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Het volume van chirurgische ingrepen en de impact ervan op ... - KCE

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<strong>KCE</strong> Reports 113 Volume Outcome 69<br />

5.3.3.3 Pati<strong>en</strong>t and tumour characteristics<br />

Peripancreatic cancer contains following tumour locations (ICD-10 co<strong>de</strong>s):<br />

• C17.0 for malignant ne<strong>op</strong>lasm of duod<strong>en</strong>um<br />

• C24.0 for malignant ne<strong>op</strong>lasm of extrahepatic bile ducts<br />

• C24.1 for malignant ne<strong>op</strong>lasm of ampulla of Vater<br />

• C25 for malignant ne<strong>op</strong>lasm of pancreas.<br />

Tumour histology is not used as a variable for risk adjustm<strong>en</strong>t and is therefore not<br />

analyzed in this section. For a <strong>de</strong>tailed <strong>de</strong>scription of TNM classification and TNM stages<br />

for pancreatic cancer, we refer to <strong>KCE</strong> report 105. 154<br />

Table 5.23 shows that the mean age of the 311 pati<strong>en</strong>ts selected in the MCD was 65<br />

years (median age is 66 years) and 55% of them were m<strong>en</strong>. Three quarters (75.8%) of<br />

peripancreatic tumours were located in the pancreas. Majority of pati<strong>en</strong>ts had stage 2<br />

pancreatic cancer (56%).<br />

Table 5.23: Pancreatic cancer surgery: Pati<strong>en</strong>t and tumour characteristics<br />

Number %<br />

Age (years)<br />

mean/median 65.0/66<br />

Std 10.<br />

Total 311<br />

Sex<br />

Male 171 54.98<br />

Female 140 45.02<br />

Total 311<br />

Tumour location<br />

Duod<strong>en</strong>um 9 3.63<br />

Tumour stage<br />

Extrahepatic bile ducts 16 6.45<br />

Ampulla of Vater 35 14.11<br />

Pancreas 188 75.81<br />

Total 248<br />

I 46 22.22<br />

II 116 56.04<br />

III 20 9.66<br />

IV 25 12.08<br />

Total 207

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