Comparison of short-term outcomes from the International Oesophago-Gastric Anastomosis Audit (OGAA), the Esophagectomy Complications Consensus Group (ECCG), and the Dutch Upper Gastrointestinal Cancer Audit (DUCA)
Fergusson, J; Beenen, E; Mosse, C; Salim, J; Cheah, S; Wright, T; Cerdeira, MP; McQuillan, P; Richardson, M; Liem, H; Spillane, J; Yacob, M; Albadawi, F; Thorpe, T; Dingle, A; Cabalag, C; Loi, K; Fisher, OM; Ward, S; Read, M; Johnson, M; Bassari, R; Bui, H; Cecconello, I; Sallum, RAA; da Rocha, JRM; Lopes, LR; Tercioti, V; Coelho, JDS; Ferrer, JAP; Buduhan, G; Tan, L; Srinathan, S; Shea, P; Yeung, J; Allison, F; Carroll, P; Vargas-Barato, F; Gonzalez, F; Ortega, J; Nino-Torres, L; Beltrán-García, TC; Castilla, L; Pineda, M; Bastidas, A; Gómez-Mayorga, J; Cortés, N; Cetares, C; Caceres, S; Duarte, S; Pazdro, A; Snajdauf, M; Faltova, H; Sevcikova, M; Mortensen, PB; Katballe, N; Ingemann, T; Morten, B; Kruhlikava, I; Ainswort, AP; Stilling, NM; Eckardt, J; Holm, J; Thorsteinsson, M; Siemsen, M; Brandt, B; Nega, B; Teferra, E; Tizazu, A; Kauppila, JS; Koivukangas, V; Meriläinen, S; Gruetzmann, R; Krautz, C; Weber, G; Golcher, H; Emons, G; Azizian, A; Ebeling, M; Niebisch, S; Kreuser, N; Albanese, G; Hesse, J; Volovnik, L; Boecher, U; Reeh, M; Triantafyllou, S; Schizas, D; Michalinos, A; Mpali, E; Mpoura, M; Charalabopoulos, A; Manatakis, DK; Balalis, D; Bolger, J; Baban, C; Mastrosimone, A; McAnena, O; Quinn, A; Ó Súilleabháin, CB; Hennessy, MM; Ivanovski, I; Khizer, H; Ravi, N; Donlon, N; Cervellera, M; Vaccari, S; Bianchini, S; Sartarelli, l; Asti, E; Bernardi, D; Merigliano, S; Provenzano, L; Scarpa, M; Saadeh, L; Salmaso, B; De Manzoni, G; Giacopuzzi, S; La Mendola, R; De Pasqual, CA; Tsubosa, Y; Niihara, M; Irino, T; Makuuchi, R; Ishii, K; Mwachiro, M; Fekadu, A; Odera, A; Mwachiro, E; AlShehab, D; Ahmed, HA; Shebani, AO; Elhadi, A; Elnagar, FA; Elnagar, HF; Makkai-Popa, ST; Wong, LF; Yunrong, T; Thanninalai, S; Aik, HC; Soon, PW; Huei, TJ; Basave, HNL; Cortés-González, R; Lagarde, SM; van Lanschot, JJB; Cords, C; Jansen, WA; Martijnse, I; Matthijsen, R; Bouwense, S; Klarenbeek, B; Verstegen, M; van Workum, F; Ruurda, JP; van der Sluis, PC; de Maat, M; Evenett, N; Johnston, P; Patel, R; MacCormick, A; Young, M; Smith, B; Ekwunife, C; Memon, AH; Shaikh, K; Wajid, A; Khalil, N; Haris, M; Mirza, ZU; Qudus, SBA; Sarwar, MZ; Shehzadi, A; Raza, A; Jhanzaib, MH; Farmanali, J; Zakir, Z; Shakeel, O; Nasir, I; Khattak, S; Baig, M; Noor, MA; Ahmed, HH; Naeem, A; Pinho, AC; da Silva, R; Matos, H; Braga, T; Monteiro, C; Ramos, P; Cabral, F; Gomes, MP; Martins, PC; Correia, AM; Videira, JF; Ciuce, C; Drasovean, R; Apostu, R; Ciuce, C; Paitici, S; Racu, AE; Obleaga, CV; Beuran, M; Stoica, B; Ciubotaru, C; Negoita, V; Cordos, I; Birla, RD; Predescu, D; Hoara, PA; Tomsa, R; Shneider, V; Agasiev, M; Ganjara, I; Gunjic´, D; Veselinovic´, M; Babič, T; Chin, TS; Shabbir, A; Kim, G; Crnjac, A; Samo, H; Díez del Val, I; Leturio, S; Díez del Val, I; Leturio, S; Ramón, JM; Dal Cero, M; Rifá, S; Rico, M; Pagan Pomar, A; Martinez Corcoles, JA; Rodicio Miravalles, JL; Pais, SA; Turienzo, SA; Alvarez, LS; Campos, PV; Rendo, AG; García, SS; Santos, EPG; Martínez, ET; Fernández Díaz, MJ; Magadán Álvarez, C; Concepción Martín, V; Díaz López, C; Rosat Rodrigo, A; Pérez Sánchez, LE; Bailón Cuadrado, M; Tinoco Carrasco, C; Choolani Bhojwani, E; Sánchez, DP; Ahmed, ME; Dzhendov, T; Lindberg, F; Rutegård, M; Sundbom, M; Mickael, C; Colucci, N; Schnider, A; Er, S; Kurnaz, E; Turkyilmaz, S; Turkyilmaz, A; Yildirim, R; Baki, BE; Akkapulu, N; Karahan, O; Damburaci, N; Hardwick, R; Safranek, P; Sujendran, V; Bennett, J; Afzal, Z; Shrotri, M; Chan, B; Exarchou, K; Gilbert, T; Amalesh, T; Mukherjee, D; Mukherjee, S; Wiggins, TH; Kennedy, R; McCain, S; Harris, A; Dobson, G; Davies, N; Wilson, I; Mayo, D; Bennett, D; Young, R; Manby, P; Blencowe, N; Schiller, M; Byrne, B; Mitton, D; Wong, V; Elshaer, A; Cowen, M; Menon, V; Tan, LC; McLaughlin, E; Koshy, R; Sharp, C; Brewer, H; Das, N; Cox, M; Al Khyatt, W; Worku, D; Iqbal, R; Walls, L; McGregor, R; Fullarton, G; Macdonald, A; MacKay, C; Craig, C; Dwerryhouse, S; Hornby, S; Jaunoo, S; Wadley, M; Baker, C; Saad, M; Kelly, M; Davies, A; Di Maggio, F; McKay, S; Mistry, P; Singhal, R; Tucker, O; Kapoulas, S; Powell-Brett, S; Davis, P; Bromley, G; Watson, L; Verma, R; Ward, J; Shetty, V; Ball, C; Pursnani, K; Sarela, A; Sue Ling, H; Mehta, S; Hayden, J; To, N; Palser, T; Hunter, D; Supramaniam, K; Butt, Z; Ahmed, A; Kumar, S; Chaudry, A; Moussa, O; Kordzadeh, A; Lorenzi, B; Willem, J; Bouras, G; Evans, R; Singh, M; Warrilow, H; Ahmad, A; Tewari, N; Yanni, F; Couch, J; Theophilidou, E; Reilly, JJ; Singh, P; van Boxel, Gijs; Akbari, K; Zanotti, D; Sgromo, B; Sanders, G; Wheatley, T; Ariyarathenam, A; Reece-Smith, A; Humphreys, L; Choh, C; Carter, N; Knight, B; Pucher, P; Athanasiou, A; Mohamed, I; Tan, B; Abdulrahman, M; Vickers, J; Akhtar, K; Chaparala, R; Brown, R; Alasmar, MMA; Ackroyd, R; Patel, K; Tamhankar, A; Wyman, A; Walker, R; Grace, B; Abbassi, N; Slim, N; Ioannidi, L; Blackshaw, G; Havard, T; Escofet, X; Powell, A; Owera, A; Rashid, F; Jambulingam, P; Padickakudi, J; Ben-Younes, H; Mccormack, K; Makey, IA; Karush, MK; Seder, CW; Liptay, MJ; Chmielewski, G; Rosato, EL; Berger, AC; Zheng, R; Okolo, E; Singh, A; Scott, CD; Weyant, MJ; Mitchell, JD (2021-05-22)
Fergusson, J
Beenen, E
Mosse, C
Salim, J
Cheah, S
Wright, T
Cerdeira, MP
McQuillan, P
Richardson, M
Liem, H
Spillane, J
Yacob, M
Albadawi, F
Thorpe, T
Dingle, A
Cabalag, C
Loi, K
Fisher, OM
Ward, S
Read, M
Johnson, M
Bassari, R
Bui, H
Cecconello, I
Sallum, RAA
da Rocha, JRM
Lopes, LR
Tercioti, V
Coelho, JDS
Ferrer, JAP
