The Neutrophil-to-Lymphocyte Ratio to Exclude Pancreatic Fistula
NLR
1 other identifier
observational
648
0 countries
N/A
Brief Summary
There is still no consensus on whether drain fluid amylase (DFA) level, C-reactive protein (CRP) level, or complex scores predict clinically relevant postoperative pancreatic fistula (CR-POPF). The aim of this study is to determine the accuracy of simple biochemical parameters (leucocytes, neutrophils, lymphocytes, Neutrophil to Lymphocytes Ratio (NLR), at postoperative days 1 and 3) to exclude the diagnosis of CR-POPF.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jun 2012
Longer than P75 for all trials
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
June 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2020
CompletedFirst Submitted
Initial submission to the registry
January 19, 2021
CompletedFirst Posted
Study publicly available on registry
January 26, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2021
CompletedMay 28, 2021
January 1, 2021
8.6 years
January 19, 2021
May 26, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Incidence of clinically relevant pancreatic fistula
Clinically relevant postoperative pancreatic fistula according to the 2016 International Study Group of Pancreatic Surgery definition
at hospital discharge assessed up to 30 days
Secondary Outcomes (1)
Biological markers
Postoperative day one and three
Interventions
A pancreaticogastrostomy or -jejunostomy duct-to-mucosa was achieved according to the surgeon's preference and pancreatic texture.
Eligibility Criteria
3 cohorts, which were as follows: the set of 451 patients was randomly sampled following a ratio 2:1 into a training (n=301) and a validation (n=150) cohort to respectively determine and validate the accuracy, best timing, and cut-off for the surrogate markers, then validated in an external cohort (n=197).
You may qualify if:
- Patients who underwent pancreatoduodenectomy
You may not qualify if:
- Total pancreatectomy
- Enucleation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Olivier Turrini, PD
Institut Paoli-Calmettes- (IPC)
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 19, 2021
First Posted
January 26, 2021
Study Start
June 1, 2012
Primary Completion
December 31, 2020
Study Completion
February 28, 2021
Last Updated
May 28, 2021
Record last verified: 2021-01
Data Sharing
- IPD Sharing
- Will not share