Postoperative outcomes in oesophagectomy with trainee involvement

Επιστημονική δημοσίευση - Άρθρο Περιοδικού uoadl:3032668 71 Αναγνώσεις

Μονάδα:
Ερευνητικό υλικό ΕΚΠΑ
Τίτλος:
Postoperative outcomes in oesophagectomy with trainee involvement
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background The complexity of oesophageal surgery and the significant
risk of morbidity necessitates that oesophagectomy is predominantly
performed by a consultant surgeon, or a senior trainee under their
supervision. The aim of this study was to determine the impact of
trainee involvement in oesophagectomy on postoperative outcomes in an
international multicentre setting. Methods Data from the multicentre
Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were
analysed, which comprised prospectively collected data from patients
undergoing oesophagectomy for oesophageal cancer between April 2018 and
December 2018. Procedures were grouped by the level of trainee
involvement, and univariable and multivariable analyses were performed
to compare patient outcomes across groups. Results Of 2232
oesophagectomies from 137 centres in 41 countries, trainees were
involved in 29.1 per cent of them (n = 650), performing only the
abdominal phase in 230, only the chest and/or neck phases in 130, and
all phases in 315 procedures. For procedures with a chest anastomosis,
those with trainee involvement had similar 90-day mortality,
complication and reoperation rates to consultant-performed
oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively),
while anastomotic leak rates were significantly lower in the trainee
groups (P = 0.030). Procedures with a neck anastomosis had equivalent
complication, anastomotic leak, and reoperation rates (P = 0.150, P =
0.430, and P = 0.632, respectively) in trainee-involved versus
consultant-performed oesophagectomies, with significantly lower 90-day
mortality in the trainee groups (P = 0.005). Conclusion Trainee
involvement was not found to be associated with significantly inferior
postoperative outcomes for selected patients undergoing oesophagectomy.
The results support continued supervised trainee involvement in
oesophageal cancer surgery.
The aim of this study was to determine the impact of trainee involvement
in oesophagectomy on perioperative outcomes in the international
multicentre Oesophago-Gastric Anastomosis Audit (OGAA). Analysis of 2232
oesophagectomies has shown that trainee involvement did not negatively
impact perioperative outcomes.
Έτος δημοσίευσης:
2021
Συγγραφείς:
Evans, R. P. T.
Hodson, J.
Kamarajah, S. K.
Griffiths, E. A.
and Singh, P.
Alderson, D.
Bundred, J.
Gossage, J. and
Jefferies, B.
McKay, S.
Mohamed, I
Nepogodiev, D. and
Siaw-Acheampong, K.
van Hillegersberg, R.
Vohra, R. and
Wanigasooriya, K.
Whitehouse, T.
Gjata, A.
Moreno, I, J. and
Takeda, F. R.
Kidane, B.
Castro, R. Guevara
Harustiak, T.
and Bekele, A.
Kechagias, A.
Gockel, I
Kennedy, A.
Da
Roit, A.
Bagajevas, A.
Azagra, J. S.
Mahendran, H. A. and
Mejia-Fernandez, L.
Wijnhoven, B. P. L.
El Kafsi, J.
Sayyed,
R. H.
Sousa, M.
Sampaio, A. S.
Negoi, I
Blanco, R. and
Wallner, B.
Schneider, P. M.
Hsu, P. K.
Isik, A. and
Gananadha, S.
Wills, V
Devadas, M.
Duong, C.
Talbot, M.
and Hii, M. W.
Jacobs, R.
Andreollo, N. A.
Johnston, B. and
Darling, G.
Isaza-Restrepo, A.
Rosero, G.
Arias-Amezquita,
F.
Raptis, D.
Gaedcke, J.
Reim, D.
Izbicki, J. and
Egberts, J. H.
Dikinis, S.
Kjaer, D. W.
Larsen, M. H. and
Achiam, M. P.
Saarnio, J.
Theodorou, D.
Liakakos, T. and
Korkolis, D. P.
Robb, W. B.
Collins, C.
Murphy, T. and
Reynolds, J.
Tonini, V
Migliore, M.