Buduhan, G
Tan, L
Srinathan, S
Shea, P
Yeung, J
Allison, F
Carroll, P
Vargas-Barato, F
Gonzalez, F
Ortega, J
Nino-Torres, L
Beltrán-García, TC
Castilla, L
Pineda, M
Bastidas, A
Gómez-Mayorga, J
Cortés, N
Cetares, C
Caceres, S
Duarte, S
Pazdro, A
Snajdauf, M
Faltova, H
Sevcikova, M
Mortensen, PB
Katballe, N
Ingemann, T
Morten, B
Kruhlikava, I
Ainswort, AP
Stilling, NM
Eckardt, J
Holm, J
Thorsteinsson, M
Siemsen, M
Brandt, B
Nega, B
Teferra, E
Tizazu, A
Kauppila, JS
Koivukangas, V
Meriläinen, S
Gruetzmann, R
Krautz, C
Weber, G
Golcher, H
Emons, G
Azizian, A
Ebeling, M
Niebisch, S
Kreuser, N
Albanese, G
Hesse, J
Volovnik, L
Boecher, U
Reeh, M
Triantafyllou, S
Schizas, D
Michalinos, A
Mpali, E
Mpoura, M
Charalabopoulos, A
Manatakis, DK
Balalis, D
Bolger, J
Baban, C
Mastrosimone, A
McAnena, O
Quinn, A
Ó Súilleabháin, CB
Hennessy, MM
Ivanovski, I
Khizer, H
Ravi, N
Donlon, N
Cervellera, M
Vaccari, S
Bianchini, S
Sartarelli, l
Asti, E
Bernardi, D
Merigliano, S
Provenzano, L
Scarpa, M
Saadeh, L
Salmaso, B
De Manzoni, G
Giacopuzzi, S
La Mendola, R
De Pasqual, CA
Tsubosa, Y
Niihara, M
Irino, T
Makuuchi, R
Ishii, K
Mwachiro, M
Fekadu, A
Odera, A
Mwachiro, E
AlShehab, D
Ahmed, HA
Shebani, AO
Elhadi, A
Elnagar, FA
Elnagar, HF
Makkai-Popa, ST
Wong, LF
Yunrong, T
Thanninalai, S
Aik, HC
Soon, PW
Huei, TJ
Basave, HNL
Cortés-González, R
Lagarde, SM
van Lanschot, JJB
Cords, C
Jansen, WA
Martijnse, I
Matthijsen, R
Bouwense, S
Klarenbeek, B
Verstegen, M
van Workum, F
Ruurda, JP
van der Sluis, PC
de Maat, M
Evenett, N
Johnston, P
Patel, R
MacCormick, A
Young, M
Smith, B
Ekwunife, C
Memon, AH
Shaikh, K
Wajid, A
Khalil, N
Haris, M
Mirza, ZU
Qudus, SBA
Sarwar, MZ
Shehzadi, A
Raza, A
Jhanzaib, MH
Farmanali, J
Zakir, Z
Shakeel, O
Nasir, I
Khattak, S
Baig, M
Noor, MA
Ahmed, HH
Naeem, A
Pinho, AC
da Silva, R
Matos, H
Braga, T
Monteiro, C
Ramos, P
Cabral, F
Gomes, MP
Martins, PC
Correia, AM
Videira, JF
Ciuce, C
Drasovean, R
Apostu, R
Ciuce, C
Paitici, S
Racu, AE
Obleaga, CV
Beuran, M
Stoica, B
Ciubotaru, C
Negoita, V
Cordos, I
Birla, RD
Predescu, D
Hoara, PA
Tomsa, R
Shneider, V
Agasiev, M
Ganjara, I
Gunjic´, D
Veselinovic´, M
Babič, T
Chin, TS
Shabbir, A
Kim, G
Crnjac, A
Samo, H
Díez del Val, I
Leturio, S
Díez del Val, I
Leturio, S
Ramón, JM
Dal Cero, M
Rifá, S
Rico, M
Pagan Pomar, A
Martinez Corcoles, JA
Rodicio Miravalles, JL
Pais, SA
Turienzo, SA
Alvarez, LS
Campos, PV
Rendo, AG
García, SS
Santos, EPG
Martínez, ET
Fernández Díaz, MJ
Magadán Álvarez, C
Concepción Martín, V
Díaz López, C
Rosat Rodrigo, A
Pérez Sánchez, LE
Bailón Cuadrado, M
Tinoco Carrasco, C
Choolani Bhojwani, E
Sánchez, DP
Ahmed, ME
Dzhendov, T
Lindberg, F
Rutegård, M
Sundbom, M
Mickael, C
Colucci, N
Schnider, A
Er, S
Kurnaz, E
Turkyilmaz, S
Turkyilmaz, A
Yildirim, R
Baki, BE
Akkapulu, N
Karahan, O
Damburaci, N
Hardwick, R
Safranek, P
Sujendran, V
Bennett, J
Afzal, Z
Shrotri, M
Chan, B
Exarchou, K
Gilbert, T
Amalesh, T
Mukherjee, D
Mukherjee, S
Wiggins, TH
Kennedy, R
McCain, S
Harris, A
Dobson, G
Davies, N
Wilson, I
Mayo, D
Bennett, D
Young, R
Manby, P
Blencowe, N
Schiller, M
Byrne, B
Mitton, D
Wong, V
Elshaer, A
Cowen, M
Menon, V
Tan, LC
McLaughlin, E
Koshy, R
Sharp, C
Brewer, H
Das, N
Cox, M
Al Khyatt, W
Worku, D
Iqbal, R
Walls, L
McGregor, R
Fullarton, G
Macdonald, A
MacKay, C
Craig, C
Dwerryhouse, S
Hornby, S
Jaunoo, S
Wadley, M
Baker, C
Saad, M
Kelly, M
Davies, A
Di Maggio, F
McKay, S
Mistry, P
Singhal, R
Tucker, O
Kapoulas, S
Powell-Brett, S
Davis, P
Bromley, G
Watson, L
Verma, R
Ward, J
Shetty, V
Ball, C
Pursnani, K
Sarela, A
Sue Ling, H
Mehta, S
Hayden, J
To, N
Palser, T
Hunter, D
Supramaniam, K
Butt, Z
Ahmed, A
Kumar, S
Chaudry, A
Moussa, O
Kordzadeh, A
Lorenzi, B
Willem, J
Bouras, G
Evans, R
Singh, M
Warrilow, H
Ahmad, A
Tewari, N
Yanni, F
Couch, J
Theophilidou, E
Reilly, JJ
Singh, P
van Boxel, Gijs
Akbari, K
Zanotti, D
Sgromo, B
Sanders, G
Wheatley, T
Ariyarathenam, A
Reece-Smith, A
Humphreys, L
Choh, C
Carter, N
Knight, B
Pucher, P
Athanasiou, A
Mohamed, I
Tan, B
Abdulrahman, M
Vickers, J
Akhtar, K
Chaparala, R
Brown, R
Alasmar, MMA
Ackroyd, R
Patel, K
Tamhankar, A
Wyman, A
Walker, R
Grace, B
Abbassi, N
Slim, N
Ioannidi, L
Blackshaw, G
Havard, T
Escofet, X
Powell, A
Owera, A
Rashid, F
Jambulingam, P
Padickakudi, J
Ben-Younes, H
Mccormack, K
Makey, IA
Karush, MK
Seder, CW
Liptay, MJ
Chmielewski, G
Rosato, EL
Berger, AC
Zheng, R
Okolo, E
Singh, A
Scott, CD
Weyant, MJ
Mitchell, JD
Oxford University Press
22.05.2021
Oesophago-Gastric Anastomosis Study Group , Comparison of short-term outcomes from the International Oesophago-Gastric Anastomosis Audit (OGAA), the Esophagectomy Complications Consensus Group (ECCG), and the Dutch Upper Gastrointestinal Cancer Audit (DUCA), BJS Open, Volume 5, Issue 3, May 2021, zrab010, https://doi.org/10.1093/bjsopen/zrab010
https://creativecommons.org/licenses/by/4.0/
© The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by/4.0/
© The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
https://creativecommons.org/licenses/by/4.0/
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:oulu-202402081641
https://urn.fi/URN:NBN:fi:oulu-202402081641
Tiivistelmä
Abstract
Background:
The Esophagectomy Complications Consensus Group (ECCG) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA) have set standards in reporting outcomes after oesophagectomy. Reporting outcomes from selected high-volume centres or centralized national cancer programmes may not, however, be reflective of the true global prevalence of complications. This study aimed to compare complication rates after oesophagectomy from these existing sources with those of an unselected international cohort from the Oesophago-Gastric Anastomosis Audit (OGAA).
