N., Consten, Esther C.J., Molenaar, Quintus, van Delden, Otto M., van der Leij, Christiaan, Moelker, Adriaan, Prevoo, Warner, Gulik, Thomas M. van, Burgmans, Mark C., te Riele, Wouter W., de Graaff, Michelle R., Elfrink, Arthur K.E., Buis, Carlijn I., Swijnenburg, Rutger-Jan, Erdmann, Joris I., Kazemier, Geert, Verhoef, Cornelis, Mieog, J. Sven D., Derksen, Wouter J.M., van den Boezem, Peter B., Ayez, Ninos, Liem, Mike S.L., Leclercq, Wouter K.G, Kuhlmann, Koert F.D., Marsman, Hendrik A., van Duijvendijk, Peter, Kok, Niels F.M., Klaase, Joost M., Dejong, Cornelis H.C., Grünhagen, Dirk J., and den Dulk, Marcel

Published
2022
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8. Nationwide oncological networks for resection of colorectal liver metastases in the Netherlands: Differences and postoperative outcomes

Author

Dejong, Cornelis H.C., Besselink, Marc G.H., de Boer, Marieke T., Braat, Andries E., Hagendoorn, Jeroen, Hoogwater, Frederik J.H., Molenaar, I. Quintus, Elfrink, Arthur K.E., Kok, Niels F.M., Swijnenburg, Rutger-Jan, den Dulk, Marcel, van den Boezem, Peter B., Hartgrink, Henk H., te Riele, Wouter W., Patijn, Gijs A., Leclercq, Wouter K.G., Lips, Daan J., Ayez, Ninos, Verhoef, Cornelis, Kuhlmann, Koert F.D., Buis, Carlijn I., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, van Heek, N.Tjarda, Oosterling, Steven J., Torrenga, Hans, Eker, Hasan H., Consten, Esther C.J., Marsman, Hendrik A., Kazemier, Geert, Wouters, Michel W.J.M., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2022
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9. Hospital variation and outcomes of simultaneous resection of primary colorectal tumour and liver metastases: a population-based study

Author

Manusama, Eric R., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Consten, Esther C.J., van Heek, N.T., Oosterling, Steven J., Besselink, Marc G.H., de Boer, Marieke T., Braat, Andries E., DeJong, Cornelis H.C., Hagendoorn, Jeroen, Molenaar, I.Q., Patijn, Gijs A., Marsman, Hendrik A., Hoogwater, Frederik J.H., Krul, Myrtle F., Elfrink, Arthur K.E., Buis, Carlijn I., Swijnenburg, Rutger-Jan, te Riele, Wouter W., Verhoef, Cornelis, Gobardhan, Paul D., Dulk, Marcel den, Liem, Mike S.L., Tanis, Pieter J., Mieog, J.S.D., van den Boezem, Peter B., Leclercq, Wouter K.G., Nieuwenhuijs, Vincent B., Gerhards, Michael F., Klaase, Joost M., Grünhagen, Dirk J., Kok, Niels F.M., and Kuhlmann, Koert F.D.

Published
2022
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11. Factors associated with failure to rescue after liver resection and impact on hospital variation: a nationwide population-based study

Author

te Riele, Wouter W., Buis, Carlijn I., Patijn, Gijs A., Braat, Andries E., Dejong, Cornelis H.C., Hoogwater, Frederik J.H., Molenaar, I.Q., Besselink, Marc G.H., Verhoef, Cornelis, Eker, Hasan H., van der Hoeven, Joost A.B., van Heek, N. Tjarda, Torrenga, Hans, Bosscha, Koop, Vermaas, Maarten, Consten, Esther C.J., Oosterling, Steven J., Elfrink, Arthur K.E., Olthof, Pim B., Swijnenburg, Rutger-Jan, den Dulk, Marcel, de Boer, Marieke T., Mieog, J. Sven D., Hagendoorn, Jeroen, Kazemier, Geert, van den Boezem, Peter B., Rijken, Arjen M., Liem, Mike S.L., Leclercq, Wouter K.G., Kuhlmann, Koert F.D., Marsman, Hendrik A., Ijzermans, Jan N.M., van Duijvendijk, Peter, Erdmann, Joris I., Kok, Niels F.M., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2021
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13. Prolonged hypothermic machine perfusion enables daytime liver transplantation – an IDEAL stage 2 prospective clinical trial

Author

Brüggenwirth, Isabel M.A., primary, Lantinga, Veerle A., additional, Lascaris, Bianca, additional, Thorne, Adam M., additional, Meerdink, Mark, additional, de Kleine, Ruben H., additional, Blokzijl, Hans, additional, van den Berg, Aad P., additional, Reyntjens, Koen M.E.M., additional, Lisman, Ton, additional, Porte, Robert J., additional, de Meijer, Vincent E., additional, Brüggenwirth, Isabel M.A., additional, Moers, Cyril, additional, Monbaliu, Diethard, additional, Hofker, Sijbrand H., additional, Bottema, Jan, additional, Franke, Hildegaard S., additional, de Boer, Marieke T., additional, van den Boom, Anne Loes, additional, Buis, Carlijn I., additional, Fouraschen, Suomi M.G., additional, Hoogwater, Frederik J.H., additional, Klaase, Joost M., additional, de Kleine, Ruben H.J., additional, Nijkamp, Maarten W., additional, Rayar, A. Michel, additional, Cuperus, Frans J.C., additional, van der Heide, Frans, additional, van Vilsteren, Frederike G.I., additional, Abbasova, Ilhama F., additional, Fernhout, Meine H., additional, Meyer, Peter, additional, Muskiet, Ernesto R.R., additional, Vos, Jaap J., additional, Zeillemaker, Miriam, additional, Haring, Martijn P.D., additional, Pamplona, Carol C., additional, Veenma, Vivianne, additional, van Leeuwen, Otto B., additional, Bodewes, Silke B., additional, Adelmeijer, Jelle, additional, Wiersema-Buist, Janneke, additional, and van den Heuvel, Marius, additional

Published
2024
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14. Short-term postoperative outcomes after liver resection in the elderly patient: a nationwide population-based study

Author

Eker, Hasan H., Belt, Eric T.J., van Heek, N.Tjarda, Torrenga, Hans, Bosscha, Koop, Doornebosch, Pascal, Consten, Esther C.J., Oosterling, Steven J., de Boer, Marieke T., Besselink, Marc G.H., Dejong, Cornelis H.C., te Riele, Wouter W., Hoogwater, Frederik J.H., Liem, Mike S.L., Molenaar, I.Quintus, Swijnenburg, Rutger-Jan, Braat, Andries E., Elfrink, Arthur K.E., Kok, Niels F.M., den Dulk, Marcel, Buis, Carlijn I., Kazemier, Geert, Ijzermans, Jan N.M., Lam, Hwai-Ding, Hagendoorn, Jeroen, van den Boezem, Peter B., Ayez, Ninos, Zonderhuis, Babs M., Lips, Daan J., Leclercq, Wouter K.G., Kuhlmann, Koert F.D., Marsman, Hendrik A., Verhoef, Cornelis, Patijn, Gijs A., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2021
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15. Surgical outcomes of laparoscopic and open resection of benign liver tumours in the Netherlands: a nationwide analysis

