-
Something wrong with this record ?
coMpliAnce with evideNce-based cliniCal guidelines in the managemenT of acute biliaRy pancreAtitis): The MANCTRA-1 international audit
M. Podda, D. Pacella, G. Pellino, F. Coccolini, A. Giordano, S. Di Saverio, F. Pata, B. Ielpo, F. Virdis, D. Damaskos, B. De Simone, F. Agresta, M. Sartelli, A. Leppaniemi, C. Riboni, V. Agnoletti, D. Mole, Y. Kluger, F. Catena, A. Pisanu,...
Language English Country Switzerland
Document type Clinical Study, Journal Article
- MeSH
- Acute Disease MeSH
- Cholecystectomy MeSH
- Enteral Nutrition MeSH
- Hospitalization MeSH
- Humans MeSH
- Pancreatitis * surgery diagnosis MeSH
- Check Tag
- Humans MeSH
- Publication type
- Journal Article MeSH
- Clinical Study MeSH
BACKGROUND/OBJECTIVES: Reports about the implementation of recommendations from acute pancreatitis guidelines are scant. This study aimed to evaluate, on a patient-data basis, the contemporary practice patterns of management of biliary acute pancreatitis and to compare these practices with the recommendations by the most updated guidelines. METHODS: All consecutive patients admitted to any of the 150 participating general surgery (GS), hepatopancreatobiliary surgery (HPB), internal medicine (IM) and gastroenterology (GA) departments with a diagnosis of biliary acute pancreatitis between 01/01/2019 and 31/12/2020 were included in the study. Categorical data were reported as percentages representing the proportion of all study patients or different and well-defined cohorts for each variable. Continuous data were expressed as mean and standard deviation. Differences between the compliance obtained in the four different subgroups were compared using the Mann-Whitney U, Student's t, ANOVA or Kruskal-Wallis tests for continuous data, and the Chi-square test or the Fisher's exact test for categorical data. RESULTS: Complete data were available for 5275 patients. The most commonly discordant gaps between daily clinical practice and recommendations included the optimal timing for the index CT scan (6.1%, χ2 6.71, P = 0.081), use of prophylactic antibiotics (44.2%, χ2 221.05, P < 0.00001), early enteral feeding (33.2%, χ2 11.51, P = 0.009), and the implementation of early cholecystectomy strategies (29%, χ2 354.64, P < 0.00001), with wide variability based on the admitting speciality. CONCLUSIONS: The results of this study showed an overall poor compliance with evidence-based guidelines in the management of ABP, with wide variability based on the admitting speciality. Study protocol registered in ClinicalTrials.Gov (ID Number NCT04747990).
'Luigi Vanvitelli' University of Campania Naples Italy
Centre for Inflammation Research Clinical Surgery University of Edinburgh Edinburgh Scotland UK
Colorectal Surgery Vall d'Hebron University Hospital Barcelona Spain
Department of Emergency and Trauma Surgery Bufalini Hospital Cesena Italy
Department of General Surgery Santo Stefano Hospital Prato Italy
Department of Surgery EOC Regional Hospital Lugano Switzerland
Department of Surgery Macerata Civil Hospital Macerata Italy
Department of Surgery Madonna del Soccorso Hospital San Benedetto del Tronto Italy
Department of Surgery Vittorio Veneto Civil Hospital Vittorio Veneto Italy
Department of Surgical Science Emergency Surgery Unit University of Cagliari Cagliari Italy
Department of Upper GI Surgery Royal Infirmary of Edinburgh Edinburgh Scotland UK
Division of General Surgery Rambam Health Care Campus Haifa Israel
General Emergency and Trauma Surgery Unit Pisa University Hospital Pisa Italy
