Short‐term outcomes of pancreaticoduodenectomy in the state of Victoria: hospital resources are more important than volume

• DOI: 10.1111/ans.15298
• Publication Date: 2019-06-21T01:15:27Z
• Authors: Claire L. Stevens; David A. K. Watters
• Keywords: Public hospital

Background Pancreaticoduodenectomy (PD) is a high‐risk procedure. Australian hospitals perform relatively low volume of PD. This study sought to gain an understanding hospital and short‐term outcomes the procedure in state Victoria. Methods The Dr Foster Quality Investigator tool was used interrogate Victorian Admitted Episodes Database for Classification Health Intervention code PD (30584) from July 2010 June 2016. data set included patients peer group 14 that all public performing during this period. Patient characteristics, inpatient mortality, 30‐day readmission rates median length stay were reported each de‐identified hospital. Results There 547 conducted over 6 years 10 hospitals. patient age 65 years. Inpatient mortality 2.7%. significant risk adjusted difference between principal referral other Annual ranged 3 20 PD, there no relationship or volume. Conclusion associated with comparable seen overseas studies. While low, does not seem be outcomes. Variability groups suggests resource availability more important than development specific registry would useful test determine long‐term