Toward a new paradigm of care: a surgical leaders' Delphi consensus on the organizational factors of the new pancreas units (E-AHPBA PUECOF study).

Autor: Cobianchi L; Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Via Alessandro Brambilla, 74, 27100, Pavia, Italy. lorenzo.cobianchi@unipv.it.; Pancreas Unit Directorship, IRCCS Policlinico San Matteo Foundation, Pavia, Italy. lorenzo.cobianchi@unipv.it.; Collegium Medicum, University of Social Sciences, Łodz, Poland. lorenzo.cobianchi@unipv.it., Dal Mas F; Collegium Medicum, University of Social Sciences, Łodz, Poland.; Department of Management - Venice School of Management, Ca' Foscari University, Venice, Italy., Abu Hilal M; Department of General Surgery, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy., Adham M; Department of Hepato-Biliary and Pancreatic Surgery, Edouard Herriot Hospital, Hospices Civils De Lyon, Lyon, France., Alfieri S; Digestive Surgery, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Catholic University, Rome, Italy., Balzano G; Pancreatic and Transplant Surgery Unit, Pancreas Translational and Clinical Research Center, IRCCS Ospedale San Raffaele, ENETS Center of Excellence, Milan, Italy., Barauskas G; Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania., Bassi C; Verona, Italy., Besselink MG; Department of Surgery, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.; Cancer Center Amsterdam, Amsterdam, The Netherlands., Bockhorn M; Department of General and Visceral Surgery, University Medical Centre Oldenburg, Oldenburg, Germany., Boggi U; Division of General and Transplant Surgery, University of Pisa, Pisa, Italy., Conlon KC; Department of Surgery, School of Medicine, Trinity College, Dublin, Ireland.; Centre for Pancreatico-Biliary Diseases, Department of Surgery, Tallaght University Hospital, Dublin, Ireland., Coppola R; General Surgery, Università Campus Bio-Medico di Roma, Rome, Italy.; General Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy., Dervenis C; Department of Hepatobiliary and Pancreatic Surgery, Metropolitan Hospital, Piraeus, Greece., Dokmak S; Department of Hepatobiliopancreatic Surgery and Liver Transplantation, Beaujon Hospital, GHU AP-HP.Nord-Université Paris Cité, Paris, France., Falconi M; Pancreatic and Transplant Surgery Unit, Pancreas Translational and Clinical Research Center, IRCCS Ospedale San Raffaele, ENETS Center of Excellence, Milan, Italy., Fusai GK; Department of HPB Surgery and Liver Transplant, Royal Free Hospital NHS Foundation Trust, London, UK.; Division of Surgery and Interventional Sciences, University College London, London, UK., Gumbs AA; Advanced & Minimally Invasive Surgery Excellence Center, Department of Surgery, American Hospital Tbilisi, Tbilisi, Georgia., Ivanecz A; Department of Abdominal and General Surgery, University Medical Center Maribor, Maribor, Slovenia., Memeo R; Unit of Hepato-Pancreato-Biliary Surgery, General Regional Hospital 'F. Miulli', Acquaviva Delle Fonti, Italy., Radenković D; Faculty of Medicine, University of Belgrade, Belgrade, Serbia.; Clinical Center of Serbia, Clinic of Digestive Surgery, Belgrade, Serbia., Ramia JM; Department of Surgery, Hospital General Universitario Dr. Balmis, Alicante, Spain., Rangelova E; Division of Surgery, Department of Clinical Science, Intervention, and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.; Section for Upper Abdominal Surgery at Department of Surgery, Sahlgrenska University Hospital, Gothenburg, Sweden., Salvia R; Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.; General and Pancreatic Surgery Department, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy., Sauvanet A; Université Paris Cité, Centre de Recherche Sur l'InflammationInserm, Paris, France.; Department of Hepatobiliary Surgery, APHP Nord Beaujon Hospital, Clichy, France., Serrablo A; Department of Surgery, Miguel Servet University Hospital, Zaragoza, Spain., Siriwardena AK; Hepato-Pancreato-Biliary Unit, Manchester Royal Infirmary, Manchester, UK., Stättner S; Department of General, Visceral and Vascular Surgery, Centre for Hepatobiliary Surgery, Vöcklabruck, Austria., Strobel O; Medizinische Universitat Wien, Vienna, Austria., Zerbi A; Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.; Pancreatic Surgery Unit, Humanitas Research Hospital -IRCCS, Rozzano, Italy., Malleo G; Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy.; General and Pancreatic Surgery Department, Pancreas Institute, University of Verona Hospital Trust, Verona, Italy., Butturini G; Department of HPB Surgery, Pederzoli Hospital, Peschiera del Garda, Italy., Frigerio I; Department of HPB Surgery, Pederzoli Hospital, Peschiera del Garda, Italy.
Jazyk: angličtina
Zdroj: Updates in surgery [Updates Surg] 2024 Sep; Vol. 76 (5), pp. 1593-1614. Date of Electronic Publication: 2024 Apr 25.
DOI: 10.1007/s13304-024-01839-x
Abstrakt: Pancreas units represent new organizational models of care that are now at the center of the European debate. The PUECOF study, endorsed by the European-African Hepato-Pancreato-Biliary Association (E-AHPBA), aims to reach an expert consensus by enquiring surgical leaders about the Pancreas Units' most relevant organizational factors, with 30 surgical leaders from 14 countries participating in the Delphi survey. Results underline that surgeons believe in the need to organize multidisciplinary meetings, nurture team leadership, and create metrics. Clinical professionals and patients are considered the most relevant stakeholders, while the debate is open when considering different subjects like industry leaders and patient associations. Non-technical skills such as ethics, teamwork, professionalism, and leadership are highly considered, with mentoring, clinical cases, and training as the most appreciated facilitating factors. Surgeons show trust in functional leaders, key performance indicators, and the facilitating role played by nurse navigators and case managers. Pancreas units have a high potential to improve patients' outcomes. While the pancreas unit model of care will not change the technical content of pancreatic surgery, it may bring surgeons several benefits, including more cases, professional development, easier coordination, less stress, and opportunities to create fruitful connections with research institutions and industry leaders.
(© 2024. The Author(s).)
Databáze: MEDLINE
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