German Bowel Cancer Center: An Attempt to Improve Treatment Quality
المؤلفون المشاركون
Jannasch, Olof
Udelnow, Andrej
Wolff, Stefanie
Mroczkowski, Pawel
Lippert, Hans
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-05-03
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
Colorectal cancer remains the second most common cause of death from malignancies, but treatment results show high diversity.
Certified bowel cancer centres (BCC) are the basis of a German project for improvement of treatment.
The aim of this study was to analyze if certification would enhance short-term outcome in rectal cancer surgery.
Material and Methods.
This quality assurance study included 8197 patients with rectal cancer treated between 1 January 2008 and 31 December 2010.
We compared cohorts treated in certified and noncertified hospitals regarding preoperative variables and perioperative outcomes.
Outcomes were verified by matched-pair analysis.
Results.
Patients of noncertified hospitals had higher ASA-scores, higher prevalence of risk factors, more distant metastases, lower tumour localization, lower frequency of pelvic MRI, and higher frequencies of missing values and undetermined TNM classifications (significant differences only).
Outcome analysis revealed more general complications in certified hospitals (20.3% versus 17.4%, p = 0.03 ).
Both cohorts did not differ significantly in percentage of R0-resections, intraoperative complications, anastomotic leakage, in-hospital death, and abdominal wall dehiscence.
Conclusions.
The concept of BCC is a step towards improving the structural and procedural quality.
This is a good basis for improving outcome quality but cannot replace it.
For a primary surgical disease like rectal cancer a specific, surgery-targeted program is still needed.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Jannasch, Olof& Udelnow, Andrej& Wolff, Stefanie& Lippert, Hans& Mroczkowski, Pawel. 2015. German Bowel Cancer Center: An Attempt to Improve Treatment Quality. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1063984
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Jannasch, Olof…[et al.]. German Bowel Cancer Center: An Attempt to Improve Treatment Quality. Gastroenterology Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1063984
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Jannasch, Olof& Udelnow, Andrej& Wolff, Stefanie& Lippert, Hans& Mroczkowski, Pawel. German Bowel Cancer Center: An Attempt to Improve Treatment Quality. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1063984
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1063984
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر