Influence of Hospital Volume on Mortality and Length of Hospital Stay After Pancreatic Resection in Switzerland

Completed

• Conditions: Pancreatic Diseases

• Registration Number: NCT07022639
• Lead Sponsor: Cantonal Hospital of St. Gallen

Brief Summary

The effect of centralisation measures on the operative outcomes after pancreatic resection in Switzerland has not been highlighted yet. This study aims to investigate the influence of the annual hospital specific case load of pancreatic resection on short-term postoperative outcomes.

Detailed Description

Not available

Study Timeline

• Study Start: 2013-01-01
• Primary Completion: 2022-12-31
• Study Completion: 2023-03-01
• Study First Submitted: 2025-05-26
• Study First Submitted QC: 2025-06-06
• Study First Posted: 2025-06-15
• Status Verified: 2025-07
• Last Update Submitted: 2025-07-09
• Last Update Posted: 2025-07-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 6785

Inclusion Criteria

• All patients with pancreatic resection in Switzerland between 2013 and 2022

Exclusion Criteria

• incomplete case documentation
• age under 20 years
• other hospitals than general or surgical hospitals
• no index operation

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mortality	Periprocedural	The association between the hospital volume and the postoperative mortality Mortality Yes or No Hospital volume of pancreatic resection as marginal effect Association with GAM logistic regression

Secondary Outcome Measures

Name	Time	Method
Sociodemographic trends	2013 - 2022
Reoperation	Periprocedural	The association between the hospital volume and the reoperation rate Reoperation Yes or No Hospital volume of pancreatic resection as marginal effect Association with GAM logistic regression
Length of hospital stay	Periprocedural	The association between the hospital volume and the length of hospital stay Length of hospital stay in days Hospital volume of pancreatic resection as marginal effect Association with quantile regression

Trial Locations

Locations (1)

HOCH Health Ostschweiz, Kantonsspital St.Gallen; 🇨🇭 St.Gallen, Switzerland