Author

den Dulk, Marcel, de Boer, Marieke T., Besselink, Marc G.H., Dejong, Cees H.C., Hagendoorn, Jeroen, Hoogwater, Frederik J.H., Liem, Mike S.L., Quintus Molenaar, I., Buis, Carlijn I., Verhoef, Cornelis, Patijn, Gijs A., Ayez, Ninos, Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Sietses, Colin, Oosterling, Steven J., Torrenga, Hans, Eker, Hasan, Consten, Esther C.J., Marsman, Hendrik A., Elfrink, Arthur K.E., Haring, Martijn P.D., de Meijer, Vincent E., Ijzermans, Jan N.M., Swijnenburg, Rutger-Jan, Braat, Andries E., Erdmann, Joris I., Terkivatan, Türkan, te Riele, Wouter W., van den Boezem, Peter B., Coolsen, Marielle M.E., Leclercq, Wouter K.G., Lips, Daan J., de Wilde, Roeland F., Kok, Niels F.M., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2021
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16. Hospital variation in combined liver resection and thermal ablation for colorectal liver metastases and impact on short-term postoperative outcomes: a nationwide population-based study

Author

te Riele, Wouter W., de Boer, Marieke T., Dejong, Cees H.C., van Gulik, Thomas H., Hoogwater, Frederik J.H., Molenaar, I.Q., van der Leij, Christiaan, Moelker, Adriaan, Besselink, Marc G.H., Buis, Carlijn I., den Dulk, Marcel, Bosscha, Koop, Belt, Eric J.Th., Vermaas, Maarten, van Heek, Tjarda N.T., Oosterling, Steven J., Torrenga, Hans, Eker, Hasan H., Consten, Esther C.J., Elfrink, Arthur K.E., Nieuwenhuizen, Sanne, van den Tol, M. Petrousjka, Burgmans, Mark C., Prevoo, Warner, Coolsen, Marielle M.E., van den Boezem, Peter B., van Delden, Otto M., Hagendoorn, Jeroen, Patijn, Gijs A., Leclercq, Wouter K.G., Liem, Mike S.L., Rijken, Arjen M., Verhoef, Cornelis, Kuhlmann, Koert F.D., Ruiter, Simeon J.S., Grünhagen, Dirk J., Klaase, Joost M., Kok, Niels F.M., Meijerink, Martijn R., and Swijnenburg, Rutger-Jan

Published
2021
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17. Case-mix adjustment to compare nationwide hospital performances after resection of colorectal liver metastases

Author

Besselink, Marc G.H., de Boer, Marieke T., Dejong, Cees H.C., van Gulik, Thomas M., Hagendoorn, Jeroen, Hoogwater, Frederik H.J., Molenaar, I. Quintus, Liem, Mike S.L., Elfrink, Arthur K.E., van Zwet, Erik W., Swijnenburg, Rutger-Jan, den Dulk, Marcel, van den Boezem, Peter B., Mieog, J. Sven D., te Riele, Wouter W., Patijn, Gijs A., Leclercq, Wouter K.G., Lips, Daan J., Rijken, Arjen M., Verhoef, Cornelis, Kuhlmann, Koert F.D., Buis, Carlijn I., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, van Heek, N. Tjarda, Oosterling, Steven J., Torrenga, Hans, Eker, Hasan H., Consten, Esther C.J., Marsman, Hendrik A., Wouters, Michel W.J.M., Kok, Niels F.M., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2021
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18. Association of modified textbook outcome and overall survival after surgery for colorectal liver metastases:A nationwide analysis

Author

Voigt, Kelly R., de Graaff, Michelle R., Verhoef, Cornelis, Kazemier, Geert, Swijneburg, Rutger J., Mieog, J. Sven D., Derksen, Wouter J.M., Buis, Carlijn I., Gobardhan, Paul D., Dulk, Marcel den, van Dam, Ronald M., Liem, Mike S.L., Leclercq, Wouter K.G., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Kok, Niels F.M., Patijn, Gijs A., Marsman, H. M., van den Boezem, Peter B., Klaase, Joost M., Grünhagen, Dirk J., Voigt, Kelly R., de Graaff, Michelle R., Verhoef, Cornelis, Kazemier, Geert, Swijneburg, Rutger J., Mieog, J. Sven D., Derksen, Wouter J.M., Buis, Carlijn I., Gobardhan, Paul D., Dulk, Marcel den, van Dam, Ronald M., Liem, Mike S.L., Leclercq, Wouter K.G., Bosscha, Koop, Belt, Eric J.T., Vermaas, Maarten, Kok, Niels F.M., Patijn, Gijs A., Marsman, H. M., van den Boezem, Peter B., Klaase, Joost M., and Grünhagen, Dirk J.

Abstract

Background: Textbook outcome (TO) represents a multidimensional quality measurement, encompassing the desirable short-term outcomes following surgery. This study aimed to investigate whether achieving TO after resection of colorectal liver metastases (CRLM) surgery is related to better overall survival (OS) in a national cohort. Method: Data was retrieved from the Dutch Hepato Biliary Audit. A modified definition of TO (mTO) was used because readmissions were only recorded from 2019. mTO was achieved when no severe postoperative complications, mortality, prolonged length of hospital stay, occurred and when adequate surgical resection margins were obtained. To compare outcomes of patients with and without mTO and reduce baseline differences between both groups propensity score matching (PSM) was used for patients operated on between 2014 and 2018. Results: Out of 6525 eligible patients, 81 % achieved mTO. For the cohort between 2014 and 2018, those achieving mTO had a 5-year OS of 46.7 % (CI 44.8–48.6) while non-mTO patients had a 5-year OS of 33.7 % (CI 29.8–38.2), p < 0.001. Not achieving mTO was associated with a worse OS (aHR 1.34 (95 % CI 1.17–1.53), p < 0.001. Median follow-up was 76 months., PSM assigned 519 patients to each group. In the PSM cohort patients achieving mTO, 5-year OS was 43.6 % (95 % CI 39.2–48.5) compared to 36.4 % (95 % CI 31.9–41.2) in patients who did not achieve mTO, p = 0.006. Conclusion: Achieving mTO is associated with improved long-term survival. This emphasizes the importance of optimising perioperative care and reducing postoperative complications in surgical treatment of CRLM.

