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Reporting national outcomes after esophagectomy and gastrectomy according to the esophageal complications consensus group (ECCG)
- Source :
- Annals of Surgery, 271(6), 1095-1101. Lippincott Williams & Wilkins, Annals of Surgery, 271(6), 1095-1101. Lippincott Williams and Wilkins, Van Der Werf, L R, Busweiler, L A D, Van Sandick, J W, Van Berge Henegouwen, M I & Wijnhoven, B P L 2020, ' Reporting national outcomes after esophagectomy and gastrectomy according to the esophageal complications consensus group (ECCG) ', Annals of Surgery, vol. 271, no. 6, pp. 1095-1101 . https://doi.org/10.1097/SLA.0000000000003210, Annals of surgery, 271(6), 1095-1101. Lippincott Williams and Wilkins
- Publication Year :
- 2020
-
Abstract
- OBJECTIVE: This nation-wide population-based study aimed to report postoperative morbidity and mortality after esophagectomy and gastrectomy in the Netherlands according to the definitions of the Esophagectomy Complications Consensus Group (ECCG). BACKGROUND: To standardize international outcome reporting in esophageal surgery, the ECCG developed a standardized outcomes set. METHODS: For this national cohort study, all patients undergoing esophagectomy or gastrectomy for cancer between 2016 and 2017 were selected from the Dutch Upper gastrointestinal Cancer Audit. In a random sample of hospitals, data completeness and accuracy were validated by reabstraction of the data. The investigated outcomes in the present study were postoperative complications, major complications (Clavien-Dindo grade ≥III), and 30-day mortality, according to definitions of the ECCG. RESULTS: A total of 2545 patients from 22 hospitals were included. The completeness of the Dutch Upper gastrointestinal Cancer Audit was estimated at 99.8%. Data accuracy on different items was 94% to 100%. After esophagectomy, 1046 of 1617 patients (65%) had a postoperative complication including 468 patients (29%) with a major complication. Most common complications were pneumonia (21%), esophago-enteric leak from anastomosis, staple line or localized conduit necrosis (19%), and atrial dysrhythmia (15%). The 30-day mortality was 1.7%. After gastrectomy, 397 of 928 patients (42%) had a postoperative complication including 180 patients (19%) with a major complication. Most common complications were pneumonia (12%), esophago-enteric leak from anastomosis, staple line or localized conduit necrosis (9%), and acute delirium (5%). The 30-day mortality was 4.4%. CONCLUSIONS: Reporting complications according to the ECCG platform is feasible in the Netherlands and facilitates international benchmarking.
- Subjects :
- medicine.medical_specialty
esophagectomy complication consensus group
medicine.medical_treatment
Population
MEDLINE
Anastomosis
03 medical and health sciences
0302 clinical medicine
SDG 3 - Good Health and Well-being
medicine
education
education.field_of_study
business.industry
General surgery
Postoperative complication
Retrospective cohort study
gastrectomy
clinical auditing
outcomes-set
Esophagectomy
030220 oncology & carcinogenesis
Staple line
esophagectomy
030211 gastroenterology & hepatology
Surgery
Gastrectomy
business
Subjects
Details
- Language :
- English
- ISSN :
- 00034932
- Database :
- OpenAIRE
- Journal :
- Annals of Surgery, 271(6), 1095-1101. Lippincott Williams & Wilkins, Annals of Surgery, 271(6), 1095-1101. Lippincott Williams and Wilkins, Van Der Werf, L R, Busweiler, L A D, Van Sandick, J W, Van Berge Henegouwen, M I & Wijnhoven, B P L 2020, ' Reporting national outcomes after esophagectomy and gastrectomy according to the esophageal complications consensus group (ECCG) ', Annals of Surgery, vol. 271, no. 6, pp. 1095-1101 . https://doi.org/10.1097/SLA.0000000000003210, Annals of surgery, 271(6), 1095-1101. Lippincott Williams and Wilkins
- Accession number :
- edsair.doi.dedup.....a9945f1840c2590b0a0b78897c7ea7e5