El principio de oportunidad en el derecho comparado

La presente monografía tiene por objeto realizar una descripción del principio de oportunidad en el derecho comparado y llegar a dilucidar si el principio de oportunidad consagrada en el artículo 250 de la constitución es compatible con los estándares internacionales de justicia. Para alcanzar dicha meta, se realiza un estudio cualitativo de los ordenamientos jurídicos de Colombia, Alemania, Argentina y Perú, de la naturaleza jurídica del principio, los límites y la facultad discrecional del Fiscal en la aplicación del principio de oportunidad, para finalmente determinar que nuestro país cumple con los estándares internacionales en cuanto al principio de oportunidad.The purpose of this paper is to provide a description of the principle of opportunity based on the comparative law and come to question whether the principle of opportunity enshrined in Article 250 of the constitution is compatible with international standards of justice. To achieve this goal, a qualitative study of the laws of Colombia, Germany, Argentina and Perú, related to the legal nature of the opportunity principle, the limits and the Prosecutor's discretion in applying this principle, to finally, determine that our country meets the international standards on the important principle of oportunity

Pancreatic surgery outcomes: multicentre prospective snapshot study in 67 countries

Background: Pancreatic surgery remains associated with high morbidity rates. Although postoperative mortality appears to have improved with specialization, the outcomes reported in the literature reflect the activity of highly specialized centres. The aim of this study was to evaluate the outcomes following pancreatic surgery worldwide.Methods: This was an international, prospective, multicentre, cross-sectional snapshot study of consecutive patients undergoing pancreatic operations worldwide in a 3-month interval in 2021. The primary outcome was postoperative mortality within 90 days of surgery. Multivariable logistic regression was used to explore relationships with Human Development Index (HDI) and other parameters.Results: A total of 4223 patients from 67 countries were analysed. A complication of any severity was detected in 68.7 percent of patients (2901 of 4223). Major complication rates (Clavien-Dindo grade at least IIIa) were 24, 18, and 27 percent, and mortality rates were 10, 5, and 5 per cent in low-to-middle-, high-, and very high-HDI countries respectively. The 90-day postoperative mortality rate was 5.4 per cent (229 of 4223) overall, but was significantly higher in the low-to-middle-HDI group (adjusted OR 2.88, 95 per cent c.i. 1.80 to 4.48). The overall failure-to-rescue rate was 21 percent; however, it was 41 per cent in low-to-middle-compared with 19 per cent in very high-HDI countries.Conclusion: Excess mortality in low-to-middle-HDI countries could be attributable to failure to rescue of patients from severe complications. The authors call for a collaborative response from international and regional associations of pancreatic surgeons to address management related to death from postoperative complications to tackle the global disparities in the outcomes of pancreatic surgery (NCT04652271; ISRCTN95140761)