General Surgery Unit Nicola Giannettasio Hospital Corigliano Rossano Italy
HPB Surgery Unit Hospital del Mar Barcelona Spain
Intensive Care Unit Bufalini Hospital Cesena Italy
Trauma and Acute Care Surgery Unit Niguarda Ca Granda Hospital Milan Italy
University of Naples Federico 2 Department of Public Health Naples Italy
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc22032887
- 003
- CZ-PrNML
- 005
- 20230131150803.0
- 007
- ta
- 008
- 230120s2022 sz f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1016/j.pan.2022.07.007 $2 doi
- 035 __
- $a (PubMed)35963665
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a sz
- 100 1_
- $a Podda, Mauro $u Department of Surgical Science, Emergency Surgery Unit, University of Cagliari, Cagliari, Italy. Electronic address: mauro.podda@unica.it
- 245 10
- $a coMpliAnce with evideNce-based cliniCal guidelines in the managemenT of acute biliaRy pancreAtitis): The MANCTRA-1 international audit / $c M. Podda, D. Pacella, G. Pellino, F. Coccolini, A. Giordano, S. Di Saverio, F. Pata, B. Ielpo, F. Virdis, D. Damaskos, B. De Simone, F. Agresta, M. Sartelli, A. Leppaniemi, C. Riboni, V. Agnoletti, D. Mole, Y. Kluger, F. Catena, A. Pisanu, MANCTRA-1 Collaborative Group, Principal Investigator, Steering Committee, MANCTRA-1 Coordinating Group, Local Collaborators, Argentina, Australia, Bahrain, Brazil, Bulgaria, China, Colombia, Czech Republic, Egypt, France, Georgia, Greece, Guatemala, India, Italy, Jordan, Malaysia, Mexico, Nigeria, Pakistan, Paraguay, Peru, Philippines, Poland, Portugal, Qatar, Romania, Russia, Serbia, Slovak Republic, South Africa, Spain, Sudan, Switzerland, Syria, Tunisia, Turkey, United Kingdom, Uruguay, Yemen
- 520 9_
- $a BACKGROUND/OBJECTIVES: Reports about the implementation of recommendations from acute pancreatitis guidelines are scant. This study aimed to evaluate, on a patient-data basis, the contemporary practice patterns of management of biliary acute pancreatitis and to compare these practices with the recommendations by the most updated guidelines. METHODS: All consecutive patients admitted to any of the 150 participating general surgery (GS), hepatopancreatobiliary surgery (HPB), internal medicine (IM) and gastroenterology (GA) departments with a diagnosis of biliary acute pancreatitis between 01/01/2019 and 31/12/2020 were included in the study. Categorical data were reported as percentages representing the proportion of all study patients or different and well-defined cohorts for each variable. Continuous data were expressed as mean and standard deviation. Differences between the compliance obtained in the four different subgroups were compared using the Mann-Whitney U, Student's t, ANOVA or Kruskal-Wallis tests for continuous data, and the Chi-square test or the Fisher's exact test for categorical data. RESULTS: Complete data were available for 5275 patients. The most commonly discordant gaps between daily clinical practice and recommendations included the optimal timing for the index CT scan (6.1%, χ2 6.71, P = 0.081), use of prophylactic antibiotics (44.2%, χ2 221.05, P < 0.00001), early enteral feeding (33.2%, χ2 11.51, P = 0.009), and the implementation of early cholecystectomy strategies (29%, χ2 354.64, P < 0.00001), with wide variability based on the admitting speciality. CONCLUSIONS: The results of this study showed an overall poor compliance with evidence-based guidelines in the management of ABP, with wide variability based on the admitting speciality. Study protocol registered in ClinicalTrials.Gov (ID Number NCT04747990).
