Affiliations 

  • 1 Department of Surgical Science, Emergency Surgery Unit, University of Cagliari, Cagliari, Italy. Electronic address: mauro.podda@unica.it
  • 2 University of Naples Federico II, Department of Public Health, Naples, Italy
  • 3 'Luigi Vanvitelli' University of Campania, Naples, Italy; Colorectal Surgery, Vall d'Hebron University Hospital, Barcelona, Spain
  • 4 General, Emergency and Trauma Surgery Unit, Pisa University Hospital, Pisa, Italy
  • 5 Department of General Surgery, Santo Stefano Hospital, Prato, Italy
  • 6 Department of Surgery, Madonna del Soccorso Hospital, San Benedetto del Tronto, Italy
  • 7 General Surgery Unit, Nicola Giannettasio Hospital, Corigliano-Rossano, Italy
  • 8 HPB Surgery Unit, Hospital del Mar, Barcelona, Spain
  • 9 Trauma and Acute Care Surgery Unit, Niguarda Ca Granda Hospital, Milan, Italy
  • 10 Department of Upper GI Surgery, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK
  • 11 Department of Emergency and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint Germain en Laye, Poissy Cedex, France
  • 12 Department of Surgery, Vittorio Veneto Civil Hospital, Vittorio Veneto, Italy
  • 13 Department of Surgery, Macerata Civil Hospital, Macerata, Italy
  • 14 Department of Abdominal Surgery, Abdominal Center, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland
  • 15 Department of Surgery, EOC Regional Hospital, Lugano, Switzerland
  • 16 Intensive Care Unit, Bufalini Hospital, Cesena, Italy
  • 17 Centre for Inflammation Research, Clinical Surgery, University of Edinburgh, Edinburgh, Scotland, UK
  • 18 Division of General Surgery, Rambam Health Care Campus, Haifa, Israel
  • 19 Department of Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy
  • 20 Department of Surgical Science, Emergency Surgery Unit, University of Cagliari, Cagliari, Italy
Pancreatology, 2022 Nov;22(7):902-916.
PMID: 35963665 DOI: 10.1016/j.pan.2022.07.007

Abstract

BACKGROUND/OBJECTIVES: Reports about the implementation of recommendations from acute pancreatitis guidelines are scant. This study aimed to evaluate, on a patient-data basis, the contemporary practice patterns of management of biliary acute pancreatitis and to compare these practices with the recommendations by the most updated guidelines.

METHODS: All consecutive patients admitted to any of the 150 participating general surgery (GS), hepatopancreatobiliary surgery (HPB), internal medicine (IM) and gastroenterology (GA) departments with a diagnosis of biliary acute pancreatitis between 01/01/2019 and 31/12/2020 were included in the study. Categorical data were reported as percentages representing the proportion of all study patients or different and well-defined cohorts for each variable. Continuous data were expressed as mean and standard deviation. Differences between the compliance obtained in the four different subgroups were compared using the Mann-Whitney U, Student's t, ANOVA or Kruskal-Wallis tests for continuous data, and the Chi-square test or the Fisher's exact test for categorical data.

RESULTS: Complete data were available for 5275 patients. The most commonly discordant gaps between daily clinical practice and recommendations included the optimal timing for the index CT scan (6.1%, χ2 6.71, P = 0.081), use of prophylactic antibiotics (44.2%, χ2 221.05, P 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.