Overuse of surgery in patients with pancreatic cancer. A nationwide analysis in Italy.

ABSTRACT:

Background

According to current guidelines, pancreatic cancer patients should be strictly selected for surgery, either palliative or resective.

Methods

Population-based study, including all patients undergoing surgery for pancreatic cancer in Italy between 2010 and 2012. Hospitals were divided into five volume groups (quintiles), to search for differences among volume categories.

Results

There were 544 hospitals performing 10 936 pancreatic cancer operations. The probability of undergoing palliative/explorative surgery was inversely related to volume, being 24.4% in very high-volume hospitals and 62.5% in very low-volume centres (adjusted OR 5.175). Contrarily, the resection rate in patients without metastases decreased from 86.9% to 46.1% (adjusted OR 7.429). As for

SUBMITTER: Balzano G 

PROVIDER: S-EPMC4857063 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature