Sensitizing Surgeons to Their Outcome Has No Measurable Short-term Benefit.
Identifieur interne : 000B21 ( Main/Exploration ); précédent : 000B20; suivant : 000B22Sensitizing Surgeons to Their Outcome Has No Measurable Short-term Benefit.
Auteurs : Francois Cauchy [France] ; Olivier Farges ; Eric Vibert ; Emmanuel Boleslawski ; Francois René Pruvot ; Jean Marc Regimbeau ; Jean Yves Mabrut ; Olivier Scatton ; Mustapha Adham ; Christophe Laurent ; Emilie Grégoire ; Jean Robert Delpero ; Philippe Bachellier ; Olivier SoubraneSource :
- Annals of surgery [ 1528-1140 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Amélioration de la qualité (MeSH), Auto-évaluation (psychologie) (MeSH), Chirurgiens (normes), Chirurgiens (psychologie), Chirurgiens (statistiques et données numériques), Complications postopératoires (prévention et contrôle), Complications postopératoires (épidémiologie), Compétence clinique (statistiques et données numériques), Dossiers médicaux électroniques (MeSH), Durée du séjour (statistiques et données numériques), Femelle (MeSH), France (MeSH), Humains (MeSH), Hépatectomie (mortalité), Hépatectomie (normes), Interventions chirurgicales non urgentes (mortalité), Interventions chirurgicales non urgentes (normes), Mâle (MeSH), Rétroaction psychologique (MeSH), Sujet âgé (MeSH), Études de suivi (MeSH), Études prospectives (MeSH).
- MESH :
- mortalité : Hépatectomie, Interventions chirurgicales non urgentes.
- normes : Chirurgiens, Hépatectomie, Interventions chirurgicales non urgentes.
- prévention et contrôle : Complications postopératoires.
- psychologie : Chirurgiens.
- statistiques et données numériques : Chirurgiens, Compétence clinique, Durée du séjour.
- épidémiologie : Complications postopératoires.
- Adulte, Adulte d'âge moyen, Amélioration de la qualité, Auto-évaluation (psychologie), Dossiers médicaux électroniques, Femelle, France, Humains, Mâle, Rétroaction psychologique, Sujet âgé, Études de suivi, Études prospectives.
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Clinical Competence (statistics & numerical data), Elective Surgical Procedures (mortality), Elective Surgical Procedures (standards), Electronic Health Records (MeSH), Feedback, Psychological (MeSH), Female (MeSH), Follow-Up Studies (MeSH), France (MeSH), Hepatectomy (mortality), Hepatectomy (standards), Humans (MeSH), Knowledge of Results, Psychological (MeSH), Length of Stay (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), Outcome and Process Assessment, Health Care (MeSH), Postoperative Complications (epidemiology), Postoperative Complications (prevention & control), Prospective Studies (MeSH), Quality Improvement (MeSH), Self-Assessment (MeSH), Surgeons (psychology), Surgeons (standards), Surgeons (statistics & numerical data).
- MESH :
- geographic : France.
- epidemiology : Postoperative Complications.
- mortality : Elective Surgical Procedures, Hepatectomy.
- prevention & control : Postoperative Complications.
- psychology : Surgeons.
- standards : Elective Surgical Procedures, Hepatectomy, Surgeons.
- statistics & numerical data : Clinical Competence, Length of Stay, Surgeons.
- Adult, Aged, Electronic Health Records, Feedback, Psychological, Female, Follow-Up Studies, Humans, Knowledge of Results, Psychological, Male, Middle Aged, Outcome and Process Assessment, Health Care, Prospective Studies, Quality Improvement, Self-Assessment.
Abstract
OBJECTIVE
Investigate if involving surgeons in outcome prediction-research and having them use a dedicated Electronic-Health-Record that provides feedback, improves patients' outcome.
BACKGROUND
Improvement of clinical outcome mainly relies on the declaration of adverse events, identification of their predictors, self-assessment, and feedback.