Bonavina, L. and
Valmasoni, M.
Bardini, R.
Weindelmayer, J.
Terashima, M. and
White, R. E.
Alghunaim, E.
Elhadi, M.
Leon-Takahashi, A. M.
and Medina-Franco, H.
Lau, P. C.
Okonta, K. E.
Heisterkamp,
J.
Rosman, C.
Beban, G.
Babor, R.
Gordon, A. and
Rossaak, I, J.
Pal, I, K. M.
Qureshi, A. U.
Naqi, S. A. and
Syed, A. A.
Barbosa, J.
Vicente, C. S.
Leite, J.
Freire,
J.
Casaca, R.
Costa, R. C. T.
Scurtu, R. R.
Mogoanta, S.
S.
Bolca, C.
Constantinoiu, S.
Sekhniaidze, D.
So, J. B.
Y.
Gacvski, G.
Loureiro, C.
Pera, M.
Bianchi, A. and
Gijon, M. Moreno
Fernandez, J. Martin
Carrera, M. S. Trugeda and
Vallve-Bernal, M.
Pascual, M. A. Citores
Elmahi, S. and
Halldestam, I
Hedberg, J.
Monig, S.
Gutknecht, S.
Tez,
M.
Guner, A.
Tirnaksiz, T. B.
Colak, E.
Sevinc, B. and
Hindmarsh, A.
Khan, I
Khoo, D.
Byrom, R.
Gokhale, J. and
Wilkerson, P.
Jain, P.
Chan, D.
Robertson, K.
Iftikhar,
S.
Skipworth, R.
Forshaw, M.
Higgs, S.
Nijjar, R. and
Viswanath, Y. K. S.
Turner, P.
Dexter, S.
Boddy, A. and
Allum, W. H.
Oglesby, S.
Cheong, E.
Beardsmore, D. and
Maynard, N.
Berrisford, R.
Mercer, S.
Puig, S.
Melhado,
R.
Kelty, C.
Underwood, T.
Dawas, K.
Lewis, W. and
Al-Bahrani, A.
Bryce, G.
Thomas, M.
Arndt, A. T. and
Palazzo, F.
Meguid, R. A.
Fergusson, J.
Beenen, E. and
Mosse, C.
Salim, J.
Cheah, S.
Wright, T.
Cerdeira, M. P.
and McQuillan, P.
Richardson, M.
Liem, H.
Spillane, J. and
Yacob, M.
Albadawi, F.
Thorpe, T.
Dingle, A.
Cabalag, C.
and Loi, K.
Fisher, O. M.
Ward, S.
Read, M.
Johnson, M.
and Bassari, R.
Bui, H.
Cecconello, I
Sallum, R. A. A. and
da Rocha, J. R. M.
Lopes, L. R.
Tercioti, Jr., V.
Coelho, J.
D. S.
Ferrer, J. A. P.
Buduhan, G.
Tan, L.
Srinathan, S.
and Shea, P.
Yeung, J.
Allison, F.
Carroll, P. and
Vargas-Barato, F.
Gonzalez, F.
Ortega, J.
Nino-Torres, L.
and Beltran-Garcia, T. C.
Castilla, L.
Pineda, M.
Bastidas,
A.
Gomez-Mayorga, J.
Cortes, N.
Cetares, C.
Caceres, S.
and Duarte, S.
Pazdro, A.
Snajdauf, M.
Faltova, H. and
Sevcikova, M.
Mortensen, P. B.
Katballe, N.
Ingemann, T. and
Morten, B.
Kruhlikava, I
Ainswort, A. P.
Stilling, N. M. and
Eckardt, J.
Holm, J.
Thorsteinsson, M.
Siemsen, M. and
Brandt, B.
Nega, B.
Teferra, E.
Tizazu, A.
Kauppila, J.
S.
Koivukangas, V
Merilainen, S.
Gruetzmann, R.
Krautz,
C.
Weber, G.
Golcher, H.
Emons, G.
Azizian, A. and
Ebeling, M.
Niebisch, S.
Kreuser, N.
Albanese, G.