Methods:
The OGAA was a prospective multicentre cohort study coordinated by the West Midlands Research Collaborative, and included patients undergoing oesophagectomy for oesophageal cancer between April and December 2018, with 90 days of follow-up.
Results:
The OGAA study included 2247 oesophagectomies across 137 hospitals in 41 countries. Comparisons with the ECCG and DUCA found differences in baseline demographics between the three cohorts, including age, ASA grade, and rates of chronic pulmonary disease. The OGAA had the lowest rates of neoadjuvant treatment (OGAA 75.1 per cent, ECCG 78.9 per cent, DUCA 93.5 per cent; P < 0.001). DUCA exhibited the highest rates of minimally invasive surgery (OGAA 57.2 per cent, ECCG 47.9 per cent, DUCA 85.8 per cent; P < 0.001). Overall complication rates were similar in the three cohorts (OGAA 63.6 per cent, ECCG 59.0 per cent, DUCA 62.2 per cent), with no statistically significant difference in Clavien–Dindo grades (P = 0.752). However, a significant difference in 30-day mortality was observed, with DUCA reporting the lowest rate (OGAA 3.2 per cent, ECCG 2.4 per cent, DUCA 1.7 per cent; P = 0.013).
Conclusion:
Despite differences in rates of co-morbidities, oncological treatment strategies, and access to minimal-access surgery, overall complication rates were similar in the three cohorts.
Background:
The Esophagectomy Complications Consensus Group (ECCG) and the Dutch Upper Gastrointestinal Cancer Audit (DUCA) have set standards in reporting outcomes after oesophagectomy. Reporting outcomes from selected high-volume centres or centralized national cancer programmes may not, however, be reflective of the true global prevalence of complications. This study aimed to compare complication rates after oesophagectomy from these existing sources with those of an unselected international cohort from the Oesophago-Gastric Anastomosis Audit (OGAA).
Methods:
The OGAA was a prospective multicentre cohort study coordinated by the West Midlands Research Collaborative, and included patients undergoing oesophagectomy for oesophageal cancer between April and December 2018, with 90 days of follow-up.
Results:
The OGAA study included 2247 oesophagectomies across 137 hospitals in 41 countries. Comparisons with the ECCG and DUCA found differences in baseline demographics between the three cohorts, including age, ASA grade, and rates of chronic pulmonary disease. The OGAA had the lowest rates of neoadjuvant treatment (OGAA 75.1 per cent, ECCG 78.9 per cent, DUCA 93.5 per cent; P < 0.001). DUCA exhibited the highest rates of minimally invasive surgery (OGAA 57.2 per cent, ECCG 47.9 per cent, DUCA 85.8 per cent; P < 0.001). Overall complication rates were similar in the three cohorts (OGAA 63.6 per cent, ECCG 59.0 per cent, DUCA 62.2 per cent), with no statistically significant difference in Clavien–Dindo grades (P = 0.752). However, a significant difference in 30-day mortality was observed, with DUCA reporting the lowest rate (OGAA 3.2 per cent, ECCG 2.4 per cent, DUCA 1.7 per cent; P = 0.013).
Conclusion:
Despite differences in rates of co-morbidities, oncological treatment strategies, and access to minimal-access surgery, overall complication rates were similar in the three cohorts.
Kokoelmat
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