ReviewJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2019
Centralization of Pancreatic Surgery in Europe.
Review in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Hospital volume-outcome relationship in total knee arthroplasty: a systematic review and dose-response meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- Laparoscopic versus open pancreaticoduodenectomy for pancreatic and periampullary tumor: A meta-analysis of randomized controlled trials and non-randomized comparative studies.Frontiers in oncology · 2022Pooled it
- Impact of Ideal Outcome on Survival and Treatment Continuity After Pancreatoduodenectomy for Resectable Pancreatic Head Cancer.Annals of surgical oncology · 2026Article
- A paradox in the quality of care in centralization of pancreatic cancer surgery.The British journal of surgery · 2026Article
- Viability of Successful Vaginal Delivery in Triplet Pregnancies: A Retrospective Cohort Study Over 20 Years.Birth (Berkeley, Calif.) · 2026Article
- Designing a national network of pancreas units: the Italian model for high-quality pancreatic cancer care.Updates in surgery · 2026Article
- Cooperative spatial modelling of hospital compliance with minimum caseload requirements.International journal of health geographics · 2026Article
- Pancreatico-Jejunostomy Fistula After Pancreaticoduodenectomy: Where Do We Stand? Results from an International Survey.Current oncology (Toronto, Ont.) · 2025Article
- Impact of Becoming a Certified Oncologic Center of Pancreatic Surgery: Evaluation of Single-Center Perioperative Results and Quality of Life Before and After Implementation of a Certified Center.Diseases (Basel, Switzerland) · 2025Article
- Hospital operative volume impacts surgical outcomes for patients with T4 rectal cancer following neoadjuvant chemoradiation: a national cancer database analysis.Surgical endoscopy · 2025Article
- How to Improve Pancreatic Cancer Network Care Using a Human-Centered Design Sprint.Journal of medical Internet research · 2025Article
- Effect of Volume on Postoperative Outcomes After Left Pancreatectomy: A Multicenter Prospective Snapshot Study (SPANDISPAN Project).Journal of clinical medicine · 2025Article
- Teaching modern pancreatic surgery: close relationship between centralization, innovation, and dissemination of care.BJS open · 2023Review
- Pancreaticobiliary Diseases with Severe Complications as a Rare Indication for Emergency Pancreaticoduodenectomy: A Single-Center Experience and Review of the Literature.Journal of clinical medicine · 2023Article
- Impact on patient outcomes after regionalization of pancreatic surgery.Journal of gastrointestinal oncology · 2023Article
- Article
- Impact of network treatment in patients with resected pancreatic cancer on use and timing of chemotherapy and survival.BJS open · 2023Article
- Effect of Centralization on Surgical Outcome of Children Operated for Liver Tumors in Switzerland: A Retrospective Comparative Study.Children (Basel, Switzerland) · 2022Article
- Does the Volume-Outcome Association in Pancreas Cancer Surgery Justify Regionalization of Care? A Review of Current Controversies.Annals of surgical oncology · 2022Review
- Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe objective of this article is a review and an analysis of the current state of centralization of pancreatic surgery in Europe. Numerous recent publications demonstrate higher postoperative in-hospital mortality rates in low-volume clinics after pancreatic resection than previously assumed due to their not publishing significantly worse outcomes when compared to high-volume centres. Although the benefits of centralization of pancreatic surgery in high-volume centres have been demonstrated in many studies, numerous countries have so far failed to establish centralization in their respective health care systems.
methodsA systematic literature search of the Medline database for studies concerning centralization of pancreatic surgery in Europe was conducted. The studies were reviewed independently for previously defined inclusion and exclusion criteria. We included 14 studies with a total of 117,634 patients. All data were extracted from or provided by health insurance company or governmental registry databases.
resultsThirteen out of the 14 studies demonstrate an improvement in their respective outcome related to volume. Twelve studies showed a significantly lower postoperative mortality rate in the highest annual volume group in comparison to overall postoperative mortality rate in the whole patient cohort.
conclusionAs the available data indicate, most European countries have so far failed to establish centralization of pancreatic surgery to high-volume centres due to numerous reasons. Considering a plateau in survival rates of patients undergoing treatment for pancreatic cancer in Europe during the last 15 years, this review enforces the worldwide plea for centralization to lower post-operative mortality after pancreatic surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.