Six hospital resources linked to lower mortality after pancreas surgery
A global prospective cohort study of 2928 patients across 214 centers in 60 countries examined hospital-level factors associated with 90-day mortality after pancreas surgery. The study identified six modifiable hospital factors—interventional radiology/endoscopy availability, structured nutrition support, evidence-based practice adoption, staff training, equipment maintenance, and favorable nurse-patient ratios—that combined into a Hospital Resource Index, with each additional point associated with 12% lower mortality odds independent of surgical case volume; hospitals with all six resources had a 54% lower mortality rate than those with none. The authors state this provides actionable targets for resource allocation beyond centralization policies based on volume alone.
Most relevant for: Hospital administrators and surgical teams involved in resource allocation and quality improvement for centers performing pancreas surgery.
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