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International consensus on a complications list after gastrectomy for cancer

Baiocchi, Gian Luca; Giacopuzzi, Simone; Marrelli, Daniele; Reim, Daniel; Piessen, Guillaume; Matos da Costa, Paulo; Reynolds, John V.; Meyer, Hans Joachim; Morgagni, Paolo and Gockel, Ines, et al. (2018) In Gastric Cancer p.1-18
Abstract

Background: Perioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus. Methods: The Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was... (More)

Background: Perioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus. Methods: The Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was reached regarding a set of standardized methods to define gastrectomy complications. Results: A standardized list of 27 defined complications (grouped into 3 intraoperative, 14 postoperative general, and 10 postoperative surgical complications) was created to provide a simple but accurate template for recording individual gastrectomy complications. A consensus was reached for both the list of complications that should be considered major adverse events after gastrectomy for cancer and their specific definitions. The study group also agreed that an assessment of each surgical case should be completed at patient discharge and 90 days postoperatively using a Complication Recording Sheet. Conclusion: The list of defined complications (soon to be validated in an international multicenter study) and the ongoing development of an electronic datasheet app to record them provide the basic infrastructure to reach the ultimate goals of standardized international data collection, establishment of benchmark results, and fostering of quality-improvement projects.

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publication status
epub
subject
keywords
Clavien–Dindo classification, Comprehensive Complications Index, Gastrectomy, Gastric cancer, International consensus, Perioperative complications
in
Gastric Cancer
pages
18 pages
publisher
Springer
external identifiers
  • scopus:85047783428
ISSN
1436-3291
DOI
10.1007/s10120-018-0839-5
language
English
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yes
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a38aebfc-05e1-4621-8d36-dfb00f634616
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2018-06-12 15:12:47
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2018-06-13 03:00:04
@article{a38aebfc-05e1-4621-8d36-dfb00f634616,
  abstract     = {<p>Background: Perioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus. Methods: The Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was reached regarding a set of standardized methods to define gastrectomy complications. Results: A standardized list of 27 defined complications (grouped into 3 intraoperative, 14 postoperative general, and 10 postoperative surgical complications) was created to provide a simple but accurate template for recording individual gastrectomy complications. A consensus was reached for both the list of complications that should be considered major adverse events after gastrectomy for cancer and their specific definitions. The study group also agreed that an assessment of each surgical case should be completed at patient discharge and 90 days postoperatively using a Complication Recording Sheet. Conclusion: The list of defined complications (soon to be validated in an international multicenter study) and the ongoing development of an electronic datasheet app to record them provide the basic infrastructure to reach the ultimate goals of standardized international data collection, establishment of benchmark results, and fostering of quality-improvement projects.</p>},
  author       = {Baiocchi, Gian Luca and Giacopuzzi, Simone and Marrelli, Daniele and Reim, Daniel and Piessen, Guillaume and Matos da Costa, Paulo and Reynolds, John V. and Meyer, Hans Joachim and Morgagni, Paolo and Gockel, Ines and Lara Santos, Lucio and Jensen, Lone Susanne and Murphy, Thomas and Preston, Shaun R. and Ter-Ovanesov, Mikhail and Fumagalli Romario, Uberto and Degiuli, Maurizio and Kielan, Wojciech and Mönig, Stefan and Kołodziejczyk, Piotr and Polkowski, Wojciech and Hardwick, Richard and Pera, Manuel and Johansson, Jan and Schneider, Paul M. and de Steur, Wobbe O. and Gisbertz, Suzanne S. and Hartgrink, Henk and van Sandick, Joanna W. and Portolani, Nazario and Hölscher, Arnulf H. and Botticini, Maristella and Roviello, Franco and Mariette, Christophe and Allum, William and de Manzoni, Giovanni},
  issn         = {1436-3291},
  keyword      = {Clavien–Dindo classification,Comprehensive Complications Index,Gastrectomy,Gastric cancer,International consensus,Perioperative complications},
  language     = {eng},
  month        = {05},
  pages        = {1--18},
  publisher    = {Springer},
  series       = {Gastric Cancer},
  title        = {International consensus on a complications list after gastrectomy for cancer},
  url          = {http://dx.doi.org/10.1007/s10120-018-0839-5},
  year         = {2018},
}