Abstract:
OBJECTIVES:A selective therapy for pancreatitis is total pancreatectomy and islet autotransplantation. Outcomes and geographical variability of patients who had total pancreatectomy (TP) alone or total pancreatectomy with islet autotransplantation (TPIAT) were assessed. METHODS:Data were obtained from the Healthcare Cost and Utilization Project National Inpatient Sample database. Weighed univariate and multivariate analyses were performed to determine the effect of measured variables on outcomes. RESULTS:Between 2002 and 2013, there were 1006 TP and 825 TPIAT in patients with a diagnosis of chronic pancreatitis, and 1705 TP and 830 TPIAT for any diagnosis of pancreatitis. The majority of the TP and TPIAT were performed in larger urban hospitals. Costs were similar for TP and TPIAT for chronic pancreatitis but were lower for TPIAT compared with TP for any type of pancreatitis. The trend for TP and TPIAT was significant in all geographical areas during the study period. CONCLUSIONS:There is an increasing trend of both TP and TPIAT. Certain groups are more likely to be offered TPIAT compared with TP alone. More data are needed to understand disparities and barriers to TPIAT, and long-term outcomes of TPIAT such as pain control and glucose intolerance need further study.
journal_name
Pancreasjournal_title
Pancreasauthors
Lara LF,Bellin MD,Ugbarugba E,Nathan JD,Witkowski P,Wijkstrom M,Steel JL,Smith KD,Singh VK,Schwarzenberg SJ,Pruett TL,Naziruddin B,Long-Simpson L,Kirchner VA,Gardner TB,Freeman ML,Dunn TB,Chinnakotla S,Beilman GJ,Addoi
10.1097/MPA.0000000000001405subject
Has Abstractpub_date
2019-10-01 00:00:00pages
1204-1211issue
9eissn
0885-3177issn
1536-4828journal_volume
48pub_type
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