A National Assessment of Optimal Oncologic Surgery for Distal Pancreatic Adenocarcinomas.

ABSTRACT:

Objectives

The objective of this study was to create a composite measure, optimal oncologic surgery (OOS), for patients undergoing distal pancreatectomy for pancreatic adenocarcinoma and identify factors associated with OOS.

Methods

Adult patients undergoing distal pancreatectomy were identified from the National Cancer Database between 2010 and 2016. Patients were stratified based on receipt of OOS. Criteria for OOS included 90-day survival, no 30-day readmission, length of stay ≤7 days, negative resection margins, ≥12 lymph nodes harvested, and receipt of chemotherapy. Multivariate logistic regression was performed to identify predictors of OOS. Survival curves and a Cox proportional hazards model were created to compare survival and identify risk factors for mortality.

SUBMITTER: Hrebinko K 

PROVIDER: S-EPMC8670387 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature