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Clinical pathways for oncological gastrectomy: Are they a suitable instrument for process standardization to improve process and outcome quality of patients undergoing gastrectomy? - A retrospective cohort study

Clinical pathways for oncological gastrectomy: Are they a suitable instrument for process standardization to improve process and outcome quality of patients undergoing gastrectomy? - A retrospective cohort study - not applicable

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
DRKS
Registry ID
DRKS00020323
Enrollment
126
Registered
2019-12-17
Start date
2015-08-01
Completion date
Unknown
Last updated
2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Clinical pathway in oncological gastric surgery

Interventions

Group 1: Patients before CP (Clinical pathway) implementation. Patients were treated regarding the experience and the preference of the surgeon. Group 2: Patients after CP implementation. Patients wer

Sponsors

Universitätsmedizin Mannheim - Chirurgische Klinik
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to No maximum

Inclusion criteria

Inclusion criteria: All patients undergoing elective oncological gastrectomy were included. The intervention group (CP group) comprised all consecutive patients operated following the implementation of the CP in October 2012. The control group (pre-CP group) comprised all patients operated in the two years before CP implementation, respectively.

Exclusion criteria

Exclusion criteria: No exclusion criteria

Design outcomes

Primary

MeasureTime frame
Treatment and outcome quality for patients undergoing oncological gastrectomy. Process quality was assessed among others by the following parameters: - day of drain or catheter removal - day of mobilization - day of intake of fluids and solids after surgery Outcome quality was assessed among others by the following parameters: - day of discharge - request of analgetics

Secondary

MeasureTime frame
Morbidity (hospital stay and readmission until day 14 after discharge) by assessing postoperative complications (reoperation rate, anastomotic leakage, duodenal stump insufficiency, bleeding, postoperative pancreatic fistulas) according to the Clavien-Dindo classification); mortality (in-hospital mortality)

Countries

Germany

Contacts

Public ContactUlrich Ronellenfitsch

Klinik für Viszeral-, Gefäß- und Endokrine-Chirurgie - Universitätsklinikum Halle (Saale)

ulrich.ronellenfitsch@uk-halle.de0049 345 557 2314

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026