Published
2024

19. Trends and overall survival after combined liver resection and thermal ablation of colorectal liver metastases:a nationwide population-based propensity score-matched study

Author

de Graaff, Michelle R., Klaase, Joost M., den Dulk, Marcel, Coolsen, Marielle M.E., Kuhlmann, Koert F.D., Verhoef, Cees, Hartgrink, Henk H., Derksen, Wouter J.M., van den Boezem, Peter, Rijken, Arjen M., Gobardhan, Paul, Liem, Mike S.L., Leclercq, Wouter K.G., Marsman, Hendrik A., van Duijvendijk, Peter, Bosscha, Koop, Elfrink, Arthur K.E., Manusama, Eric R., Belt, Eric J.Th, Doornebosch, Pascal G., Oosterling, Steven J., Ruiter, Simeon J.S., Grünhagen, Dirk J., Burgmans, Mark, Meijerink, Martijn, Kok, Niels F.M., Swijnenburg, Rutger Jan, Buis, Carlijn I., Hagendoorn, Jeroen, Torrenga, Hans, van Heek, N. Tjarda, Braat, Andries E., Hoogwater, Frederik J.H., Consten, Esther C.J., van der Leij, Christiaan, Patijn, Gijs, de Graaff, Michelle R., Klaase, Joost M., den Dulk, Marcel, Coolsen, Marielle M.E., Kuhlmann, Koert F.D., Verhoef, Cees, Hartgrink, Henk H., Derksen, Wouter J.M., van den Boezem, Peter, Rijken, Arjen M., Gobardhan, Paul, Liem, Mike S.L., Leclercq, Wouter K.G., Marsman, Hendrik A., van Duijvendijk, Peter, Bosscha, Koop, Elfrink, Arthur K.E., Manusama, Eric R., Belt, Eric J.Th, Doornebosch, Pascal G., Oosterling, Steven J., Ruiter, Simeon J.S., Grünhagen, Dirk J., Burgmans, Mark, Meijerink, Martijn, Kok, Niels F.M., Swijnenburg, Rutger Jan, Buis, Carlijn I., Hagendoorn, Jeroen, Torrenga, Hans, van Heek, N. Tjarda, Braat, Andries E., Hoogwater, Frederik J.H., Consten, Esther C.J., van der Leij, Christiaan, and Patijn, Gijs

Abstract

Background: In colorectal liver metastases (CRLM) patients, combination of liver resection and ablation permit a more parenchymal-sparing approach. This study assessed trends in use of combined resection and ablation, outcomes, and overall survival (OS). Methods: This population-based study included all CRLM patients who underwent liver resection between 2014 and 2022. To assess OS, data was linked to two databases containing date of death for patients treated between 2014 and 2018. Hospital variation in the use of combined minor liver resection and ablation versus major liver resection alone in patients with 2–3 CRLM and ≤3 cm was assessed. Propensity score matching (PSM) was applied to evaluate outcomes. Results: This study included 3593 patients, of whom 1336 (37.2%) underwent combined resection and ablation. Combined resection increased from 31.7% in 2014 to 47.9% in 2022. Significant hospital variation (range 5.9–53.8%) was observed in the use of combined minor liver resection and ablation. PSM resulted in 1005 patients in each group. Major morbidity was not different (11.6% vs. 5%, P = 1.00). Liver failure occurred less often after combined resection and ablation (1.9% vs. 0.6%, P = 0.017). Five-year OS rates were not different (39.3% vs. 33.9%, P = 0.145). Conclusion: Combined resection and ablation should be available and considered as an alternative to resection alone in any patient with multiple metastases.

Published
2024

20. Population-based study on practice variation regarding preoperative systemic chemotherapy in patients with colorectal liver metastases and impact on short-term outcomes

Author

de Boer, Marieke T., Besselink, Marc G.H., Dejong, Cees H.C., van Gulik, Thomas H., Hagendoorn, Jeroen, Hoogwater, Frederik J.H., Liem, Mike S.L., Molenaar, I. Quintus, Patijn, Gijs A., Bosscha, Koop, Belt, Eric J.Th, Vermaas, Maarten, Gerhards, Michael F., van Heek, N.T., Oosterling, Steven J., Torrenga, Hans, Eker, Hasan H., Consten, Esther C.J., van Duijvendijk, Peter, Elfrink, Arthur K.E., Kok, Niels F.M., van der Werf, Leonie R., Krul, Myrtle F., Marra, Elske, Wouters, Michel W.J.M., Verhoef, Cornelis, Kuhlmann, Koert F.D., den Dulk, Marcel, Swijnenburg, Rutger-Jan, te Riele, Wouter W., van den Boezem, Peter B., Leclercq, Wouter K.G., Lips, Daan J., Nieuwenhuijs, Vincent B., Gobardhan, Paul D., Hartgrink, Henk H., Buis, Carlijn I., Grünhagen, Dirk J., and Klaase, Joost M.

Published
2020
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21. Association of modified textbook outcome and overall survival after surgery for colorectal liver metastases: A nationwide analysis

Author

Voigt, Kelly R., primary, de Graaff, Michelle R., additional, Verhoef, Cornelis, additional, Kazemier, Geert, additional, Swijneburg, Rutger J., additional, Mieog, J.Sven D., additional, Derksen, Wouter J.M., additional, Buis, Carlijn I., additional, Gobardhan, Paul D., additional, Dulk, Marcel den, additional, van Dam, RonaldM., additional, Liem, Mike S.L., additional, Leclercq, Wouter K.G., additional, Bosscha, Koop, additional, Belt, Eric J.T., additional, Vermaas, Maarten, additional, Kok, Niels F.M., additional, Patijn, Gijs A., additional, Marsman, H.M., additional, van den Boezem, Peter B., additional, Klaase, Joost M., additional, Grünhagen, Dirk J., additional, Manusama, Hans Torrenga E., additional, van Heek, Tjarda N., additional, and Oosterling, S.J., additional

Published
2024
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22. Trends and overall survival after combined liver resection and thermal ablation of colorectal liver metastases: a nationwide population-based propensity score-matched study

Author

de Graaff, Michelle R., primary, Klaase, Joost M., additional, den Dulk, Marcel, additional, Coolsen, Marielle M.E., additional, Kuhlmann, Koert F.D., additional, Verhoef, Cees, additional, Hartgrink, Henk H., additional, Derksen, Wouter J.M., additional, van den Boezem, Peter, additional, Rijken, Arjen M., additional, Gobardhan, Paul, additional, Liem, Mike S.L., additional, Leclercq, Wouter K.G., additional, Marsman, Hendrik A., additional, van Duijvendijk, Peter, additional, Bosscha, Koop, additional, Elfrink, Arthur K.E., additional, Manusama, Eric R., additional, Belt, Eric J. Th., additional, Doornebosch, Pascal G., additional, Oosterling, Steven J., additional, Ruiter, Simeon J.S., additional, Grünhagen, Dirk J., additional, Burgmans, Mark, additional, Meijerink, Martijn, additional, Kok, Niels F.M., additional, Swijnenburg, Rutger-Jan, additional, Buis, Carlijn I., additional, Hagendoorn, Jeroen, additional, Torrenga, Hans, additional, van Heek, N. Tjarda, additional, Braat, Andries E., additional, Hoogwater, Frederik J.H., additional, Consten, Esther C.J., additional, van der Leij, Christiaan, additional, and Patijn, Gijs, additional

Published
2024
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23. Implementation and first results of a mandatory, nationwide audit on liver surgery

Author

de Boer, Marieke T., Besselink, Marc G.H., van Gullik, Thomas M., Hagendoorn, Jeroen, van Hillegersberg, Richard, Liem, Mike S.L., Molenaar, I.Quintus, Patijn, Gijs A., Porte, Robert J., te Riele, Wouter W., van Santvoort, Hjalmar C., Verhoef, Kees, Burgmans, Marc C., van Delden, Otto M., van der Leij, Christiaan, Meijerink, Martijn R., Moelker, Adriaan, Prevoo, Warner, van der Werf, Leonie R., Kok, Niels F.M., Buis, Carlijn I., Grünhagen, Dirk J., Hoogwater, Frederik J.H., Swijnenburg, Rutger Jan, den Dulk, Marcel, Dejong, Kees C.H.C., and Klaase, Joost M.

