Analysis of textbook outcomes among patients undergoing resection of retroperitoneal sarcoma: A multi-institutional analysis of the US Sarcoma Collaborative.

Journal of Surgical Oncology
Jason T WisemanValerie Grignol

Abstract

The novel composite metric textbook outcome (TO) has increasingly been used as a quality indicator but has not been reported among patients undergoing surgical resection for retroperitoneal sarcoma (RPS) using multi-institutional collaborative data. All patients who underwent resection for RPS between 2000 to 2016 from eight academic institutions were included. TO was defined as a patient with R0/R1 resection that discharged to home and was without transfusion, reoperation, grade ≥2 complications, hospital-stay >50th percentile, or 90-day readmission or mortality. Univariate and multivariable analyses were performed. Among 627 patients, 56.1% were female and the median age was 59 years. A minority of patients achieved a TO (34.9%). Factors associated with achieving a TO were tumor size <20 cm and low tumor grade, while ASA class ≥3, history of a prior cardiac event, resection of left colon/rectum, distal pancreatic resection, major venous resection and drain placement were associated with not achieving a TO (all P < .05). Achievement of a TO was associated with improved survival (median:12.7 vs 5.9 years, P < .01). Among patients undergoing resection for RPS, failure to achieve TO is common and associated with significantly wor...Continue Reading

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Citations

May 8, 2021·World Journal of Gastroenterology : WJG·Diamantis I TsilimigrasDimitrios Moris
Jul 11, 2021·Cirugía española·Jose M Ramia, Victoriano Soria-Aledo
Jul 31, 2021·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jason T WisemanJordan M Cloyd
Aug 16, 2021·Annals of Surgical Oncology·Christopher T AquinaAslam Ejaz
Aug 20, 2021·Seminars in Thoracic and Cardiovascular Surgery·Sujay KulshresthaUNKNOWN Loyola Thoracic Outcomes Group

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