title: Outcome quality standards in pancreatic oncologic surgery.
abstract: OBJECTIVE
  To identify quality indicators and establish acceptable quality limits (AQLs) in pancreatic oncologic surgery using a formal statistical methodology.
  
  
  METHODS
  Indicators have been identified through systematic literature reviews and guidelines for pancreatic surgery. AQLs were determined for each indicator with confidence intervals of 99.8 and 95 % above and below the weighted average by sample size from the different series examined.
  
  
  RESULTS
  Several indicators have been identified with the following results as AQLs: resectability rate >59 %; morbidity, mortality, and pancreatic fistula rate in pancreaticoduodenectomy <55, <5, and <16 %, respectively; morbidity, mortality, and fistula rate in distal pancreatectomy <53, <4, and <31 %, respectively; number of lymph nodes retrieved >15; R1 resection <46 %; survival at 1, 3, and 5 years >54, >19, and >8 %, respectively.
  
  
  CONCLUSIONS
  A series of different indicators for quality surgical care outcome in pancreatic cancer, as well as their limits, have been determined according to a standard methodology.
authors.affiliation: Department of Surgery, Hospital Clínico, University of Valencia, Valencia, Spain, luis.sabater@uv.es.
authors.forename: Luis
authors.initials: L
authors.lastname: Sabater
authors.forename: Alvaro
authors.initials: A
authors.lastname: García-Granero
authors.forename: Javier
authors.initials: J
authors.lastname: Escrig-Sos
authors.forename: Maria Del Carmen
authors.initials: Mdel C
authors.lastname: Gómez-Mateo
authors.forename: Juan
authors.initials: J
authors.lastname: Sastre
authors.forename: Antonio
authors.initials: A
authors.lastname: Ferrández
authors.forename: Joaquín
authors.initials: J
authors.lastname: Ortega
mesh_terms: D006801:Humans; D017063:Outcome Assessment, Health Care / Q000592:standards*; D010180:Pancreatectomy; D010190:Pancreatic Neoplasms / Q000601:surgery*; D011379:Prognosis; D011785:Quality Assurance, Health Care / Q000592:standards*