Published
2019
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24. Survival of patients with colorectal liver metastases treated with and without preoperative chemotherapy: Nationwide propensity score-matched study

Author

de Graaff, Michelle.R., primary, Klaase, Joost M., additional, van Dam, Ronald M., additional, Kuhlmann, Koert F.D., additional, Kazemier, Geert, additional, Swijnenburg, Rutger-Jan, additional, Elfrink, Arthur K.E., additional, Verhoef, Cees, additional, Mieog, J.Sven, additional, van den Boezem, Peter B., additional, Gobardhan, Paul, additional, Rijken, Arjen M., additional, Lips, Daan J., additional, Leclercq, Wouter G.K., additional, Marsman, Hendrik A., additional, van Duijvendijk, Peter, additional, van der Hoeven, Joost A.B., additional, Vermaas, Maarten, additional, Dulk, Marcel den, additional, Grünhagen, Dirk J., additional, Kok, Niels F.M., additional, Buis, Carlijn I., additional, Hagendoorn, Jeroen, additional, Derksen, Wouter J.M., additional, Torrenga, Hans, additional, Manusama, Eric, additional, Tjarda van Heek, N., additional, Oosterling, Steven J., additional, Bosscha, Koop, additional, Braat, Andries E., additional, Hoogwater, Frederik J.H., additional, Consten, Esther C.J., additional, van der Leij, Christiaan, additional, Burgmans, Mark C., additional, Liem, Mike S.L., additional, Belt, Eric J.Th, additional, and Patijn, Gijs A., additional

Published
2023
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25. Endoscopic versus percutaneous biliary drainage in patients with resectable perihilar cholangiocarcinoma: a multicentre, randomised controlled trial

Author

Coelen, Robert J S, Roos, Eva, Wiggers, Jimme K, Besselink, Marc G, Buis, Carlijn I, Busch, Olivier R C, Dejong, Cornelis H C, van Delden, Otto M, van Eijck, Casper H J, Fockens, Paul, Gouma, Dirk J, Koerkamp, Bas Groot, de Haan, Michiel W, van Hooft, Jeanin E, IJzermans, Jan N M, Kater, G Matthijs, Koornstra, Jan J, van Lienden, Krijn P, Moelker, Adriaan, Damink, Steven W M Olde, Poley, Jan-Werner, Porte, Robert J, de Ridder, Rogier J, Verheij, Joanne, van Woerden, Victor, Rauws, Erik A J, Dijkgraaf, Marcel G W, and van Gulik, Thomas M

Published
2018
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26. A nationwide assessment of hepatocellular adenoma resection:Indications and pathological discordance

Author

Haring, Martijn P D, Elfrink, Arthur K E, Oudmaijer, Christiaan A J, Andel, Paul C M, Furumaya, Alicia, de Jong, Nenke, Willems, Colin J J M, Huits, Thijs, Sijmons, Julie M L, Belt, Eric J T, Bosscha, Koop, Consten, Esther C J, Coolsen, Mariëlle M E, van Duijvendijk, Peter, Erdmann, Joris I, Gobardhan, Paul, de Haas, Robbert J, van Heek, Tjarda, Lam, Hwai-Ding, Leclercq, Wouter K G, Liem, Mike S L, Marsman, Hendrik A, Patijn, Gijs A, Terkivatan, Türkan, Zonderhuis, Babs M, Molenaar, Izaak Quintus, Te Riele, Wouter W, Hagendoorn, Jeroen, Schaapherder, Alexander F M, IJzermans, Jan N M, Buis, Carlijn I, Klaase, Joost M, de Jong, Koert P, de Meijer, Vincent E, Haring, Martijn P D, Elfrink, Arthur K E, Oudmaijer, Christiaan A J, Andel, Paul C M, Furumaya, Alicia, de Jong, Nenke, Willems, Colin J J M, Huits, Thijs, Sijmons, Julie M L, Belt, Eric J T, Bosscha, Koop, Consten, Esther C J, Coolsen, Mariëlle M E, van Duijvendijk, Peter, Erdmann, Joris I, Gobardhan, Paul, de Haas, Robbert J, van Heek, Tjarda, Lam, Hwai-Ding, Leclercq, Wouter K G, Liem, Mike S L, Marsman, Hendrik A, Patijn, Gijs A, Terkivatan, Türkan, Zonderhuis, Babs M, Molenaar, Izaak Quintus, Te Riele, Wouter W, Hagendoorn, Jeroen, Schaapherder, Alexander F M, IJzermans, Jan N M, Buis, Carlijn I, Klaase, Joost M, de Jong, Koert P, and de Meijer, Vincent E

Abstract

Hepatocellular adenomas (HCAs) are benign liver tumors associated with bleeding or malignant transformation. Data on the indication for surgery are scarce. We analyzed indications and outcome of patients operated for HCAs < 50 mm compared to HCAs ≥ 50 mm. Changes in final postoperative diagnosis were assessed. We performed a retrospective study that included patients who underwent resection for (suspected) HCAs in the Netherlands from 2014 to 2019. Indication for resection was analyzed and stratified for small (<50 mm) and large (≥50 mm) tumors. Logistic regression analysis was performed on factors influencing change in tumor diagnosis. Out of 222 patients who underwent surgery, 44 (20%) patients had a tumor <50 mm. Median age was 46 (interquartile range [IQR], 33-56) years in patients with small tumors and 37 (IQR, 31-46) years in patients with large tumors (p = 0.016). Patients with small tumors were more frequently men (21% vs. 5%, p = 0.002). Main indications for resection in patients with small tumors were suspicion of (pre)malignancy (55%), (previous) bleeding (14%), and male sex (11%). Patients with large tumors received operations because of tumor size >50 mm (52%), suspicion of (pre)malignancy (28%), and (previous) bleeding (5.1%). No difference was observed in HCA-subtype distribution between small and large tumors. Ninety-six (43%) patients had a postoperative change in diagnosis. Independent risk factors for change in diagnosis were tumor size <50 mm (adjusted odds ratio [aOR], 3.4; p < 0.01), male sex (aOR, 3.7; p = 0.03), and lack of hepatobiliary contrast-enhanced magnetic resonance imaging (CE-MRI) (aOR, 1.8; p = 0.04). Resection for small (suspected) HCAs was mainly indicated by suspicion of (pre)malignancy, whereas for large (suspected) HCAs, tumor size was the most prevalent indication. Male sex, tumor size <50 mm, and lack of hepatobiliary CE-MRI were independent risk factors for postoperative change in tumor diagnosis.

