[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
March 1996

A Plea for Uniform Reporting of Patient Outcome in Chronic Pancreatitis

Author Affiliations

University of California, Davis Medical Center Sacramento; Johns Hopkins University Baltimore, Md; Rush-Presbyterian-St Luke's Medical Center Chicago, Ill

Arch Surg. 1996;131(3):233-234. doi:10.1001/archsurg.1996.01430150011001

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


THE NEED to improve the reporting of the results of various therapeutic maneuvers designed to relieve the pain and rectify the complications of chronic pancreatitis has long been recognized.1 Factors considered important in assessing the efficacy of these therapeutic interventions include the ease and safety of their use, the completeness and duration of the pain relief they induce, the incidence and severity of any physiological impairments they produce (such as endocrine and exocrine insufficiency), their associated morbidity and mortality, and their impact on the length and quality of life. Over the past 10 years, there has been some general improvement in the details provided by surgeons reporting the results of operations performed to relieve the pain of chronic pancreatitis. It has become standard to specify the length of follow-up, the incidence of postoperative exocrine and endocrine insufficiency, and change in weight and work status when reporting the operative results

Frey CF, Braasch J.  Surgical management of chronic pancreatitis: the need to improve our observations and assessments of results . Am J Surg . 1984;147:189-190.Article
Keith RG, Saibil FG, Sheppard RH.  Treatment of chronic alcoholic pancreatitis by pancreatic resection . Am J Surg . 1989;157:156-162.Article
Gall FP, Gebhardt C, Meister R, Zirngibl H, Schneider MU.  Severe chronic cephalic pancreatitis: use of partial duodenopancreatectomy with occlusion of the pancreatic duct in 289 patients . World J Surg . 1989;13:809-817.Article
Traverso LW, Kozarek RA.  The Whipple procedure for severe complications of chronic pancreatitis . Arch Surg . 1993;128:1047-1053.Article
Prinz RA. Greenlee HB.  Pancreatic duct drainage in chronic pancreatitis . Hepatogastroenterology . 1990;37:295-300.
Bradley EL.  Long-term results of pancreaticojejunostomy in patients with chronic pancreatitis . Am J Surg . 1987;153:207-213.Article
Pain JA, Knight MJ.  Pancreaticogastrostomy: the preferred operation for pain relief for chronic pancreatitis . Br J Surg . 1988;75:220-222.Article
Buchler M, Friess H, Isenmann R, Bittner R, Beger HG.  Duodenum-preserving resection in the head of the pancreas: the Ulm experience . In: Beger HG. Malfertheiner M, eds. Standards in Pancreatic Surgery . Berlin, Germany: Springer-Verlag; 1993:436-449.
Nealon WH, Thompson JC.  Progressive loss of pancreatic function in chronic pancreatitis is delayed by main pancreatic duct decompression: a longitudinal prospective analysis of the modified Puestow procedure . Ann Surg . 1993;217: 458-468.Article
Gill TM. Feinstein AR.  A critical appraisal of the quality of quality-of-life measurements . JAMA . 1994;272:619-626.Article
McLeod RS, Taylor BR, O'Connor BI, et al.  Quality of life, nutritional status, and gastrointestinal hormone profile following the Whipple procedure . Am J Surg . 1995;169:179-185.Article