The Swiss HPB-Center focuses on diagnosis and treatment of diseases of the liver, the pancreas, the gallbladder and the biliary tree (hepato-pancreato-biliary diseases). Why have these diseases to be treated in a center?
Several studies have demonstrated that patient outcome is better in specialized high volume centers. Data also provide compelling evidence that specialized care for patients with liver disease improves outcome, but it does not yet prove that an interdisciplinary approach significantly impacts on patient management and outcome. These data are currently still lacking.
There is, however, indirect evidence from other medical fields that an integrated interdisciplinary approach improves patient care. Several randomized controlled trials could show that an interdisciplinary approach in stroke units with specialized medical care, nursing and rehabilitation programs positively affects outcome of stroke patients. Also the care of patients with chronic heart failure is improved by a multidisciplinary team approach involving cardiologists, nephrologists, pneumologists and endocrinologists, as well as nutritionists and exercise physiologists. These data provide the basis to also treat patients with liver, bile duct and pancreatic diseases in an interdisciplinary center with the aim to further assess the impact of such an approach on patient outcome and satisfaction. So the idea of the Swiss Hepato-Pancreato-Biliary (HPB) Center was born.