Published
2023

27. Defining Textbook Outcome in liver surgery and assessment of hospital variation: A nationwide population-based study

Author

de Graaff, Michelle R., primary, Elfrink, Arthur K.E., additional, Buis, Carlijn I., additional, Swijnenburg, Rutger-Jan, additional, Erdmann, Joris I., additional, Kazemier, Geert, additional, Verhoef, Cornelis, additional, Mieog, J. Sven D., additional, Derksen, Wouter J.M., additional, van den Boezem, Peter B., additional, Ayez, Ninos, additional, Liem, Mike S.L., additional, Leclercq, Wouter K.G, additional, Kuhlmann, Koert F.D., additional, Marsman, Hendrik A., additional, van Duijvendijk, Peter, additional, Kok, Niels F.M., additional, Klaase, Joost M., additional, Dejong, Cornelis H.C., additional, Grünhagen, Dirk J., additional, den Dulk, Marcel, additional, Manusama, Eric. R, additional, van Belt, Eric J.T., additional, Bosscha, Koop, additional, Vermaas, Maarten, additional, Oosterling, Steven J., additional, Besselink, Marc G.H., additional, de Boer, Marieke T., additional, Braat, Andries E., additional, Hagendoorn, Jeroen, additional, Patijn, Gijs A., additional, Hoogwater, Frederik J.H., additional, Tjarda van Heek, N., additional, Consten, Esther C.J., additional, Molenaar, Quintus, additional, van Delden, Otto M., additional, van der Leij, Christiaan, additional, Moelker, Adriaan, additional, Prevoo, Warner, additional, Gulik, Thomas M. van, additional, Burgmans, Mark C., additional, and te Riele, Wouter W., additional

Published
2022
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28. Postoperative muscle loss, protein intake, physical activity and outcome associations

Author

Hogenbirk, Rianne N M, primary, van der Plas, Willemijn Y, additional, Hentzen, Judith E K R, additional, van Wijk, Laura, additional, Wijma, Allard G, additional, Buis, Carlijn I, additional, Viddeleer, Alain R, additional, de Bock, Geertruida H, additional, van der Schans, Cees P, additional, van Dam, Gooitzen M, additional, Kruijff, Schelto, additional, and Klaase, Joost M, additional

Published
2022
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31. Hospital variation and outcomes of simultaneous resection of primary colorectal tumour and liver metastases: a population-based study

Author

Krul, Myrtle F., Elfrink, Arthur K.E., Buis, Carlijn I., Swijnenburg, Rutger-Jan, Riele, Wouter W. te, Verhoef, Cornelis, Boezem, P.B. van den, Kok, Niels F.M., Kuhlmann, Koert F.D., Krul, Myrtle F., Elfrink, Arthur K.E., Buis, Carlijn I., Swijnenburg, Rutger-Jan, Riele, Wouter W. te, Verhoef, Cornelis, Boezem, P.B. van den, Kok, Niels F.M., and Kuhlmann, Koert F.D.

Abstract

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Published
2022

32. Improved preoperative aerobic fitness following a home-based bimodal prehabilitation programme in high-risk patients scheduled for liver or pancreatic resection

Author

van Wijk, Laura, Bongers, Bart C., Berkel, Annefleur E.M., Buis, Carlijn I., Reudink, Muriël, Liem, Mike S.L., Slooter, Gerrit D., van Meeteren, Nico L.U., Klaase, Joost M., van Wijk, Laura, Bongers, Bart C., Berkel, Annefleur E.M., Buis, Carlijn I., Reudink, Muriël, Liem, Mike S.L., Slooter, Gerrit D., van Meeteren, Nico L.U., and Klaase, Joost M.

Published
2022

33. Defining Textbook Outcome in liver surgery and assessment of hospital variation:A nationwide population-based study

Author

de Graaff, Michelle R, Elfrink, Arthur K E, Buis, Carlijn I, Swijnenburg, Rutger-Jan, Erdmann, Joris I, Kazemier, Geert, Verhoef, Cornelis, Mieog, J Sven D, Derksen, Wouter J M, van den Boezem, Peter B, Ayez, Ninos, Liem, Mike S L, Leclercq, Wouter K G, Kuhlmann, Koert F D, Marsman, Hendrik A, van Duijvendijk, Peter, Kok, Niels F M, Klaase, Joost M, Dejong, Cornelis H C, Grünhagen, Dirk J, den Dulk, Marcel, de Graaff, Michelle R, Elfrink, Arthur K E, Buis, Carlijn I, Swijnenburg, Rutger-Jan, Erdmann, Joris I, Kazemier, Geert, Verhoef, Cornelis, Mieog, J Sven D, Derksen, Wouter J M, van den Boezem, Peter B, Ayez, Ninos, Liem, Mike S L, Leclercq, Wouter K G, Kuhlmann, Koert F D, Marsman, Hendrik A, van Duijvendijk, Peter, Kok, Niels F M, Klaase, Joost M, Dejong, Cornelis H C, Grünhagen, Dirk J, and den Dulk, Marcel

Abstract

Introduction: Textbook outcome (TO) is a composite outcome measure covering the surgical care process in a single outcome measure. TO has an advantage over single outcome parameters with low event rates, which have less discriminating impact to detect differences between hospitals. This study aimed to assess factors associated with TO, and evaluate hospital and network variation after case-mix correction in TO rates for liver surgery. Methods: This was a population-based retrospective study of all patients who underwent liver resection for malignancy in the Netherlands in 2019 and 2020. TO was defined as absence of severe postoperative complications, mortality, prolonged length of hospital stay, and readmission, and obtaining adequate resection margins. Multivariable logistic regression was used for case-mix adjustment. Results: 2376 patients were included. TO was accomplished in 1380 (80%) patients with colorectal liver metastases, in 192 (76%) patients with other liver metastases, in 183 (74%) patients with hepatocellular carcinoma and 86 (51%) patients with biliary cancers. Factors associated with lower TO rates for CRLM included ASA score ≥3 (aOR 0.70, CI 0.51–0.95 p = 0.02), extrahepatic disease (aOR 0.64, CI 0.44–0.95, p = 0.02), tumour size >55 mm on preoperative imaging (aOR 0.56, CI 0.34–0.94, p = 0.02), Charlson Comorbidity Index ≥2 (aOR 0.73, CI 0.54–0.98, p = 0.04), and major liver resection (aOR 0.50, CI 0.36–0.69, p < 0.001). After case-mix correction, no significant hospital or oncological network variation was observed. Conclusion: TO differs between indications for liver resection and can be used to assess between hospital and network differences.

Published
2022

34. Postoperative muscle loss, protein intake, physical activity and outcome associations.

Author

Hogenbirk, Rianne N. M., van der Plas, Willemijn Y., Hentzen, Judith E. K. R., van Wijk, Laura, Wijma, Allard G., Buis, Carlijn I., Viddeleer, Alain R., de Bock, Geertruida H., van der Schans, Cees P., van Dam, Gooitzen M., Kruijff, Schelto, and Klaase, Joost M.