METHODS
Thirteen French Hepato-Pancreato-Biliary-centers made commitment to include all patients undergoing elective hepatectomies in an observational study. Each center was given access to a dedicated website, where perioperative data were prospectively collected. The website provided real-time individual and comparative feedback of outcome and was also intended to perform prognostication studies. The hypothesis was that by using this strategy, the length-of-stay would be reduced by 10%. Power-calculation implied the inclusion of 1720 patients. Secondary endpoints were 90-day mortality, severe morbidity, and the comprehensive-complication index.
RESULTS
Only 5 of the 13 participating centers were fully compliant in enrolling their patients and the inclusion period was extended by 1-year (October 2012-October 2015) to meet the objective. During this period, the collaborative group published 9 studies based on the study data (median impact factor = 8.327) that identified quantitative clinical variables, qualitative clinical variables, and nonclinical variables influencing outcome. For patients enrolled by the 5 active centers (n = 1752), there was no improvement in length of stay (13.3 vs 12.4 days, P = 0.287), severe complications (23.6 vs 20.5%, P = 0.134), the complication comprehensive index (24.0 vs 24.9, P = 0.448), mortality (4.1 vs 3.9%, P = 0.903), or unplanned readmissions (7.2 vs 8.4%, P = 0.665), even after adjusting for confounders.
CONCLUSION
Simply sensitizing surgeons to their outcome has no measurable short-term clinical benefit.
DOI: 10.1097/SLA.0000000000002403
PubMed: 28991876
Affiliations:
Links toward previous steps (curation, corpus...)
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France **Department of Hepatobiliopancreatic Surgery, Hôpital Edouard Herriot, Lyon, France ††Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint André, Bordeaux, France ‡‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de la Conception, Marseille, France §§Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France ¶¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>*Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris, Université Paris 7, Clichy, France †Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Paul Brousse, Villejuif, France ‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Claude Huriez, Lille, France §Department of Hepatobiliopancreatic Surgery, Hôpital Nord, Amiens, France ¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Croix Rousse, Lyon, France ||Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint Antoine, Paris, France **Department of Hepatobiliopancreatic Surgery, Hôpital Edouard Herriot, Lyon, France ††Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint André, Bordeaux, France ‡‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de la Conception, Marseille, France §§Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France ¶¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old 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sortKey="Soubrane, Olivier" sort="Soubrane, Olivier" uniqKey="Soubrane O" first="Olivier" last="Soubrane">Olivier Soubrane</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28991876</idno><idno type="pmid">28991876</idno><idno type="doi">10.1097/SLA.0000000000002403</idno><idno type="wicri:Area/Main/Corpus">000A26</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000A26</idno><idno type="wicri:Area/Main/Curation">000A26</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000A26</idno><idno type="wicri:Area/Main/Exploration">000A26</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Sensitizing Surgeons to Their Outcome Has No Measurable Short-term Benefit.</title><author><name sortKey="Cauchy, Francois" sort="Cauchy, Francois" uniqKey="Cauchy F" first="Francois" last="Cauchy">Francois Cauchy</name><affiliation wicri:level="3"><nlm:affiliation>*Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris, Université Paris 7, Clichy, France †Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Paul Brousse, Villejuif, France ‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Claude Huriez, Lille, France §Department of Hepatobiliopancreatic Surgery, Hôpital Nord, Amiens, France ¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Croix Rousse, Lyon, France ||Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint Antoine, Paris, France **Department of Hepatobiliopancreatic Surgery, Hôpital Edouard Herriot, Lyon, France ††Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint André, Bordeaux, France ‡‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de