NCT01059097

Brief Summary

The independent impact of surgeon volume on outcome of patients undergoing pancreaticoduodenectomy in a high-volume Institution was assessed. A significant reduction of pancreatic fistula rate was found in the high-volume surgeon group in comparison with low-volume surgeon group. However, no difference between groups was found in mortality, major complications, and hospital stay.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
610

participants targeted

Target at P75+ for not_applicable pancreatic-cancer

Timeline
Completed

Started Aug 2001

Longer than P75 for not_applicable pancreatic-cancer

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2001

Completed
8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2009

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2010

Completed
24 days until next milestone

First Submitted

Initial submission to the registry

January 25, 2010

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 29, 2010

Completed
Last Updated

January 29, 2010

Status Verified

January 1, 2010

Enrollment Period

8 years

First QC Date

January 25, 2010

Last Update Submit

January 28, 2010

Conditions

Outcome Measures

Primary Outcomes (1)

  • Postoperative mortality after pancreaticoduodenectomy within 30 days of discharge

    30 days after discharge

Secondary Outcomes (2)

  • Postoperative morbidity rate measuring the following complications: pancreatic fistula, biliary fistula, delayed gastric emptying, infectious complications, bleeding, cardiovascular complications, respiratory complications.

    30 days post-discharge

  • Postoperative hospital stay. Measuring the length of hospital stay.

    At day of discharge

Study Arms (2)

High volume surgeons

ACTIVE COMPARATOR

high volume surgeons performed at least 18 PD/year.

Procedure: Pancreaticoduodenectomy

Low volume surgeons

ACTIVE COMPARATOR

low volume surgeons performed less than 18 PD/year.

Procedure: Pancreaticoduodenectomy

Interventions

High volume surgeonsLow volume surgeons

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients who underwent pancreaticoduodenectomy between August 2001 and August 2009

You may not qualify if:

  • Other type of surgery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

San Raffaele Scientific Institute

Milan, MI, 20132, Italy

Location

Related Publications (2)

  • Balzano G, Zerbi A, Braga M, Rocchetti S, Beneduce AA, Di Carlo V. Fast-track recovery programme after pancreatico- duodenectomy reduces delayed gastric emptying. Br J Surg. 2008 Nov;95(11):1387-93. doi: 10.1002/bjs.6324.

    PMID: 18844251BACKGROUND
  • Balzano G, Zerbi A, Capretti G, Rocchetti S, Capitanio V, Di Carlo V. Effect of hospital volume on outcome of pancreaticoduodenectomy in Italy. Br J Surg. 2008 Mar;95(3):357-62. doi: 10.1002/bjs.5982.

    PMID: 17933001BACKGROUND

MeSH Terms

Conditions

Pancreatic Neoplasms

Interventions

Pancreaticoduodenectomy

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsEndocrine Gland NeoplasmsDigestive System DiseasesPancreatic DiseasesEndocrine System Diseases

Intervention Hierarchy (Ancestors)

Digestive System Surgical ProceduresSurgical Procedures, Operative

Study Officials

  • Marco Braga, MD

    San Raffaele University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

January 25, 2010

First Posted

January 29, 2010

Study Start

August 1, 2001

Primary Completion

August 1, 2009

Study Completion

January 1, 2010

Last Updated

January 29, 2010

Record last verified: 2010-01

Locations