Subjects
PHYSICAL activity, QUADRICEPS muscle, MUSCLE strength, LEG muscles, ARM muscles
Abstract

Background: Skeletal muscle loss is often observed in intensive care patients. However, little is known about postoperative muscle loss, its associated risk factors, and its long-term consequences. The aim of this prospective observational study is to identify the incidence of and risk factors for surgery-related muscle loss (SRML) after major abdominal surgery, and to study the impact of SRML on fatigue and survival. Methods: Patients undergoing major abdominal cancer surgery were included in the MUSCLE POWER STUDY. Muscle thickness was measured by ultrasound in three muscles bilaterally (biceps brachii, rectus femoris, and vastus intermedius). SRML was defined as a decline of 10 per cent or more in diameter in at least one arm and leg muscle within 1 week postoperatively. Postoperative physical activity and nutritional intake were assessed using motility devices and nutritional diaries. Fatigue was measured with questionnaires and 1-year survival was assessed with Cox regression analysis. Results: A total of 173 patients (55 per cent male; mean (s.d.) age 64.3 (11.9) years) were included, 68 of whom patients (39 per cent) showed SRML. Preoperative weight loss and postoperative nutritional intake were statistically significantly associated with SRML in multivariable logistic regression analysis (P<0.050). The combination of insufficient postoperative physical activity and nutritional intake had an odds ratio of 4.00 (95 per cent c.i. 1.03 to 15.47) of developing SRML (P= 0.045). No association with fatigue was observed. SRML was associated with decreased 1-year survival (hazard ratio 4.54, 95 per cent c.i. 1.42 to 14.58; P=0.011). Conclusion: SRML occurred in 39 per cent of patients after major abdominal cancer surgery, and was associated with a decreased 1-year survival. [ABSTRACT FROM AUTHOR]

Published
2023
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35. Nationwide oncological networks for resection of colorectal liver metastases in the Netherlands: Differences and postoperative outcomes

Author

Elfrink, Arthur K.E., primary, Kok, Niels F.M., additional, Swijnenburg, Rutger-Jan, additional, den Dulk, Marcel, additional, van den Boezem, Peter B., additional, Hartgrink, Henk H., additional, te Riele, Wouter W., additional, Patijn, Gijs A., additional, Leclercq, Wouter K.G., additional, Lips, Daan J., additional, Ayez, Ninos, additional, Verhoef, Cornelis, additional, Kuhlmann, Koert F.D., additional, Buis, Carlijn I., additional, Bosscha, Koop, additional, Belt, Eric J.T., additional, Vermaas, Maarten, additional, van Heek, N.Tjarda, additional, Oosterling, Steven J., additional, Torrenga, Hans, additional, Eker, Hasan H., additional, Consten, Esther C.J., additional, Marsman, Hendrik A., additional, Kazemier, Geert, additional, Wouters, Michel W.J.M., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, Dejong, Cornelis H.C., additional, Besselink, Marc G.H., additional, de Boer, Marieke T., additional, Braat, Andries E., additional, Hagendoorn, Jeroen, additional, Hoogwater, Frederik J.H., additional, and Molenaar, I. Quintus, additional

Published
2022
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36. Hospital variation and outcomes of simultaneous resection of primary colorectal tumour and liver metastases: a population-based study

Author

Krul, Myrtle F., primary, Elfrink, Arthur K.E., additional, Buis, Carlijn I., additional, Swijnenburg, Rutger-Jan, additional, te Riele, Wouter W., additional, Verhoef, Cornelis, additional, Gobardhan, Paul D., additional, Dulk, Marcel den, additional, Liem, Mike S.L., additional, Tanis, Pieter J., additional, Mieog, J.S.D., additional, van den Boezem, Peter B., additional, Leclercq, Wouter K.G., additional, Nieuwenhuijs, Vincent B., additional, Gerhards, Michael F., additional, Klaase, Joost M., additional, Grünhagen, Dirk J., additional, Kok, Niels F.M., additional, Kuhlmann, Koert F.D., additional, Manusama, Eric R., additional, Bosscha, Koop, additional, Belt, Eric J.T., additional, Vermaas, Maarten, additional, Consten, Esther C.J., additional, van Heek, N.T., additional, Oosterling, Steven J., additional, Besselink, Marc G.H., additional, de Boer, Marieke T., additional, Braat, Andries E., additional, DeJong, Cornelis H.C., additional, Hagendoorn, Jeroen, additional, Molenaar, I.Q., additional, Patijn, Gijs A., additional, Marsman, Hendrik A., additional, and Hoogwater, Frederik J.H., additional

Published
2022
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38. Factors associated with failure to rescue after liver resection and impact on hospital variation: a nationwide population-based study

Author

Elfrink, Arthur K.E., primary, Olthof, Pim B., additional, Swijnenburg, Rutger-Jan, additional, den Dulk, Marcel, additional, de Boer, Marieke T., additional, Mieog, J. Sven D., additional, Hagendoorn, Jeroen, additional, Kazemier, Geert, additional, van den Boezem, Peter B., additional, Rijken, Arjen M., additional, Liem, Mike S.L., additional, Leclercq, Wouter K.G., additional, Kuhlmann, Koert F.D., additional, Marsman, Hendrik A., additional, Ijzermans, Jan N.M., additional, van Duijvendijk, Peter, additional, Erdmann, Joris I., additional, Kok, Niels F.M., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, te Riele, Wouter W., additional, Buis, Carlijn I., additional, Patijn, Gijs A., additional, Braat, Andries E., additional, Dejong, Cornelis H.C., additional, Hoogwater, Frederik J.H., additional, Molenaar, I.Q., additional, Besselink, Marc G.H., additional, Verhoef, Cornelis, additional, Eker, Hasan H., additional, van der Hoeven, Joost A.B., additional, van Heek, N. Tjarda, additional, Torrenga, Hans, additional, Bosscha, Koop, additional, Vermaas, Maarten, additional, Consten, Esther C.J., additional, and Oosterling, Steven J., additional

Published
2021
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39. Short-term postoperative outcomes after liver resection in the elderly patient: a nationwide population-based study

Author

Elfrink, Arthur K.E., primary, Kok, Niels F.M., additional, den Dulk, Marcel, additional, Buis, Carlijn I., additional, Kazemier, Geert, additional, Ijzermans, Jan N.M., additional, Lam, Hwai-Ding, additional, Hagendoorn, Jeroen, additional, van den Boezem, Peter B., additional, Ayez, Ninos, additional, Zonderhuis, Babs M., additional, Lips, Daan J., additional, Leclercq, Wouter K.G., additional, Kuhlmann, Koert F.D., additional, Marsman, Hendrik A., additional, Verhoef, Cornelis, additional, Patijn, Gijs A., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, Eker, Hasan H., additional, Belt, Eric T.J., additional, van Heek, N.Tjarda, additional, Torrenga, Hans, additional, Bosscha, Koop, additional, Doornebosch, Pascal, additional, Consten, Esther C.J., additional, Oosterling, Steven J., additional, de Boer, Marieke T., additional, Besselink, Marc G.H., additional, Dejong, Cornelis H.C., additional, te Riele, Wouter W., additional, Hoogwater, Frederik J.H., additional, Liem, Mike S.L., additional, Molenaar, I.Quintus, additional, Swijnenburg, Rutger-Jan, additional, and Braat, Andries E., additional

Published
2021
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40. Surgical outcomes of laparoscopic and open resection of benign liver tumours in the Netherlands: a nationwide analysis

