ArticleJournal of surgical oncology2022
Textbook oncologic outcome in pancreaticoduodenectomy: Do regionalization efforts make sense?
Article in Journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 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
17 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The "Textbook Outcome" Isn't Textbook: Significant Variation in "Textbook Outcome" Definitions following a Systematic Review of the Surgical Oncology Literature.Annals of surgical oncology · 2026Pooled it
- Pooled it
- Impact of Ideal Outcome on Survival and Treatment Continuity After Pancreatoduodenectomy for Resectable Pancreatic Head Cancer.Annals of surgical oncology · 2026Article
- A Tale of Two Pathways: Same-Surgeon Versus Different-Surgeon Resection After Second Surgical Opinion.Journal of surgical oncology · 2026Article
- Textbook outcomes in robotic pancreaticoduodenectomy: a European multicenter analysis on surgical performance and success predictors.Surgical endoscopy · 2026Article
- Assessing Textbook Oncologic Outcomes in Distal Pancreatectomy for Pancreatic Adenocarcinoma: A National Cancer Database Study.Journal of clinical medicine · 2026Article
- Increase in Pancreatoduodenectomy Volume at Mid-Volume Facilities in the United States: A National Cancer Database Analysis.Annals of gastroenterological surgery · 2026Article
- The textbook outcome of pancreaticoduodenectomy for adenocarcinoma of the pancreas in a high-volume centre.Surgery in practice and science · 2026Article
- Textbook outcomes after splenectomy in patients with portal hypertension.Scientific reports · 2025Article
- Perioperative outcomes in an age-adapted analysis of the German StuDoQ|Pancreas registry for PDAC.BMC surgery · 2025Article
- The Value of Textbook Outcome in Benchmarking Pancreatoduodenectomy for Nonfunctioning Pancreatic Neuroendocrine Tumors.Annals of surgical oncology · 2024Article
- Textbook oncologic outcomes are associated with increased overall survival in patients with pancreatic head cancer after undergoing laparoscopic pancreaticoduodenectomy.World journal of surgical oncology · 2024Article
- Can the Realization of an External Wirsungostomy be an Option for High-Risk Pancreatic Anastomosis After Pancreaticoduodenectomy?World journal of surgery · 2023Article
- National Economic Conditions May Impact the Financial Barriers to Travel for Cancer Operations.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023Article
- Textbook oncologic outcomes and regionalization among patients undergoing hepatic resection for intrahepatic cholangiocarcinoma.Journal of surgical oncology · 2023Article
- Telehealth Utilization Among Surgical Oncology Patients at a Large Academic Cancer Center.Annals of surgical oncology · 2022Article
- Textbook Outcome/Textbook Oncological Outcome for Pancreatic Cancer Treatment.In vivo (Athens, Greece)Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesFew empiric studies evaluate the effects of regionalization on pancreatic cancer care.
methodsWe queried the National Cancer Database to identify patients undergoing pancreaticoduodenectomy for clinical stage I/II pancreatic adenocarcinoma between 2006 and 2015. Facilities were categorized by annual pancreatectomy volume. Textbook oncologic outcome was defined as a margin negative resection, appropriate lymph node assessment, no prolonged hospitalization, no 30-day readmission, no 90-day mortality, and timely receipt of adjuvant chemotherapy. Multivariable regression adjusted for comorbid disease, pathologic stage, and facility characteristics was used to evaluate the relationship between facility volume and textbook outcome.
resultsSixteen thousand six hundred and two patients underwent pancreaticoduodenectomy; 3566 (21.5%) had a textbook outcome. Operations performed at high volume centers increased each year (45.8% in 2006 to 64.2% in 2015, p < 0.001) as did textbook outcome rates (14.3%-26.2%, p < 0.001). Surgical volume was associated with textbook outcome. High volume centers demonstrated higher unadjusted rates of textbook outcome (25.4% vs. 11.8% p < 0.01) and increased adjusted odds of textbook outcome relative to low volume centers (odds ratio: 2.39, [2.02, 2.85], p < 0.001). Textbook outcome was associated with improved overall survival independent of volume.
conclusionsRegionalization of care for pancreaticoduodenectomy to high volume centers is ongoing and is associated with improved quality of care.
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Registered trials
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