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CATALOGO DEI PRODOTTI DELLA RICERCA
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.
Postoperative outcomes in oesophagectomy with trainee involvement
R P T Evans;S K Kamarajah;J Bundred;D Nepogodiev;J Hodson;R van Hillegersberg;J Gossage;R Vohra;E A Griffiths;P Singh;R P T Evans;J Hodson;S K Kamarajah;E A Griffiths;P Singh;D Alderson;J Bundred;R P T Evans;J Gossage;E A Griffiths;B Jefferies;S K Kamarajah;S McKay;I Mohamed;D Nepogodiev;K Siaw- Acheampong;P Singh;R van Hillegersberg;R Vohra;K Wanigasooriya;T Whitehouse;A Gjata;J I Moreno;F R Takeda;B Kidane;R Guevara Castro;T Harustiak;A Bekele;A Kechagias;I Gockel;A Kennedy;A Da Roit;A Bagajevas;J S Azagra;H A Mahendran;L Mej??a-Fern??ndez;B P L Wijnhoven;J El Kafsi;R H Sayyed;M Sousa;A S Sampaio;I Negoi;R Blanco;B Wallner;P M Schneider;P K Hsu;A Isik;S Gananadha;V Wills;M Devadas;C Duong;M Talbot;M W Hii;R Jacobs;N A Andreollo;B Johnston;G Darling;A Isaza-Restrepo;G Rosero;F Arias-Am??zquita;D Raptis;J Gaedcke;D Reim;J Izbicki;J H Egberts;S Dikinis;D W Kjaer;M H Larsen;M P Achiam;J Saarnio;D Theodorou;T Liakakos;D P Korkolis;W B Robb;C Collins;T Murphy;J Reynolds;V Tonini;M Migliore;L Bonavina;M Valmasoni;R Bardini;J Weindelmayer;M Terashima;R E White;E Alghunaim;M Elhadi;A M Leon-Takahashi;H Medina-Franco;P C Lau;K E Okonta;J Heisterkamp;C Rosman;R van Hillegersberg;G Beban;R Babor;A Gordon;J I Rossaak;K M I Pal;A U Qureshi;S A Naqi;A A Syed;J Barbosa;C S Vicente;J Leite;J Freire;R Casaca;R C T Costa;R R Scurtu;S S Mogoanta;C Bolca;S Constantinoiu;D Sekhniaidze;M Bjelovi??;J B Y So;G Ga??evski;C Loureiro;M Pera;A Bianchi;M Moreno Gij??n;J Mart??n Fern??ndez;M S Trugeda Carrera;M Vallve-Bernal;M A C??tores Pascual;S Elmahi;J Hedberg;S M??nig;S Gutknecht;M Tez;A Guner;T B Tirnaksiz;E Colak;B Sevin??;A Hindmarsh;I Khan;D Khoo;R Byrom;J Gokhale;P Wilkerson;P Jain;D Chan;K Robertson;S Iftikhar;R Skipworth;M Forshaw;S Higgs;J Gossage;R Nijjar;Y K S Viswanath;P Turner;S Dexter;A Boddy;W H Allum;S Oglesby;E Cheong;D Beardsmore;R Vohra;N Maynard;R Berrisford;S Mercer;S Puig;R Melhado;C Kelty;T Underwood;K Dawas;W Lewis;A Al-Bahrani;G Bryce;M Thomas;A T Arndt;F Palazzo;R A Meguid;J Fergusson;E Beenen;C Mosse;J Salim;S Cheah;T Wright;M P Cerdeira;P McQuillan;M Richardson;H Liem;J Spillane;M Yacob;F Albadawi;T Thorpe;A Dingle;C Cabalag;K Loi;O M Fisher;S Ward;M Read;M Johnson;R Bassari;H Bui;I Cecconello;R A A Sallum;J R M da Rocha;L R Lopes;V Tercioti;J D S Coelho;J A P Ferrer;G Buduhan;L Tan;S Srinathan;P Shea;J Yeung;F Allison;P Carroll;F Vargas-Barato;F Gonzalez;J Ortega;L Nino-Torres;T C Beltr??n-Garc??a;L Castilla;M Pineda;A Bastidas;J G??mez-Mayorga;N Cort??s;C Cetares;S Caceres;S Duarte;A Pazdro;M Snajdauf;H Faltova;M Sevcikova;P B Mortensen;N Katballe;T Ingemann;B Morten;I Kruhlikava;A P Ainswort;N M Stilling;J Eckardt;J Holm;M Thorsteinsson;M Siemsen;B Brandt;B Nega;E Teferra;A Tizazu;J S Kauppila;V Koivukangas;S Meril??inen;R Gruetzmann;C Krautz;G Weber;H Golcher;G Emons;A Azizian;M Ebeling;S Niebisch;N Kreuser;G Albanese;J Hesse;L Volovnik;U Boecher;M Reeh;S Triantafyllou;D Schizas;A Michalinos;E Baili;M Mpoura;A Charalabopoulos;D K Manatakis;D Balalis;J Bolger;C Baban;A Mastrosimone;O McAnena;A Quinn;C B ?? S??illeabh??in;M M Hennessy;I Ivanovski;H Khizer;N Ravi;N Donlon;M Cervellera;S Vaccari;S Bianchini;L Sartarelli;E Asti;D Bernardi;S Merigliano;L Provenzano;M