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Are Quality Indicators associated with Postoperative Outcomes after Resection for Pancreatic Adenocarcinoma?
Author(s): Scott Hurton, Robin Urquhart, Cynthia Kendall, Adrian Levy and Michele MolinariScott Hurton, Robin Urquhart, Cynthia Kendall, Adrian Levy and Michele Molinari
Introduction: Although quality of care has become a central aspect of modern medicine, a definite relationship between quality indicators (QIs) and outcomes has not been fully established in patients with pancreatic cancer (PC). The primary aim of this study was to examine the possible association of established process-based QIs with short and long term outcomes in patients undergoing PC resection. Methods: All adult patients undergoing resection for PC in Nova Scotia between 2001 and 2011 were included in a retrospective cohort study. Logistic and Cox model regression analyses were used to test the hypothesis that meeting selected QIs was associated with improved perioperative morbidity, mortality and overall survival. Results: Pancreaticoduoedenectomy was performed in 82 (87%) patients and distal pancreatectomy .. View More»