Journal of the American College of Surgeons
Volume 209, Issue 4 , Pages 468-476 , October 2009

In-Hospital Mortality after Pancreatic Resection for Chronic Pancreatitis: Population-Based Estimates from the Nationwide Inpatient Sample

Abstract presented at the American College of Surgeons 93rd Annual Clinical Congress, Surgical Forum, New Orleans, LA; October 2007.

  • Joshua S. Hill, MD

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis and Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • James T. McPhee, MD

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis and Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Giles F. Whalen, MD, FACS

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis and Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Mary E. Sullivan, MS

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis and Research, University of Massachusetts Medical School, Worcester, MA
    • ,
  • Andrew L. Warshaw, MD, FACS

      Affiliations

    • Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA
    • ,
  • Jennifer F. Tseng, MD, MPH, FACS

      Affiliations

    • Department of Surgery, Surgical Outcomes Analysis and Research, University of Massachusetts Medical School, Worcester, MA
    • Corresponding Author InformationCorrespondence address: Jennifer F Tseng, MD, MPH, Department of Surgery, SOAR Research Lab, S3-752, 55 Lake Ave, Worcester, MA 01655

Received 7 February 2009 ,Revised 27 May 2009 ,Accepted 27 May 2009.

References 

  1. Fitzsimmons D, Kahl S, Butturini G, et al. Symptoms and quality of life in chronic pancreatitis assessed by structured interview and the EORTC QLQ-C30 and QLQ-PAN26. Am J Gastroenterol. 2005;100:918–926
  2. Forsmark CE. Chronic pancreatitis and quality of life. Dig Liver Dis. 2006;38:116–118
  3. Pezzilli R, Morselli Labate AM, Fantini L, et al. Quality of life and clinical indicators for chronic pancreatitis patients in a 2-year follow-up study. Pancreas. 2007;34:191–196
  4. Pezzilli R, Morselli-Labate AM, Fantini L, et al. Assessment of the quality of life in chronic pancreatitis using sf-12 and EORTC qlq-C30 questionnaires. Dig Liver Dis. 2007;39:1077–1086
  5. Cremer M, Deviere J, Delhaye M, et al. Stenting in severe chronic pancreatitis: results of medium-term follow-up in seventy-six patients. Endoscopy. 1991;23:171–176
  6. Eleftherladis N, Dinu F, Delhaye M, et al. Long-term outcome after pancreatic stenting in severe chronic pancreatitis. Endoscopy. 2005;37:223–230
  7. Rosch T, Daniel S, Scholz M, et al. Endoscopic treatment of chronic pancreatitis: A multicenter study of 1000 patients with long-term follow-up. Endoscopy. 2002;34:765–771
  8. Cahen DL, Gouma DJ, Nio Y, et al. Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis. N Engl J Med. 2007;356:676–684
  9. Rios GA, Adams DB, Yeoh KG, et al. Outcome of lateral pancreaticojejunostomy in the management of chronic pancreatitis with nondilated pancreatic ducts. J Gastrointest Surg. 1998;2:223–229
  10. Sielezneff I, Malouf A, Salle E, et al. Long term results of lateral pancreaticojejunostomy for chronic alcoholic pancreatitis. Eur J Surg. 2000;166:58–64
  11. Kalady MF, Broome AH, Meyers WC, Pappas TN. Immediate and long-term outcomes after lateral pancreaticojejunostomy for chronic pancreatitis. Am Surg. 2001;67:478–483
  12. Shrikhande SV. Management of pain in small duct chronic pancreatitis. J Gastrointest Surg. 2006;10:227
  13. Rios GA. Outcome of lateral pancreaticojejunostomy in the management of chronic pancreatitis with nondilated pancreatic ducts. J Gastrointest Surg. 1998;2:223
  14. Diener MK, Rahbari NN, Fischer L, et al. Duodenum-preserving pancreatic head resection versus pancreatoduodenectomy for surgical treatment of chronic pancreatitis: a systematic review and meta-analysis. Ann Surg. 2008;247:950–961