la Conception, Marseille, France §§Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France ¶¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>*Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris, Université Paris 7, Clichy, France †Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Paul Brousse, Villejuif, France ‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Claude Huriez, Lille, France §Department of Hepatobiliopancreatic Surgery, Hôpital Nord, Amiens, France ¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Croix Rousse, Lyon, France ||Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint Antoine, Paris, France **Department of Hepatobiliopancreatic Surgery, Hôpital Edouard Herriot, Lyon, France ††Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint André, Bordeaux, France ‡‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de la Conception, Marseille, France §§Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France ¶¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Alsace (région administrative)</region><settlement type="city">Strasbourg</settlement></placeName></affiliation></author><author><name sortKey="Farges, Olivier" sort="Farges, Olivier" uniqKey="Farges O" first="Olivier" last="Farges">Olivier Farges</name></author><author><name sortKey="Vibert, Eric" sort="Vibert, Eric" uniqKey="Vibert E" first="Eric" last="Vibert">Eric Vibert</name></author><author><name sortKey="Boleslawski, Emmanuel" sort="Boleslawski, Emmanuel" uniqKey="Boleslawski E" first="Emmanuel" last="Boleslawski">Emmanuel Boleslawski</name></author><author><name sortKey="Pruvot, Francois Rene" sort="Pruvot, Francois Rene" uniqKey="Pruvot F" first="Francois René" last="Pruvot">Francois René Pruvot</name></author><author><name sortKey="Regimbeau, Jean Marc" sort="Regimbeau, Jean Marc" uniqKey="Regimbeau J" first="Jean Marc" last="Regimbeau">Jean Marc Regimbeau</name></author><author><name sortKey="Mabrut, Jean Yves" sort="Mabrut, Jean Yves" uniqKey="Mabrut J" first="Jean Yves" last="Mabrut">Jean Yves Mabrut</name></author><author><name sortKey="Scatton, Olivier" sort="Scatton, Olivier" uniqKey="Scatton O" first="Olivier" last="Scatton">Olivier Scatton</name></author><author><name sortKey="Adham, Mustapha" sort="Adham, Mustapha" uniqKey="Adham M" first="Mustapha" last="Adham">Mustapha Adham</name></author><author><name sortKey="Laurent, Christophe" sort="Laurent, Christophe" uniqKey="Laurent C" first="Christophe" last="Laurent">Christophe Laurent</name></author><author><name sortKey="Gregoire, Emilie" sort="Gregoire, Emilie" uniqKey="Gregoire E" first="Emilie" last="Grégoire">Emilie Grégoire</name></author><author><name sortKey="Delpero, Jean Robert" sort="Delpero, Jean Robert" uniqKey="Delpero J" first="Jean Robert" last="Delpero">Jean Robert Delpero</name></author><author><name sortKey="Bachellier, Philippe" sort="Bachellier, Philippe" uniqKey="Bachellier P" first="Philippe" last="Bachellier">Philippe Bachellier</name></author><author><name sortKey="Soubrane, Olivier" sort="Soubrane, Olivier" uniqKey="Soubrane O" first="Olivier" last="Soubrane">Olivier Soubrane</name></author></analytic><series><title level="j">Annals of surgery</title><idno type="eISSN">1528-1140</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Clinical Competence (statistics & numerical data)</term><term>Elective Surgical Procedures (mortality)</term><term>Elective Surgical Procedures (standards)</term><term>Electronic Health Records (MeSH)</term><term>Feedback, Psychological (MeSH)</term><term>Female (MeSH)</term><term>Follow-Up Studies (MeSH)</term><term>France (MeSH)</term><term>Hepatectomy (mortality)</term><term>Hepatectomy (standards)</term><term>Humans (MeSH)</term><term>Knowledge of Results, Psychological (MeSH)</term><term>Length of Stay (statistics & numerical data)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome and Process Assessment, Health Care (MeSH)</term><term>Postoperative Complications (epidemiology)</term><term>Postoperative Complications (prevention & control)</term><term>Prospective Studies (MeSH)</term><term>Quality Improvement (MeSH)</term><term>Self-Assessment (MeSH)</term><term>Surgeons (psychology)</term><term>Surgeons (standards)</term><term>Surgeons (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Amélioration de la qualité (MeSH)</term><term>Auto-évaluation (psychologie) (MeSH)</term><term>Chirurgiens (normes)</term><term>Chirurgiens (psychologie)</term><term>Chirurgiens (statistiques et données numériques)</term><term>Complications postopératoires (prévention et