International consensus on standardization of data collection for complications associated with esophagectomy: Esophagectomy Complications Consensus Group (ECCG)

Low, Donald E., Alderson, Derek, Cecconello, Ivan, Chang, Andrew C., Darling, Gail E., D'Journo, Xavier Benoit, Griffin, S. Michael, Holscher, Arnulf H., Hofstetter, Wayne L., Jobe, Blair A., Kitagawa, Yuko, Kucharczuk, John C., Law, Simon Ying Kit, Lerut, Toni E., Maynard, Nick, Pera, Manuel, Peters, Jeffrey H., Pramesh, C. S., Reynolds, John V., Smithers, B. Mark and van Lanschot, J. Jan B. (2015) International consensus on standardization of data collection for complications associated with esophagectomy: Esophagectomy Complications Consensus Group (ECCG). Annals of Surgery, 262 2: 286-294. doi:10.1097/SLA.0000000000001098


Author Low, Donald E.
Alderson, Derek
Cecconello, Ivan
Chang, Andrew C.
Darling, Gail E.
D'Journo, Xavier Benoit
Griffin, S. Michael
Holscher, Arnulf H.
Hofstetter, Wayne L.
Jobe, Blair A.
Kitagawa, Yuko
Kucharczuk, John C.
Law, Simon Ying Kit
Lerut, Toni E.
Maynard, Nick
Pera, Manuel
Peters, Jeffrey H.
Pramesh, C. S.
Reynolds, John V.
Smithers, B. Mark
van Lanschot, J. Jan B.
Title International consensus on standardization of data collection for complications associated with esophagectomy: Esophagectomy Complications Consensus Group (ECCG)
Journal name Annals of Surgery   Check publisher's open access policy
ISSN 1528-1140
0003-4932
Publication date 2015-01-20
Sub-type Article (original research)
DOI 10.1097/SLA.0000000000001098
Volume 262
Issue 2
Start page 286
End page 294
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams and Wilkins
Collection year 2016
Language eng
Formatted abstract
Introduction: Perioperative complications influence long- and short-term outcomes after esophagectomy. The absence of a standardized system for defining and recording complications and quality measures after esophageal resection has meant that there is wide variation in evaluating their impact on these outcomes.

Methods: The Esophageal Complications Consensus Group comprised 21 high-volume esophageal surgeons from 14 countries, supported by all the major thoracic and upper gastrointestinal professional societies. Delphi surveys and group meetings were used to achieve a consensus on standardized methods for defining complications and quality measures that could be collected in institutional databases and national audits.

Results: A standardized list of complications was created to provide a template for recording individual complications associated with esophagectomy. Where possible, these were linked to preexisting international definitions. A Delphi survey facilitated production of specific definitions for anastomotic leak, conduit necrosis, chyle leak, and recurrent nerve palsy. An additional Delphi survey documented consensus regarding critical quality parameters recommended for routine inclusion in databases. These quality parameters were documentation on mortality, comorbidities, completeness of data collection, blood transfusion, grading of complication severity, changes in level of care, discharge location, and readmission rates.

Conclusions: The proposed system for defining and recording perioperative complications associated with esophagectomy provides an infrastructure to standardize international data collection and facilitate future comparative studies and quality improvement projects.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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