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a akutní nemoc $7 D000208
- 650 _2
- $a cholecystektomie $7 D002763
- 650 _2
- $a enterální výživa $7 D004750
- 650 _2
- $a hospitalizace $7 D006760
- 650 12
- $a pankreatitida $x chirurgie $x diagnóza $7 D010195
- 655 _2
- $a klinická studie $7 D000068397
- 655 _2
- $a časopisecké články $7 D016428
- 700 1_
- $a Pacella, Daniela $u University of Naples Federico II, Department of Public Health, Naples, Italy
- 700 1_
- $a Pellino, Gianluca $u 'Luigi Vanvitelli' University of Campania, Naples, Italy; Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain
- 700 1_
- $a Coccolini, Federico $u General, Emergency and Trauma Surgery Unit, Pisa University Hospital, Pisa, Italy
- 700 1_
- $a Giordano, Alessio $u Department of General Surgery, Santo Stefano Hospital, Prato, Italy
- 700 1_
- $a Di Saverio, Salomone $u Department of Surgery, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
- 700 1_
- $a Pata, Francesco $u General Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy
- 700 1_
- $a Ielpo, Benedetto $u HPB Surgery Unit, Hospital del Mar, Barcelona, Spain
- 700 1_
- $a Virdis, Francesco $u Trauma and Acute Care Surgery Unit, Niguarda Ca Granda Hospital, Milan, Italy
- 700 1_
- $a Damaskos, Dimitrios $u Department of Upper GI Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK
- 700 1_
- $a De Simone, Belinda $u Department of Emergency and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, Poissy Cedex, France
- 700 1_
- $a Agresta, Ferdinando $u Department of Surgery, Vittorio Veneto Civil Hospital, Vittorio Veneto, Italy
- 700 1_
- $a Sartelli, Massimo $u Department of Surgery, Macerata Civil Hospital, Macerata, Italy
- 700 1_
- $a Leppaniemi, Ari $u Department of Abdominal Surgery, Abdominal Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland
- 700 1_
- $a Riboni, Cristiana $u Department of Surgery, EOC Regional Hospital, Lugano, Switzerland
- 700 1_
- $a Agnoletti, Vanni $u Intensive Care Unit, Bufalini Hospital, Cesena, Italy
- 700 1_
- $a Mole, Damian $u Centre for Inflammation Research, Clinical Surgery, University of Edinburgh, Edinburgh, Scotland, UK
- 700 1_
- $a Kluger, Yoram $u Division of General Surgery, Rambam Health Care Campus, Haifa, Israel
- 700 1_
- $a Catena, Fausto $u Department of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
- 700 1_
- $a Pisanu, Adolfo $u Department of Surgical Science, Emergency Surgery Unit, University of Cagliari, Cagliari, Italy
- 710 2_
- $a MANCTRA-1 Collaborative Group
- 710 2_
- $a Principal Investigator
- 710 2_
- $a Steering Committee
- 710 2_
- $a MANCTRA-1 Coordinating Group
- 710 2_
- $a Local Collaborators
- 710 2_
- $a Argentina
- 710 2_
- $a Australia
- 710 2_
- $a Bahrain
- 710 2_
- $a Brazil
- 710 2_
- $a Bulgaria
- 710 2_
- $a China
- 710 2_
- $a Colombia
- 710 2_
- $a Czech Republic
- 710 2_
- $a Egypt
- 710 2_
- $a France
- 710 2_
- $a Georgia
- 710 2_
- $a Greece
- 710 2_
- $a Guatemala
- 710 2_
- $a India
- 710 2_
- $a Italy
- 710 2_
- $a Jordan
- 710 2_
- $a Malaysia
- 710 2_
- $a Mexico
- 710 2_
- $a Nigeria
- 710 2_
- $a Pakistan
- 710 2_
- $a Paraguay
- 710 2_
- $a Peru
- 710 2_
- $a Philippines
- 710 2_
- $a Poland
- 710 2_
- $a Portugal
- 710 2_
- $a Qatar
- 710 2_
- $a Romania
- 710 2_
- $a Russia
- 710 2_
- $a Serbia
- 710 2_
- $a Slovak Republic
- 710 2_
- $a South Africa
- 710 2_
- $a Spain
- 710 2_
- $a Sudan
- 710 2_
- $a Switzerland
- 710 2_
- $a Syria
- 710 2_
- $a Tunisia
- 710 2_
- $a Turkey
- 710 2_
- $a United Kingdom
- 710 2_
- $a Uruguay
- 710 2_
- $a Yemen
- 773 0_
- $w MED00008752 $t Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] $x 1424-3911 $g Roč. 22, č. 7 (2022), s. 902-916
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/35963665 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y p $z 0
- 990 __
- $a 20230120 $b ABA008
- 991 __
- $a 20230131150759 $b ABA008
- 999 __
- $a ok $b bmc $g 1891566 $s 1184222
- BAS __
- $a 3
- BAS __
- $a PreBMC-MEDLINE
- BMC __
- $a 2022 $b 22 $c 7 $d 902-916 $e 20220716 $i 1424-3911 $m Pancreatology $n Pancreatology $x MED00008752
- LZP __
- $a Pubmed-20230120