contrôle)</term><term>Complications postopératoires (épidémiologie)</term><term>Compétence clinique (statistiques et données numériques)</term><term>Dossiers médicaux électroniques (MeSH)</term><term>Durée du séjour (statistiques et données numériques)</term><term>Femelle (MeSH)</term><term>France (MeSH)</term><term>Humains (MeSH)</term><term>Hépatectomie (mortalité)</term><term>Hépatectomie (normes)</term><term>Interventions chirurgicales non urgentes (mortalité)</term><term>Interventions chirurgicales non urgentes (normes)</term><term>Mâle (MeSH)</term><term>Rétroaction psychologique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Études de suivi (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Elective Surgical Procedures</term><term>Hepatectomy</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Hépatectomie</term><term>Interventions chirurgicales non urgentes</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Chirurgiens</term><term>Hépatectomie</term><term>Interventions chirurgicales non urgentes</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Complications postopératoires</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Chirurgiens</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Surgeons</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Elective Surgical Procedures</term><term>Hepatectomy</term><term>Surgeons</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Clinical Competence</term><term>Length of Stay</term><term>Surgeons</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Chirurgiens</term><term>Compétence clinique</term><term>Durée du séjour</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Complications postopératoires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Electronic Health Records</term><term>Feedback, Psychological</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Knowledge of Results, Psychological</term><term>Male</term><term>Middle Aged</term><term>Outcome and Process Assessment, Health Care</term><term>Prospective Studies</term><term>Quality Improvement</term><term>Self-Assessment</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Amélioration de la qualité</term><term>Auto-évaluation (psychologie)</term><term>Dossiers médicaux électroniques</term><term>Femelle</term><term>France</term><term>Humains</term><term>Mâle</term><term>Rétroaction psychologique</term><term>Sujet âgé</term><term>Études de suivi</term><term>Études prospectives</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>Investigate if involving surgeons in outcome prediction-research and having them use a dedicated Electronic-Health-Record that provides feedback, improves patients' outcome.</p></div><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Improvement of clinical outcome mainly relies on the declaration of adverse events, identification of their predictors, self-assessment, and feedback.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Thirteen French Hepato-Pancreato-Biliary-centers made commitment to include all patients undergoing elective hepatectomies in an observational study. Each center was given access to a dedicated website, where perioperative data were prospectively collected. The website provided real-time individual and comparative feedback of outcome and was also intended to perform prognostication studies. The hypothesis was that by using this strategy, the length-of-stay would be reduced by 10%. Power-calculation implied the inclusion of 1720 patients. Secondary endpoints were 90-day mortality, severe morbidity, and the comprehensive-complication index.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Only 5 of the 13 participating centers were fully compliant in enrolling their patients and the inclusion period was extended by 1-year (October 2012-October 2015) to meet the objective. During this period, the collaborative group published 9 studies based on the study data (median impact factor = 8.327) that identified quantitative clinical variables, qualitative clinical variables, and nonclinical variables influencing outcome. For patients enrolled by the 5 active centers (n = 1752), there was no improvement in length of stay (13.3 vs 12.4 days, P = 0.287), severe complications (23.6 vs 20.5%, P = 0.134), the complication comprehensive index (24.0 vs 24.9, P = 0.448), mortality (4.1 vs 3.9%, P = 0.903), or unplanned readmissions (7.2 vs 8.4%, P = 0.665), even after adjusting for confounders.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Simply sensitizing surgeons to their outcome has no measurable short-term clinical benefit.