Scarpa;L Saadeh;B Salmaso;G De Manzoni;S Giacopuzzi;R La Mendola;C A De Pasqual;Y Tsubosa;M Niihara;T Irino;R Makuuchi;K Ishii;M Mwachiro;A Fekadu;A Odera;E Mwachiro;D AlShehab;H A Ahmed;A O Shebani;A Elhadi;F A Elnagar;H F Elnagar;S T Makkai-Popa;L F Wong;T Yunrong;S Thanninalai;H C Aik;P W Soon;T J Huei;H N L Basave;R Cort??s-Gonz??lez;S M Lagarde;J J B van Lanschot;C Cords;W A Jansen;I Martijnse;R Matthijsen;S Bouwense;B Klarenbeek;M Verstegen;F van Workum;J P Ruurda;A van der Veen;J W van den Berg;N Evenett;P Johnston;R Patel;A MacCormick;M Young;B Smith;C Ekwunife;A H Memon;K Shaikh;A Wajid;N Khalil;M Haris;Z U Mirza;S B A Qudus;M Z Sarwar;A Shehzadi;A Raza;M H Jhanzaib;J Farmanali;Z Zakir;O Shakeel;I Nasir;S Khattak;M Baig;M A Noor;H H Ahmed;A Naeem;A C Pinho;R da Silva;H Matos;T Braga;C Monteiro;P Ramos;F Cabral;M P Gomes;P C Martins;A M Correia;J F Videira;C Ciuce;R Drasovean;R Apostu;C Ciuce;S Paitici;A E Racu;C V Obleaga;M Beuran;B Stoica;C Ciubotaru;V Negoita;I Cordos;R D Birla;D Predescu;P A Hoara;R Tomsa;V Shneider;M Agasiev;I Ganjara;D Gunji??;M Veselinovi??;T Babi??;T S Chin;A Shabbir;G Kim;A Crnjac;H Samo;I D??ez del Val;S Leturio;I D??ez del Val;S Leturio;J M Ram??n;M Dal Cero;S Rif??;M Rico;A Pagan Pomar;J A Martinez Corcoles;J L Rodicio Miravalles;S A Pais;S A Turienzo;L S Alvarez;P V Campos;A G Rendo;S S Garc??a;E P G Santos;E T Mart??nez;M J Fern??ndez D??az;C Magad??n ??lvarez;V Concepci??n Mart??n;C D??az L??pez;A Rosat Rodrigo;L E P??rez S??nchez;M Bail??n Cuadrado;C Tinoco Carrasco;E Choolani Bhojwani;D P S??nchez;M E Ahmed;T Dzhendov;F Lindberg;M Ruteg??rd;M Sundbom;C Mickael;N Colucci;A Schnider;S Er;E Kurnaz;S Turkyilmaz;A Turkyilmaz;R Yildirim;B E Baki;N Akkapulu;O Karahan;N Damburaci;R Hardwick;P Safranek;V Sujendran;J Bennett;Z Afzal;M Shrotri;B Chan;K Exarchou;T Gilbert;T Amalesh;D Mukherjee;S Mukherjee;T H Wiggins;R Kennedy;S McCain;A Harris;G Dobson;N Davies;I Wilson;D Mayo;D Bennett;R Young;P Manby;N Blencowe;M Schiller;B Byrne;D Mitton;V Wong;A Elshaer;M Cowen;V Menon;L C Tan;E McLaughlin;R Koshy;C Sharp;H Brewer;N Das;M Cox;W Al Khyatt;D Worku;R Iqbal;L Walls;R McGregor;G Fullarton;A Macdonald;C MacKay;C Craig;S Dwerryhouse;S Hornby;S Jaunoo;M Wadley;C Baker;M Saad;M Kelly;A Davies;F Di Maggio;S McKay;P Mistry;R Singhal;O Tucker;S Kapoulas;S Powell-Brett;P Davis;G Bromley;L Watson;R Verma;J Ward;V Shetty;C Ball;K Pursnani;A Sarela;H Sue Ling;S Mehta;J Hayden;N To;T Palser;D Hunter;K Supramaniam;Z Butt;A Ahmed;S Kumar;A Chaudry;O Moussa;A Kordzadeh;B Lorenzi;M Wilson;P Patil;I Noaman;J Willem;G Bouras;R Evans;M Singh;H Warrilow;A Ahmad;N Tewari;F Yanni;J Couch;E Theophilidou;J J Reilly;P Singh;G van Boxel;K Akbari;D Zanotti;B Sgromo;G Sanders;T Wheatley;A Ariyarathenam;A Reece-Smith;L Humphreys;C Choh;N Carter;B Knight;P Pucher;A Athanasiou;I Mohamed;B Tan;M Abdulrahman;J Vickers;K Akhtar;R Chaparala;R Brown;M M A Alasmar;R Ackroyd;K Patel;A Tamhankar;A Wyman;R Walker;B Grace;N Abbassi;N Slim;L Ioannidi;G Blackshaw;T Havard;X Escofet;A Powell;A Owera;F Rashid;P Jambulingam;J Padickakudi;H Ben-Younes;K McCormack;I A Makey;M K Karush;C W Seder;M J Liptay;G Chmielewski;E L Rosato;A C Berger;R Zheng;E Okolo;A Singh;C D Scott;M J Weyant;J D Mitchell
2021-01-01
Abstract
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.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/1095646
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