  15. Farkas G, Leindler L, Daroczi M, Farkas G. Long-term follow-up after organ-preserving pancreatic head resection in patients with chronic pancreatitis. J Gastrointest Surg. 2008;12:308–312
  16. Jordan PH, Pikoulis M. Operative treatment for chronic pancreatitis pain. J Am Coll Surg. 2001;192:498–509
  17. Muller MW, Friess H, Martin DJ, et al. Long-term follow-up of a randomized clinical trial comparing Beger with pylorus-preserving Whipple procedure for chronic pancreatitis. Br J Surg. 2008;95:350–356
  18. Schnelldorfer T, Lewin DN, Adams DB. Operative management of chronic pancreatitis: longterm results in 372 patients. J Am Coll Surg. 2007;204:1039–1045discussion 1045–1047
  19. Witzigmann H, Max D, Uhlmann D, et al. Outcome after duodenum-preserving pancreatic head resection is improved compared with classic Whipple procedure in the treatment of chronic pancreatitis. Surgery. 2003;134:53–62
  20. Jimenez RE, Fernandez-del Castillo C, Rattner DW, et al. Outcome of pancreaticoduodenectomy with pylorus preservation or with antrectomy in the treatment of chronic pancreatitis. Ann Surg. 2000;231:293–300
  21. HCUP Nationwide Inpatient Sample (NIS) (Healthcare Cost and Utilization Project (HCUP)). Rockville, MD: Agency for Healthcare Research and Quality; 1998;-2003 www.hcup-us.ahrq.gov/nisoverview.jspAccessed July 9, 2009
  22. HCUP NIS related reports. Healthcare Cost and Utilization Project (HCUP Rockville, MD: Agency for Healthcare Research and Quality). www.hcup-us.ahrq.gov/db/nation/nis/nisrelatedreports.jspSeptember 2008;Accessed July 9, 2009
  23. ICD-9-CM. International classification of diseases, 9th revision; clinical modification (Hospital edition). Los Angeles: Practice Management Information Corporation; 2006;
  24. Finlayson EV, Goodney PP, Birkmeyer JD. Hospital volume and operative mortality in cancer surgery: a national study. Arch Surg. 2003;138:721–725discussion 726
  25. Rao JNK, Scott AJ. On chi-square tests for multiway contingency tables with proportions estimated from survey data. Ann Statist. 1984;12:46–60
  26. Gall FP, Gebhardt C, Zirngibl H. Chronic pancreatitis—results in 116 consecutive, partial duodenopancreatectomies combined with pancreatic duct occlusion. Hepatogastroenterology. 1982;29:115–119
  27. Traverso LW, Tompkins RK, Urrea PT, Longmire WP. Surgical treatment of chronic pancreatitis (Twenty-two years' experience). Ann Surg. 1979;190:312–319
  28. Frey CF, Child CG, Fry W. Pancreatectomy for chronic pancreatitis. Ann Surg. 1976;184:403–413
  29. Heise JW, Katoh M, Luthen R, Roher HD. Long-term results following different extent of resection in chronic pancreatitis. Hepatogastroenterology. 2001;48:864–868
  30. Birkmeyer JD, Finlayson SR, Tosteson AN, et al. Effect of hospital volume on in-hospital mortality with pancreaticoduodenectomy. Surgery. 1999;125:250
  31. McPhee JT, Hill JS, Whalen GF, et al. Perioperative mortality for pancreatectomy: a national perspective. Ann Surg. 2007;246:246–253
  32. Ho HS, Frey CF. Current approach to the surgical management of chronic pancreatitis. Gastroenterologist. 1997;5:128–136
  33. Sakorafas GH, Farnell MB, Nagorney DM, et al. Pancreatoduodenectomy for chronic pancreatitis: long-term results in 105 patients. Arch Surg. 2000;135:517–523discussion 523–524
  34. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8–27

 Disclosure Information: Nothing to disclose.

 Jennifer F Tseng is supported by the American Surgical Association Fellowship and is a Howard Hughes Medical Institute Early Career Grant Awardee.

PII: S1072-7515(09)00995-8

doi: 10.1016/j.jamcollsurg.2009.05.030

Journal of the American College of Surgeons
Volume 209, Issue 4 , Pages 468-476 , October 2009

Article Tools

* Image Usage & Resolution