Author

Elfrink, Arthur K.E., primary, Haring, Martijn P.D., additional, de Meijer, Vincent E., additional, Ijzermans, Jan N.M., additional, Swijnenburg, Rutger-Jan, additional, Braat, Andries E., additional, Erdmann, Joris I., additional, Terkivatan, Türkan, additional, te Riele, Wouter W., additional, van den Boezem, Peter B., additional, Coolsen, Marielle M.E., additional, Leclercq, Wouter K.G., additional, Lips, Daan J., additional, de Wilde, Roeland F., additional, Kok, Niels F.M., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, den Dulk, Marcel, additional, de Boer, Marieke T., additional, Besselink, Marc G.H., additional, Dejong, Cees H.C., additional, Hagendoorn, Jeroen, additional, Hoogwater, Frederik J.H., additional, Liem, Mike S.L., additional, Quintus Molenaar, I., additional, Buis, Carlijn I., additional, Verhoef, Cornelis, additional, Patijn, Gijs A., additional, Ayez, Ninos, additional, Bosscha, Koop, additional, Belt, Eric J.T., additional, Vermaas, Maarten, additional, Sietses, Colin, additional, Oosterling, Steven J., additional, Torrenga, Hans, additional, Eker, Hasan, additional, Consten, Esther C.J., additional, and Marsman, Hendrik A., additional

Published
2021
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41. Implementation and first results of a mandatory, nationwide audit on liver surgery

Author

van der Werf, Leonie R., Kok, Niels F. M., Buis, Carlijn I., Grünhagen, Dirk J., Hoogwater, Frederik J. H., Swijnenburg, Rutger Jan, Dulk, Marcel den, Dejong, Kees C. H. C., Klaase, Joost M., de Boer, Marieke T., Besselink, Marc G. H., van Gullik, Thomas M., Hagendoorn, Jeroen, van Hillegersberg, Richard, Liem, Mike S. L., Molenaar, I. Quintus, Patijn, Gijs A., Porte, Robert J., te Riele, Wouter W., van Santvoort, Hjalmar C., Verhoef, Kees, Burgmans, Marc C., van Delden, Otto M., van der Leij, Christiaan, Meijerink, Martijn R., Moelker, Adriaan, Prevoo, Warner, Surgery, AGEM - Digestive immunity, AGEM - Re-generation and cancer of the digestive system, CCA - Cancer Treatment and Quality of Life, Radiology and Nuclear Medicine, ACS - Amsterdam Cardiovascular Sciences, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, Other Research, MUMC+: MA Heelkunde (9), RS: NUTRIM - R2 - Liver and digestive health, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, CCA - Cancer Treatment and quality of life, Radiology and nuclear medicine, Groningen Institute for Organ Transplantation (GIOT), and Value, Affordability and Sustainability (VALUE)

Subjects
Male, Liver surgery, medicine.medical_specialty, RESECTION, ENHANCED RECOVERY, MEDLINE, Audit, 030230 surgery, Liver resections, MORBIDITY, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, Hepatectomy, Humans, Medicine, Registries, Neoplasm Metastasis, Aged, Netherlands, Quality Indicators, Health Care, Retrospective Studies, Clinical Audit, Hepatology, business.industry, General surgery, Liver Neoplasms, Gastroenterology, Outcome measures, Retrospective cohort study, CHEMOTHERAPY, Middle Aged, CANCER, METASTASES, Population Surveillance, 030220 oncology & carcinogenesis, Female, Colorectal Neoplasms, business, Complication, Follow-Up Studies
Abstract

Background: The Dutch Hepato Biliary Audit (DHBA) was initiated in 2013 to assess the national quality of liver surgery. This study aimed to describe the initiation and implementation of this audit along with an overview of the results and future perspectives.Methods: Registry of patients undergoing liver surgery for all primary and secondary liver tumors in the DHBA is mandatory. Weekly, benchmarked information on process and outcome measures is reported to surgical teams. In this study, the first results of patients with colorectal liver metastases were presented, including results of data verification.Results: Between 2014 and 2017, 6241 procedures were registered, including 4261 (68%) resections for colorectal liver metastases. For minor- and major liver resections for colorectal liver metastases, the median [interquartile range] hospital stay was 6 [4-8] and 8 [6-12] days, respectively. A postoperative complicated course (complication leading to >14 days of hospital stay, reintervention or death) occurred in 26% and 43% and the 30-day/in-hospital mortality was 1% and 4%, respectively. The completeness of data was 97%. In 3.6% of patients, a complicated postoperative course was erroneously omitted.Conclusion: Nationwide implementation of the DHBA has been successful. This was the first step in creating a complete evaluation of the quality of liver surgery.

Published
2019

42. Hospital variation in combined liver resection and thermal ablation for colorectal liver metastases and impact on short-term postoperative outcomes: a nationwide population-based study

Author

Elfrink, Arthur K.E., primary, Nieuwenhuizen, Sanne, additional, van den Tol, M. Petrousjka, additional, Burgmans, Mark C., additional, Prevoo, Warner, additional, Coolsen, Marielle M.E., additional, van den Boezem, Peter B., additional, van Delden, Otto M., additional, Hagendoorn, Jeroen, additional, Patijn, Gijs A., additional, Leclercq, Wouter K.G., additional, Liem, Mike S.L., additional, Rijken, Arjen M., additional, Verhoef, Cornelis, additional, Kuhlmann, Koert F.D., additional, Ruiter, Simeon J.S., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, Kok, Niels F.M., additional, Meijerink, Martijn R., additional, Swijnenburg, Rutger-Jan, additional, te Riele, Wouter W., additional, de Boer, Marieke T., additional, Dejong, Cees H.C., additional, van Gulik, Thomas H., additional, Hoogwater, Frederik J.H., additional, Molenaar, I.Q., additional, van der Leij, Christiaan, additional, Moelker, Adriaan, additional, Besselink, Marc G.H., additional, Buis, Carlijn I., additional, den Dulk, Marcel, additional, Bosscha, Koop, additional, Belt, Eric J.Th., additional, Vermaas, Maarten, additional, van Heek, Tjarda N.T., additional, Oosterling, Steven J., additional, Torrenga, Hans, additional, Eker, Hasan H., additional, and Consten, Esther C.J., additional

Published
2021
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45. Short-term postoperative outcomes after liver resection in the elderly patient:a nationwide population-based study

Author

Elfrink, Arthur K E, Kok, Niels F M, den Dulk, Marcel, Buis, Carlijn I, Kazemier, Geert, Ijzermans, Jan N M, Lam, Hwai-Ding, Hagendoorn, Jeroen, van den Boezem, Peter B, Ayez, Ninos, Zonderhuis, Babs M, Lips, Daan J, Leclercq, Wouter K G, Kuhlmann, Koert F D, Marsman, Hendrik A, Verhoef, Cornelis, Patijn, Gijs A, Grünhagen, Dirk J, Klaase, Joost M, Elfrink, Arthur K E, Kok, Niels F M, den Dulk, Marcel, Buis, Carlijn I, Kazemier, Geert, Ijzermans, Jan N M, Lam, Hwai-Ding, Hagendoorn, Jeroen, van den Boezem, Peter B, Ayez, Ninos, Zonderhuis, Babs M, Lips, Daan J, Leclercq, Wouter K G, Kuhlmann, Koert F D, Marsman, Hendrik A, Verhoef, Cornelis, Patijn, Gijs A, Grünhagen, Dirk J, and Klaase, Joost M

