Reporting national outcomes after esophagectomy and gastrectomy according to the esophageal complications consensus group (ECCG)

Leonie R. Van Der Werf*, Linde A.D. Busweiler, Johanna W. Van Sandick, Mark I. Van Berge Henegouwen, Bas P.L. Wijnhoven

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

116 Citations (Scopus)

Abstract

Objective:This nation-wide population-based study aimed to report postoperative morbidity and mortality after esophagectomy and gastrectomy in the Netherlands according to the definitions of the Esophagectomy Complications Consensus Group (ECCG).Background:To standardize international outcome reporting in esophageal surgery, the ECCG developed a standardized outcomes set.Methods:For this national cohort study, all patients undergoing esophagectomy or gastrectomy for cancer between 2016 and 2017 were selected from the Dutch Upper gastrointestinal Cancer Audit. In a random sample of hospitals, data completeness and accuracy were validated by reabstraction of the data. The investigated outcomes in the present study were postoperative complications, major complications (Clavien-Dindo grade ≥III), and 30-day mortality, according to definitions of the ECCG.Results:A total of 2545 patients from 22 hospitals were included. The completeness of the Dutch Upper gastrointestinal Cancer Audit was estimated at 99.8%. Data accuracy on different items was 94% to 100%. After esophagectomy, 1046 of 1617 patients (65%) had a postoperative complication including 468 patients (29%) with a major complication. Most common complications were pneumonia (21%), esophago-enteric leak from anastomosis, staple line or localized conduit necrosis (19%), and atrial dysrhythmia (15%). The 30-day mortality was 1.7%. After gastrectomy, 397 of 928 patients (42%) had a postoperative complication including 180 patients (19%) with a major complication. Most common complications were pneumonia (12%), esophago-enteric leak from anastomosis, staple line or localized conduit necrosis (9%), and acute delirium (5%). The 30-day mortality was 4.4%.Conclusions:Reporting complications according to the ECCG platform is feasible in the Netherlands and facilitates international benchmarking.

Original languageEnglish
Pages (from-to)1095-1101
Number of pages7
JournalAnnals of Surgery
Volume271
Issue number6
DOIs
Publication statusPublished - 1 Jun 2020

Bibliographical note

Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.

Fingerprint

Dive into the research topics of 'Reporting national outcomes after esophagectomy and gastrectomy according to the esophageal complications consensus group (ECCG)'. Together they form a unique fingerprint.

Cite this