Research considerations in the evaluation of minimally invasive pancreatic resection (MIPR)

被引：11

作者：

Barkun, Jeffrey ^{[1
]}

Fisher, William ^{[4
]}

Davidson, Giana ^{[3
]}

Wakabayashi, Go ^{[10
]}

Besselink, Marc ^{[2
]}

Pitt, Henry ^{[7
]}

Holt, Jane ^{[5
]}

Strasberg, Steve ^{[8
]}

Vollmer, Charles ^{[9
]}

Kooby, David ^{[6
]}

机构：

[1] McGill Univ, Hlth Ctr, Royal Victoria Hosp Room D02-7114, Montreal, PQ H4A 3J1, Canada

[2] Univ Amsterdam, Acad Med Ctr, Amsterdam, Netherlands

[3] Univ Washington, Dept Surg, Dept Hlth Serv, Surg Outcomes Res Ctr, Seattle, WA 98195 USA

[4] Baylor Coll Med, Dept Surg, Gen Surg, Houston, TX 77030 USA

[5] Natl Pancreas Fdn, Bethesda, MD USA

[6] Emory Univ, Atlanta, GA 30322 USA

[7] Temple Univ, Lewis Katz Sch Med, Philadelphia Acad Surg, Temple Univ Hlth Syst Inc, Philadelphia, PA 19122 USA

[8] Barnes Jewish Hosp, VA Med Ctr, St Louis John Cochran Div, Surg Div Gen Surg, St Louis, MO USA

[9] Univ Penn, Philadelphia, PA 19104 USA

[10] Ageo Cent Gen Hosp, Saitama, Japan

来源：

HPB | 2017年 / 19卷 / 03期

关键词：

RANDOMIZED CONTROLLED-TRIALS; HEALTH-CARE-SYSTEM; SURGICAL CARE; OUTCOMES; SURGERY;

D O I：

10.1016/j.hpb.2017.01.005

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

The IHPBA/AHPBA-sponsored 2016 minimally invasive pancreatic resection (MIPR) conference held on April 20th, 2016 included a session designed to evaluate what would be the most appropriate scientific contribution to help define the increasing role of MIPR internationally. Participants in the conference reviewed the assessment of numerous pertinent scientific designs including randomized controlled trial (RCT), pragmatic international RCT, registry-RCT, non-RCT with propensity matching, and various types of clinical registries including those aiming to create a quality improvement data system or a learning health care system. The strengths and weaknesses of each of these designs, the status of trials which are currently recruiting patients, and pragmatic considerations were evaluated. A recommendation was made to establish a clinical registry to collect data prospectively from around the world to assess current practices and provide a framework for future studies in MIPR.

引用

页码：246 / 253

页数：8

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