[Hospital experience and hospital mortality following partial pancreaticoduodenectomy in The Netherlands].
OBJECTIVE
To analyse the effect of hospital experience on mortality after subtotal pancreaticoduodenectomy in the Netherlands.


METHODS
Retrospective evaluation.


METHODS
Information on hospital mortality and pancreatic resection in 1994 and 1995 in the Netherlands was obtained from the National Medical Register. Subanalysis was carried out of surgical mortality by age and hospital experience.


RESULTS
Approximately 50% of the pancreaticoduodenectomies in the Netherlands were performed in hospitals with limited experience (< 5 procedures per year). Hospital mortality was higher in small-volume hospitals than in hospitals with experience (> 25 procedures per year): in 1994 17.2 and 0% and in 1995 14.6 and 2.9%, respectively (p < 0.05). Mortality was higher in patients older than 70 years compared with patients younger than 55 (p < 0.05).


CONCLUSIONS
There was a correlation between mortality after pancreaticoduodenectomy and hospital experience. Therefore these procedures should be performed in centres with experience.
Gouma
D J
DJ
Universiteit van Amsterdam/Academisch Medisch Centrum, afd. Chirurgie.
De Wit
L T
LT
Van Berge Henegouwen
M I
MI
Van Gulik
T H
TH
Obertop
H
H
D000328:Adult; D000367:Age Factors; D000368:Aged; D002983:Clinical Competence; D004812:Epidemiologic Methods; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D016577:Pancreaticoduodenectomy / Q000379:methods / Q000401:mortality*; D012189:Retrospective Studies