dc.contributor.author | Waage, Anne | |
dc.contributor.author | Holmquist, Olof Dan Sebastian | |
dc.contributor.author | Labori, Knut Jørgen | |
dc.contributor.author | Paulsen, Vemund | |
dc.contributor.author | Aabakken, Lars | |
dc.contributor.author | Lenz, Harald | |
dc.contributor.author | Felix Magnus, Henrik C. | |
dc.contributor.author | Tholfsen, Tore | |
dc.contributor.author | Hauge, Truls | |
dc.date.accessioned | 2023-02-28T14:10:47Z | |
dc.date.available | 2023-02-28T14:10:47Z | |
dc.date.created | 2022-11-28T12:08:45Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | HPB. 2022, 24 (12), 2157-2166. | en_US |
dc.identifier.issn | 1365-182X | |
dc.identifier.uri | https://hdl.handle.net/11250/3054736 | |
dc.description.abstract | Introduction - Optimal management of chronic pancreatitis involves several specialties. Selection of patients for surgery may benefit from evaluation by a multidisciplinary team (MDT), similar to cancer care. The aim of this study was to evaluate outcomes in patients selected for surgery after MDT decision.
Methods - A prospective, observational study of consecutive patients operated for pain due to chronic pancreatitis after implementation of a MDT. The main outcome was Quality of life (QoL) assessed by EORTC-QLQ C30 and pain relief in patients followed >3 months. Complications were registered and predictive factors for pain relief analyzed.
Results - Of 269 patients evaluated by the MDT, 60 (22%) underwent surgery. Postoperative surgical complications occurred in five patients (8.3%) and reoperation within 30 days in two. There was no 90-days mortality. Complete or partial pain relief was achieved in 44 of 50 patients followed >3 months (88%). Preoperative duration of pain predicted lower probability of success. Postoperative improvement in QoL was most prominent for pain, appetite and nausea.
Conclusions - After MDT evaluation, one in five patients was selected for surgery. Pain relief was obtained in a majority of patients with improved QoL. A tailored approach through a MDT seems warranted and efficient. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Elsevier | en_US |
dc.rights | Navngivelse 4.0 Internasjonal | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/deed.no | * |
dc.title | Tailored surgery in chronic pancreatitis after implementation of a multidisciplinary team assessment; a prospective observational study | en_US |
dc.title.alternative | Tailored surgery in chronic pancreatitis after implementation of a multidisciplinary team assessment; a prospective observational study | en_US |
dc.type | Peer reviewed | en_US |
dc.type | Journal article | en_US |
dc.description.version | publishedVersion | en_US |
dc.source.pagenumber | 2157-2166 | en_US |
dc.source.volume | 24 | en_US |
dc.source.journal | HPB | en_US |
dc.source.issue | 12 | en_US |
dc.identifier.doi | 10.1016/j.hpb.2022.09.007 | |
dc.identifier.cristin | 2082449 | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |