Higher volume providers are associated with improved outcomes following ERCP for the palliation of malignant biliary obstruction.

ABSTRACT:

Background

Relieving malignant biliary obstruction improves quality of life and permits chemotherapy. Outcomes of endoscopic retrograde cholangio-pancratography(ERCP) in inoperable malignant biliary obstruction have been examined in a national cohort to establish factors associated with poor outcomes.

Methods

Hospital Episode Statistics include diagnostic and procedural data for all NHS hospital attendances in England. Patients from 2006 to 2017 with a Hepaticopancreaticobiliary (HPB) malignancy who had undergone ERCP were studied. Patients undergoing a potentially curative operation were excluded. Associations between demographics, co-morbidities, unit ERCP volume and mortality were examined by logistic regression.

Findings

39,702 patients were included; 49.4% were m

SUBMITTER: Harvey PR 

PROVIDER: S-EPMC6948226 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature