Hospital variation in combined liver resection and thermal ablation for colorectal liver metastases and impact on short-term postoperative outcomes: a nationwide population-based study
- Elfrink, Arthur K.E.
- Nieuwenhuizen, Sanne
- van den Tol, M. Petrousjka
- Burgmans, Mark C.
- Prevoo, Warner
- Coolsen, Marielle M.E.
- van den Boezem, Peter B.
- van Delden, Otto M.
- Hagendoorn, Jeroen
- Patijn, Gijs A.
- Leclercq, Wouter K.G.
- Liem, Mike S.L.
- Rijken, Arjen M.
- Verhoef, Cornelis
- Kuhlmann, Koert F.D.
- Ruiter, Simeon J.S.
- Grünhagen, Dirk J.
- Klaase, Joost M.
- Kok, Niels F.M.
- Meijerink, Martijn R.
- Swijnenburg, Rutger Jan
- te Riele, Wouter W.
- de Boer, Marieke T.
- Dejong, Cees H.C.
- van Gulik, Thomas H.
- Hoogwater, Frederik J.H.
- Molenaar, I. Q.
- van der Leij, Christiaan
- Moelker, Adriaan
- Besselink, Marc G.H.
- Buis, Carlijn I.
- den Dulk, Marcel
- Bosscha, Koop
- Belt, Eric J.Th
- Vermaas, Maarten
- van Heek, Tjarda N.T.
- Oosterling, Steven J.
- Torrenga, Hans
- Eker, Hasan H.
- Consten, Esther C.J.
DOIAbstract
Background: Combining resection and thermal ablation can improve short-term postoperative outcomes in patients with colorectal liver metastases (CRLM). This study assessed nationwide hospital variation and short-term postoperative outcomes after combined resection and ablation. Methods: In this population-based study, all CRLM patients who underwent resection in the Netherlands between 2014 and 2018 were included. After propensity score matching for age, ASA-score, Charlson-score, diameter of largest CRLM, number of CRLM and earlier resection, postoperative outcomes were compared. Postoperative complicated course (PCC) was defined as discharge after 14 days or a major complication or death within 30 days of surgery. Results: Of 4639 include...
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