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28991876</PMID><DateCompleted><Year>2017</Year><Month>10</Month><Day>18</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1528-1140</ISSN><JournalIssue CitedMedium="Internet"><Volume>266</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>11</Month></PubDate></JournalIssue><Title>Annals of surgery</Title><ISOAbbreviation>Ann Surg</ISOAbbreviation></Journal><ArticleTitle>Sensitizing Surgeons to Their Outcome Has No Measurable Short-term Benefit.</ArticleTitle><Pagination><MedlinePgn>884-889</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/SLA.0000000000002403</ELocationID><Abstract><AbstractText Label="OBJECTIVE">Investigate if involving surgeons in outcome prediction-research and having them use a dedicated Electronic-Health-Record that provides feedback, improves patients' outcome.</AbstractText><AbstractText Label="BACKGROUND">Improvement of clinical outcome mainly relies on the declaration of adverse events, identification of their predictors, self-assessment, and feedback.</AbstractText><AbstractText Label="METHODS">Thirteen French Hepato-Pancreato-Biliary-centers made commitment to include all patients undergoing elective hepatectomies in an observational study. Each center was given access to a dedicated website, where perioperative data were prospectively collected. The website provided real-time individual and comparative feedback of outcome and was also intended to perform prognostication studies. The hypothesis was that by using this strategy, the length-of-stay would be reduced by 10%. Power-calculation implied the inclusion of 1720 patients. Secondary endpoints were 90-day mortality, severe morbidity, and the comprehensive-complication index.</AbstractText><AbstractText Label="RESULTS">Only 5 of the 13 participating centers were fully compliant in enrolling their patients and the inclusion period was extended by 1-year (October 2012-October 2015) to meet the objective. During this period, the collaborative group published 9 studies based on the study data (median impact factor = 8.327) that identified quantitative clinical variables, qualitative clinical variables, and nonclinical variables influencing outcome. For patients enrolled by the 5 active centers (n = 1752), there was no improvement in length of stay (13.3 vs 12.4 days, P = 0.287), severe complications (23.6 vs 20.5%, P = 0.134), the complication comprehensive index (24.0 vs 24.9, P = 0.448), mortality (4.1 vs 3.9%, P = 0.903), or unplanned readmissions (7.2 vs 8.4%, P = 0.665), even after adjusting for confounders.</AbstractText><AbstractText Label="CONCLUSION">Simply sensitizing surgeons to their outcome has no measurable short-term clinical benefit.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cauchy</LastName><ForeName>Francois</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>*Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique Hôpitaux de Paris, Université Paris 7, Clichy, France †Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Paul Brousse, Villejuif, France ‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Claude Huriez, Lille, France §Department of Hepatobiliopancreatic Surgery, Hôpital Nord, Amiens, France ¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Croix Rousse, Lyon, France ||Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint Antoine, Paris, France **Department of Hepatobiliopancreatic Surgery, Hôpital Edouard Herriot, Lyon, France ††Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital Saint André, Bordeaux, France ‡‡Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de la Conception, Marseille, France §§Department of Surgical Oncology, Institut Paoli-Calmettes, Marseille, France ¶¶Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Farges</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Vibert</LastName><ForeName>Eric</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Boleslawski</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Pruvot</LastName><ForeName>Francois René</ForeName><Initials>FR</Initials></Author><Author ValidYN="Y"><LastName>Regimbeau</LastName><ForeName>Jean Marc</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Mabrut</LastName><ForeName>Jean Yves</ForeName><Initials>JY</Initials></Author><Author ValidYN="Y"><LastName>Scatton</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Author><Author ValidYN="Y"><LastName>Adham</LastName><ForeName>Mustapha</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Laurent</LastName><ForeName>Christophe</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Grégoire</LastName><ForeName>Emilie</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Delpero</LastName><ForeName>Jean