Journal article
Association between Preoperative Steroids and Outcomes in Patients Undergoing Pancreaticoduodenectomy using the National Surgical Quality Improvement Program
Journal of gastrointestinal surgery, Vol.26(6), pp.1198-1204
06/01/2022
DOI: 10.1007/s11605-022-05260-w
PMID: 35141835
Abstract
A national study analyzing the association between preoperative steroid use and outcomes after pancreatic resections is lacking. The purpose of this study is to evaluate the association between preoperative steroids and outcomes after pancreaticoduodenectomy using a national database.
A retrospective analysis of patients undergoing pancreaticoduodenectomy was performed using the National Surgical Quality Improvement Program (NSQIP) database (2014-2019). In addition, we utilized propensity score matching to compare patients on preoperative steroids to those who were not. Outcomes measured included 30-day complications and mortality, need for readmission, a prolonged hospital length of stay, delayed gastric emptying, and pancreatic fistula.
After propensity score matching, there were 438 patients in the steroid group and 876 patients in the no steroid group. There was no difference in pancreatic fistula (23.8% vs. 21.7%; p-0.3), delayed gastric emptying (21.1% vs.20.1%; p-0.06), major complications (31.8% vs. 30.1%; p-0.1), and mortality (3.5% vs. 3.2%; p-0.6) between the two groups.
Glucocorticoids did not reduce the incidence of overall complications, postoperative fistula, and delayed gastric emptying following pancreaticoduodenectomy.
Details
- Title: Subtitle
- Association between Preoperative Steroids and Outcomes in Patients Undergoing Pancreaticoduodenectomy using the National Surgical Quality Improvement Program
- Creators
- Hassan Aziz - Tufts UniversityZubair Ahmed - Tufts UniversityMohamed Abdimajid - Tufts UniversityYurie Sekigami - Tufts UniversityMartin Hertl - Tufts UniversityMartin D Goodman - Tufts University
- Resource Type
- Journal article
- Publication Details
- Journal of gastrointestinal surgery, Vol.26(6), pp.1198-1204
- DOI
- 10.1007/s11605-022-05260-w
- PMID
- 35141835
- ISSN
- 1091-255X
- eISSN
- 1873-4626
- Language
- English
- Date published
- 06/01/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984701547902771
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