Hepatocellular Carcinoma, Hilar Cholangiocarcinoma, Intra Hepatic Cholangiocarcinoma, Liver Metastasis
Conditions
Keywords
liver tumor, carcinoma, cholangiocarcinoma, metastasis
Brief summary
The aim of this study is to reduce the length of stay after liver surgery by taking account of objective quantitative clinical variables, subjective qualitative clinical variables and non clinical variables.
Detailed description
a new dimension of the activity expected of physicians is to improve the safety of care on the one hand and the control of health care costs on the other. key measures to help them are the publication of national recommendations, assessment of actual practices and the incentive to activity. Internationalwide recent and concordant data suggest that * quality and security of care, after an initial improvement, are going to stall * scientific recommendations are rarely validated by an impact analysis and are not applied * clinical data collected within an administrative framework are unreliable and too generalist * the evaluation, especially in the surgical field, is based on indicators sometimes irrelevant and often unclear
Interventions
PROCEDUREliver surgery
this intervention type includes hepatectomies; wedge; segmentectomies etc...
Sponsors
Centre Hospitalier Universitaire, Amiens
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* elective liver surgery * older than 18 * agreed to participate * surgical procedure included procedures registered as "HLFA003 - 007 ; 009 - 011 ; 017 - 020 ; HLFC002 à 004 ; 027 ; 032 ; 037" in the PMSI database
Exclusion criteria
* emergency surgery * refused to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| overall postoperative length of stay | during the 3 months after the surgery | the overall postoperative length of stay is defined as the hospitalization between the surgery and patient's discharge. This period includes the readmission for at least 24 hours in case of outcomes related to the surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| peroperative outcomes | during the surgical procedure | the peroperative outcomes are collected during the surgery and correspond to any event occured during the surgical intervention |
| postoperative outcomes | after the surgery until postoperative month 3 | the postoperative outcomes correspond to any event occured after the surgical intervention. These outcomes include fistulae; bleeding... |
| construct of pronostic models | after the postoperative month 3 | the construct of pronostic models include variables that affect the length of stay; morbidity and mortality |
| evaluation of PMSI indicators | after the postoperative month 3 | this evaluation includes the analysis of PMSI indicators; their validity and the influence of centres on hepatectomies results |
Countries
France
Contacts
PRINCIPAL_INVESTIGATOROlivier FARGES, MD, phD
Beaujon University Hospital
Outcome results
None listed