Hesse,
J.
Volovnik, L.
Boecher, U.
Reeh, M.
Triantafyllou, S.
and Schizas, D.
Michalinos, A.
Baili, E.
Mpoura, M. and
Charalabopoulos, A.
Manatakis, D. K.
Balalis, D.
Bolger, J.
and Baban, C.
Mastrosimone, A.
McAnena, O.
Quinn, A. and
Suilleabhain, C. B. O.
Hennessy, M. M.
Ivanovski, I.
Khizer,
H.
Ravi, N.
Donlon, N.
Cervellera, M.
Vaccari, S. and
Bianchini, S.
Sartarelli, L.
Asti, E.
Bernardi, D. and
Merigliano, S.
Provenzano, L.
Scarpa, M.
Saadeh, L. and
Salmaso, B.
De Manzoni, G.
Giacopuzzi, S.
La Mendola, R. and
De Pasqual, C. A.
Tsubosa, Y.
Niihara, M.
Irino, T. and
Makuuchi, R.
Ishii, K.
Mwachiro, M.
Fekadu, A.
Odera, A.
and Mwachiro, E.
AlShehab, D.
Ahmed, H. A.
Shebani, A. O.
and Elhadi, A.
Elnagar, F. A.
Elnagar, H. F.
Makkai-Popa, S.
T.
Wong, L. F.
Yunrong, T.
Thanninalai, S.
Aik, H. C.
and Soon, P. W.
Huei, T. J.
Basave, H. N. L. and
Cortes-Gonzalez, R.
Lagarde, S. M.
van Lanschot, J. J. B. and
Cords, C.
Jansen, W. A.
Martijnse, I
Matthijsen, R. and
Bouwense, S.
Klarenbeek, B.
Verstegen, M.
van Workum, F. and
Ruurda, J. P.
van der Veen, A.
van den Berg, J. W.
Evenett,
N.
Johnston, P.
Patel, R.
MacCormick, A.
Young, M. and
Smith, B.
Ekwunife, C.
Memon, A. H.
Shaikh, K.
Wajid, A.
and Khalil, N.
Haris, M.
Mirza, Z. U.
Qudus, S. B. A. and
Sarwar, M. Z.
Shehzadi, A.
Raza, A.
Jhanzaib, M. H. and
Farmanali, J.
Zakir, Z.
Shakeel, O.
Nasir, I
Khattak, S.
and Baig, M.
Noor, M. A.
Ahmed, H. H.
Naeem, A.
Pinho,
A. C.
da Silva, R.
Bernardes, A.
Campos, J. C.
Matos, H.
and Braga, T.
Monteiro, C.
Ramos, P.
Cabral, F.
Gomes,
M. P.
Martins, P. C.
Correia, A. M.
Videira, J. F. and
Ciuce, C.
Drasovean, R.
Apostu, R.
Paitici, S.
Racu, A.
E.
Obleaga, V, C.
Beuran, M.
Stoica, B.
Ciubotaru, C.
and Negoita, V
Cordos, I
Birla, R. D.
Predescu, D. and
Hoara, P. A.
Tomsa, R.
Shneider, V
Agasiev, M.
Ganjara,
I
Gunjic, D.
Veselinovic, M.
Babic, T.
Chin, T. S. and
Shabbir, A.
Kim, G.
Crnjac, A.
Samo, H.
del Val, I. Diez
and Leturio, S.
Ramon, J. M.
Dal Cero, M.
Rifa, S.
Rico,
M.
Pomar, A. Pagan
Corcoles, J. A. Martinez
Miravalles, J.
L. Rodicio
Pais, S. A.
Turienzo, S. A.
Alvarez, L. S. and
Campos, V, P.
Rendo, A. G.
Garcia, S. S.
Santos, E. P. G.
and Martinez, E. T.
Diaz, M. J. Fernandez
Alvarez, C. Magadan
and Martin, V. Concepcion
Lopez, C. Diaz
Rodrigo, A. Rosat and
Sanchez, L. E. Perez
Cuadrado, M. Bailon
Carrasco, C. Tinoco and
Bhojwani, E. Choolani
Sanchez, D. P.
