Health Condition 1: K869- Disease of pancreas, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who underwent pancreaticoduodenectomy (classical or pylorus-preserving) at Tata Memorial Centre between January 2013 and December 2024 Development of clinically relevant postoperative pancreatic fistula (ISGPS Grade B or C)
Exclusion criteria
Exclusion criteria: Total pancreatectomy, distal pancreatectomy, or central pancreatectomy Incomplete follow-up data Death within 48 hours of surgery (precluding phenotype classification)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 90 day all cause mortality following pancreaticoduodenectomy in patients with clinically relevant POPF (Grade B or C).Timepoint: 90 day after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| POPF Escalation Phenotype (PEP) distribution at day-14 landmark assessment Phenotype-specific mortality rates with 95% confidence intervals Time to phenotype escalation from POPF diagnosis ICU admission rate & duration Peak SOFA scores across phenotypes Rates of organ failure (respiratory, renal, cardiovascular) Rates of reoperation & completion pancreatectomy Hospital length of stay PMPI discrimination (AUROC) & calibration Timepoint: Baseline day of surgery postoperative day 14 during hospital stay at discharge & up to 90 days after surgery | — |
Countries
India
Contacts
Tata Memorial Hospital