Robert</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Bachellier</LastName><ForeName>Philippe</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>Soubrane</LastName><ForeName>Olivier</ForeName><Initials>O</Initials></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT01715402</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg</MedlineTA><NlmUniqueID>0372354</NlmUniqueID><ISSNLinking>0003-4932</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Ann Surg. 2019 Jan;269(1):e12-e13</RefSource><PMID Version="1">30063497</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Ann Surg. 2019 Jan;269(1):e13-e14</RefSource><PMID Version="1">30562213</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="N">Clinical Competence</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017558" MajorTopicYN="N">Elective Surgical Procedures</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D057286" MajorTopicYN="N">Electronic Health Records</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D030141" MajorTopicYN="Y">Feedback, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006498" MajorTopicYN="N">Hepatectomy</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="N">mortality</QualifierName><QualifierName UI="Q000592" MajorTopicYN="Y">standards</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007721" MajorTopicYN="Y">Knowledge of Results, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007902" MajorTopicYN="N">Length of Stay</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010043" MajorTopicYN="N">Outcome and Process Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058996" MajorTopicYN="N">Quality Improvement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012647" MajorTopicYN="Y">Self-Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D066231" MajorTopicYN="N">Surgeons</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000592" MajorTopicYN="N">standards</QualifierName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>10</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>10</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>10</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28991876</ArticleId><ArticleId IdType="doi">10.1097/SLA.0000000000002403</ArticleId><ArticleId IdType="pii">00000658-201711000-00025</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Alsace (région administrative)</li><li>Grand Est</li></region><settlement><li>Strasbourg</li></settlement></list><tree><noCountry><name sortKey="Adham, Mustapha" sort="Adham, Mustapha" uniqKey="Adham M" first="Mustapha" last="Adham">Mustapha Adham</name><name sortKey="Bachellier, Philippe" sort="Bachellier, Philippe" uniqKey="Bachellier P" first="Philippe" last="Bachellier">Philippe Bachellier</name><name sortKey="Boleslawski, Emmanuel" sort="Boleslawski, Emmanuel" uniqKey="Boleslawski E" first="Emmanuel" last="Boleslawski">Emmanuel Boleslawski</name><name sortKey="Delpero, Jean Robert" sort="Delpero, Jean Robert" uniqKey="Delpero J" first="Jean Robert" last="Delpero">Jean Robert Delpero</name><name sortKey="Farges, Olivier" sort="Farges, Olivier" uniqKey="Farges O" first="Olivier" last="Farges">Olivier Farges</name><name sortKey="Gregoire, Emilie" sort="Gregoire, Emilie" uniqKey="Gregoire E" first="Emilie" last="Grégoire">Emilie Grégoire</name><name sortKey="Laurent, Christophe" sort="Laurent, Christophe" uniqKey="Laurent C" first="Christophe" last="Laurent">Christophe Laurent</name><name sortKey="Mabrut, Jean Yves" sort="Mabrut, Jean Yves" uniqKey="Mabrut J" first="Jean Yves" last="Mabrut">Jean Yves Mabrut</name><name sortKey="Pruvot, Francois Rene" sort="Pruvot, Francois Rene" uniqKey="Pruvot F" first="Francois René" last="Pruvot">Francois René Pruvot</name><name sortKey="Regimbeau, Jean Marc" sort="Regimbeau, Jean Marc" uniqKey="Regimbeau J" first="Jean Marc" last="Regimbeau">Jean Marc Regimbeau</name><name sortKey="Scatton, Olivier" sort="Scatton, Olivier" uniqKey="Scatton O" first="Olivier" last="Scatton">Olivier Scatton</name><name sortKey="Soubrane, Olivier" sort="Soubrane, Olivier" uniqKey="Soubrane O" first="Olivier" last="Soubrane">Olivier Soubrane</name><name sortKey="Vibert, Eric" sort="Vibert, Eric" uniqKey="Vibert E" first="Eric" last="Vibert">Eric Vibert</name></noCountry><country name="France"><region name="Grand Est"><name sortKey="Cauchy, Francois" sort="Cauchy, Francois" uniqKey="Cauchy F" first="Francois" last="Cauchy">Francois Cauchy</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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