Ahmed, M. E.
Dzhendov,
T.
Lindberg, F.
Rutegard, M.
Sundbom, M.
Mickael, C. and
Colucci, N.
Schnider, A.
Er, S.
Kurnaz, E.
Turkyilmaz,
S.
Turkyilmaz, A.
Yildirim, R.
Baki, B. E.
Akkapulu, N.
and Karahan, O.
Damburaci, N.
Hardwick, R.
Safranek, P. and
Sujendran, V
Bennett, J.
Afzal, Z.
Shrotri, M.
Chan, B.
and Exarchou, K.
Gilbert, T.
Amalesh, T.
Mukherjee, D. and
Mukherjee, S.
Wiggins, T. H.
Kennedy, R.
McCain, S. and
Harris, A.
Dobson, G.
Davies, N.
Wilson, I
Mayo, D. and
Bennett, D.
Young, R.
Manby, P.
Blencowe, N.
Schiller,
M.
Byrne, B.
Mitton, D.
Wong, V
Elshaer, A.
Cowen,
M.
Menon, V
Tan, L. C.
McLaughlin, E.
Koshy, R. and
Sharp, C.
Brewer, H.
Das, N.
Cox, M.
Al Khyatt, W. and
Worku, D.
Iqbal, R.
Walls, L.
McGregor, R.
Fullarton, G.
and Macdonald, A.
MacKay, C.
Craig, C.
Dwerryhouse, S. and
Hornby, S.
Jaunoo, S.
Wadley, M.
Baker, C.
Saad, M. and
Kelly, M.
Davies, A.
Di Maggio, F.
Mistry, P.
Singhal,
R.
Tucker, O.
Kapoulas, S.
Powell-Brett, S.
Davis, P.
and Bromley, G.
Watson, L.
Verma, R.
Ward, J.
Shetty, V
and Ball, C.
Pursnani, K.
Sarela, A.
Ling, H. Sue
Mehta,
S.
Hayden, J.
To, N.
Palser, T.
Hunter, D. and
Supramaniam, K.
Butt, Z.
Ahmed, A.
Kumar, S.
Chaudry, A.
and Moussa, O.
Kordzadeh, A.
Patil, P.
Noaman, I
Willem,
J.
Bouras, G.
Evans, R.
Singh, M.
Warrilow, H. and
Ahmad, A.
Tewari, N.
Yanni, F.
Couch, J.
Theophilidou,
E.
Reilly, J. J.
van Boxel, G.
Akbari, K.
Zanotti, D.
and Sgromo, B.
Sanders, G.
Wheatley, T.
Ariyarathenam, A.
and Reece-Smith, A.
Humphreys, L.
Choh, C.
Carter, N. and
Knight, B.
Pucher, P.
Athanasiou, A.
Tan, B. and
Abdulrahman, M.
Vickers, J.
Akhtar, K.
Chaparala, R. and
Brown, R.
Alasmar, M. M. A.
Ackroyd, R.
Patel, K. and
Tamhankar, A.
Wyman, A.
Walker, R.
Grace, B.
Abbassi, N.
and Slim, N.
Ioannidi, L.
Blackshaw, G.
Havard, T. and
Escofet, X.
Powell, A.
Owera, A.
Rashid, F.
Jambulingam,
P.
Padickakudi, J.
Ben-Younes, H.
McCormack, K.
Makey,
I. A.
Karush, M. K.
Seder, C. W.
Liptay, M. J. and
Chmielewski, G.
Rosato, E. L.
Berger, A. C.
Zheng, R. and
Okolo, E.
Singh, A.
Scott, C. D.
Weyant, M. J.
Mitchell,
J. D.
West Midlands Res Collaborative
Περιοδικό:
BJS OPEN
Εκδότης:
Oxford University Press
Τόμος:
5
Αριθμός / τεύχος:
6
Επίσημο URL (Εκδότης):
DOI:
10.1093/bjsopen/zrab132
Το ψηφιακό υλικό του τεκμηρίου δεν είναι διαθέσιμο.