Global Hospital Infrastructure and Its Impact on Mortality After Pancreas Surgery: Insights from the Hospital Resource Index

Highlight

• Identification of six modifiable hospital-level factors significantly linked to lower 90-day mortality after pancreas surgery across 60 countries.
• Development of a Hospital Resource Index (HRI) combining these factors, demonstrating cumulative protective effects independent of surgical volume.
• Hospitals possessing all six HRI components show a 54% reduction in postoperative mortality compared to those lacking these resources.
• Findings provide actionable targets for infrastructure and process improvements to enhance surgical outcomes globally beyond centralization policies.

Study Background