Abstract

Background: Liver resection is high-risk surgery in particular in elderly patients. The aim of this study was to explore postoperative outcomes after liver resection in elderly patients. Methods: In this nationwide study, all patients who underwent liver resection for primary and secondary liver tumours in the Netherlands between 2014 and 2019 were included. Age groups were composed as younger than 70 (70-), between 70 and 80 (septuagenarians), and 80 years or older (octogenarians). Proportion of liver resections per age group and 30-day major morbidity and 30-day mortality were assessed. Results: In total, 6587 patients were included of whom 4023 (58.9%) were younger than 70, 2135 (32.4%) were septuagenarians and 429 (6.5%) were octogenarians. The proportion of septuagenarians increased during the study period (aOR:1.06, CI:1.02–1.09, p < 0.001). Thirty-day major morbidity was higher in septuagenarians (11%) and octogenarians (12%) compared to younger patients (9%, p = 0.049). Thirty-day mortality was higher in septuagenarians (4%) and octogenarians (4%) compared to younger patients (2%, p < 0.001). Cardiopulmonary complications occurred more frequently with higher age, liver-specific complications did not. Higher age was associated with higher 30-day morbidity and 30-day mortality in multivariable logistic regression. Conclusion: Thirty-day major morbidity and 30-day mortality are higher after liver resection in elderly patients, attributed mainly to non-surgical cardiopulmonary complications.

Published
2021

46. Case-mix adjustment to compare nationwide hospital performances after resection of colorectal liver metastases

Author

Elfrink, Arthur K E, van Zwet, Erik W, Swijnenburg, Rutger-Jan, den Dulk, Marcel, van den Boezem, Peter B, Mieog, J Sven D, Te Riele, Wouter W, Patijn, Gijs A, Leclercq, Wouter K G, Lips, Daan J, Rijken, Arjen M, Verhoef, Cornelis, Kuhlmann, Koert F D, Buis, Carlijn I, Bosscha, Koop, Belt, Eric J T, Vermaas, Maarten, van Heek, N Tjarda, Oosterling, Steven J, Torrenga, Hans, Eker, Hasan H, Consten, Esther C J, Marsman, Hendrik A, Wouters, Michel W J M, Kok, Niels F M, Grünhagen, Dirk J, Klaase, Joost M, Elfrink, Arthur K E, van Zwet, Erik W, Swijnenburg, Rutger-Jan, den Dulk, Marcel, van den Boezem, Peter B, Mieog, J Sven D, Te Riele, Wouter W, Patijn, Gijs A, Leclercq, Wouter K G, Lips, Daan J, Rijken, Arjen M, Verhoef, Cornelis, Kuhlmann, Koert F D, Buis, Carlijn I, Bosscha, Koop, Belt, Eric J T, Vermaas, Maarten, van Heek, N Tjarda, Oosterling, Steven J, Torrenga, Hans, Eker, Hasan H, Consten, Esther C J, Marsman, Hendrik A, Wouters, Michel W J M, Kok, Niels F M, Grünhagen, Dirk J, and Klaase, Joost M

Abstract

BACKGROUND: Differences in patient demographics and disease burden can influence comparison of hospital performances. This study aimed to provide a case-mix model to compare short-term postoperative outcomes for patients undergoing liver resection for colorectal liver metastases (CRLM).METHODS: This retrospective, population-based study included all patients who underwent liver resection for CRLM between 2014 and 2018 in the Netherlands. Variation in case-mix variables between hospitals and influence on postoperative outcomes was assessed using multivariable logistic regression. Primary outcomes were 30-day major morbidity and 30-day mortality. Validation of results was performed on the data from 2019.RESULTS: In total, 4639 patients were included in 28 hospitals. Major morbidity was 6.2% and mortality was 1.4%. Uncorrected major morbidity ranged from 3.3% to 13.7% and mortality ranged from 0.0% to 5.0%. between hospitals. Significant differences between hospitals were observed for age higher than 80 (0.0%-17.1%, p < 0.001), ASA 3 or higher (3.3%-36.3%, p < 0.001), histopathological parenchymal liver disease (0.0%-47.1%, p < 0.001), history of liver resection (8.1%-36.3%, p < 0.001), major liver resection (6.7%-38.0%, p < 0.001) and synchronous metastases (35.5%-62.1%, p < 0.001). Expected 30-day major morbidity between hospitals ranged from 6.4% to 11.9% and expected 30-day mortality ranged from 0.6% to 2.9%. After case-mix correction no significant outliers concerning major morbidity and mortality remained. Validation on patients who underwent liver resection for CRLM in 2019 affirmed these outcomes.CONCLUSION: Case-mix adjustment is a prerequisite to allow for institutional comparison of short-term postoperative outcomes after liver resection for CRLM.

Published
2021

47. Case-mix adjustment to compare nationwide hospital performances after resection of colorectal liver metastases

Author

Elfrink, Arthur K.E., primary, van Zwet, Erik W., additional, Swijnenburg, Rutger-Jan, additional, den Dulk, Marcel, additional, van den Boezem, Peter B., additional, Mieog, J. Sven D., additional, te Riele, Wouter W., additional, Patijn, Gijs A., additional, Leclercq, Wouter K.G., additional, Lips, Daan J., additional, Rijken, Arjen M., additional, Verhoef, Cornelis, additional, Kuhlmann, Koert F.D., additional, Buis, Carlijn I., additional, Bosscha, Koop, additional, Belt, Eric J.T., additional, Vermaas, Maarten, additional, van Heek, N. Tjarda, additional, Oosterling, Steven J., additional, Torrenga, Hans, additional, Eker, Hasan H., additional, Consten, Esther C.J., additional, Marsman, Hendrik A., additional, Wouters, Michel W.J.M., additional, Kok, Niels F.M., additional, Grünhagen, Dirk J., additional, Klaase, Joost M., additional, Besselink, Marc G.H., additional, de Boer, Marieke T., additional, Dejong, Cees H.C., additional, van Gulik, Thomas M., additional, Hagendoorn, Jeroen, additional, Hoogwater, Frederik H.J., additional, Molenaar, I. Quintus, additional, and Liem, Mike S.L., additional

Published
2021
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48. Reorganizing the Multidisciplinary Team Meetings in a Tertiary Centre for Gastro-Intestinal Oncology Adds Value to the Internal and Regional Care Pathways. A Mixed Method Evaluation

Author

Van Huizen, Lidia S., primary, Dijkstra, Pieter U., additional, Hemmer, Patrick H.J., additional, Van Etten, Boudewijn, additional, Buis, Carlijn I., additional, Olsder, Linde, additional, Van Vilsteren, Frederike G.I., additional, Ahaus, Kees (C.)T. B., additional, and Roodenburg, Jan L.N., additional

Published
2021
Full Text
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